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Dicha Yuliadewi Rahmawati
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Faculty of Dentistry Maranatha Christian University Jl. Surya Sumantri No.65, Sukawarna, Kec. Sukajadi, Kota Bandung 40164, Jawa Barat, Indonesia
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Sonde (Sound of Dentistry)
Published by Universitas Kristen Maranatha
ISSN : 24608580     EISSN : 26851822     DOI : https://doi.org/10.28932/sod
Core Subject : Health,
Dentistry
SONDE (Sound of Dentistry) is an open access journal under management of Faculty of Dentistry Maranatha Christian University which present original research articles, review articles, and case report that sounding the innovation and recent development in dentistry. SONDE is covering all area of dentistry, including oral biology; dental material science and technology; oral and maxillofacial surgery; pedodontics; dental public health, epidemiology, preventive and community dentistry; conservative dentistry; periodontics; prosthodontics; orthodontics; oral medicine; dentomaxillofacial radiology; forensic dentistry as well as with their development through interdisciplinary and multidisciplinary approach. We accept publication in Bahasa Indonesia or English. The publication biannually published online on March and September each year.
Arjuna Subject : Kedokteran Gigi - Perawatan Gigi
Articles 93 Documents
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Aesthetic Rehabilitation of Maxillary Anterior Teeth Following Internal Bleaching with Direct Composite Veneers: Aesthetic Rehabilitation of Maxillary Anterior Teeth Meuthia Sari; Hendra Dian Adhita Dharsono; Dudi Aripin
SONDE (Sound of Dentistry) Vol. 11 No. 1 (2026): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

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Abstract

Background: Intrinsic discoloration often present significant aesthetic challenges, particularly in patients with a history of an inadequate endodontic treatment. In such cases, a combining internal bleaching, endodontic therapy, and aesthetic rehabilitation is required to restore both function and appearance. This minimally invasive approach supports long-term aesthetic outcomes while preserving tooth structure. Objective: To present the management of intrinsic discoloration and anterior tooth asymmetry using internal bleaching, endodontic retreatment and direct composite veneers. Case Report: A 24-year-old female came to the Department of Conservative Dentistry, Padjadjaran University presented with discoloration of tooth 21, which had undergone an inadequate endodontic treatment several years using a zinc oxide-based root filling material. Internal bleaching was performed using the walking bleach technique with 35% hydrogen peroxide. Meanwhile, on tooth 11 presented with a periapical abcess and root canal treatment was presented. After achieving a shade match, old composite restoration on teeth 11,21 were removed and replaced with new direct composite veneers. Additionally, both maxillary lateral incisors received direct composite veneers to correct tooth shape and achieve aesthetic balance. Results: The combination of internal bleaching and endodontic retreatment successfully eliminated the discoloration and resolved the infection. Composite veneers provided an aesthetically pleasing and balanced outcome. Conclusion: Internal bleaching, when combined with endodontic therapy and direct composite veneers, offers a conservative and effective solution for managing complex anterior aesthetic cases. Addressing both discoloration and morphological imbalance can significantly improve the final aesthetic outcome.  
Esthetic Rehabilitation of a Non-Vital Discolored Tooth Through Endodontic Retreatment and Intra-Coronal Bleaching: A Case Report Faber Sidabutar; Hendra D A Dharsono
SONDE (Sound of Dentistry) Vol. 11 No. 1 (2026): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

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Abstract

Background: Discoloration of non-vital anterior teeth is a common aesthetic concern, often associated with inadequate root canal treatment. A combined approach involving non-surgery endodontic retreatment and walking bleaching offers a conservative solution to restore both function and aesthetics. Objective: To report the conservative management of a discolored non-vital anterior tooth using non-surgical endodontic retreatment and the walking bleach technique. Case Report: A 24-year-old female presented with a complaint of anterior tooth discoloration persisting for the past two years, affecting her appearance. Patient experienced spontaneous pain five years earlier while undergoing orthodontic treatment. Six months earlier, the patient had undergone an incomplete root canal treatment, with radiographic examination revealing a non-hermetic obturation. Clinical examination revealed tenderness to percussion on tooth #11 and radiographic evaluation confirmed inadequate canal filling. According to the American Association of Endodontists (AAE) diagnostic criteria, tooth #21 was diagnosed as previously treated with symptomatic apical periodontitis. Non-surgical endodontic retreatment was performed with interim calcium hydroxide medication. The canal was obturated using the warm vertical compaction technique in combination with a bioceramic sealer to ensure tight seal. Bleaching was carried out using the walking bleach technique with 35% hydrogen peroxide. After the colour improved the tooth was restored with composite resin. Follow-up showed favourable aesthetic outcomes and patient satisfied with the result. Conclusion: Non surgery endodontic retreatment combined with intra-coronal bleaching using 35% hydrogen peroxide is an effective and conservative approach for managing discoloration of non-vital anterior teeth with a history of inadequate treatment.
Internal Bleaching As An Esthetic Management For Discolored Non-Vital Tooth Post-Endodontic Treatment: Case Report Alvinny Ganeshaputri; Opik Taofik Hidayat; Dudi Aripin
SONDE (Sound of Dentistry) Vol. 11 No. 1 (2026): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

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Abstract

Abstract Background: Dental trauma may lead to pulpal necrosis, resulting in internal degradation of dental tissues and subsequent discoloration of the affected tooth. This discoloration is commonly associated with degradation of pulp remnants, penetration of obturation materials into dentinal tubules, or hemolysis of erythrocytes during endodontic procedures. Internal bleaching offers a minimally invasive and biologically conservative approach for esthetic rehabilitation in these cases. Objective: To present a clinical case demonstrating the application of internal bleaching using the walking bleach technique for the esthetic management of a non-vital, endodontically treated maxillary central incisor. Case Report: A 25-year-old female visited RSGM Unpad with a discolored maxillary left central incisor (#21) and worsen her appearance. The patient’s previous history of trauma five years ago. Clinical and radiographic examinations confirmed pulp necrosis, with asymptomatic apical periodontitis. Root canal treatment was performed using standar protocol. Two weeks post obturation, internal bleaching was initiated using the walking bleach technique with 35% hydrogen peroxide. The coronal seal was ensured using a 2 mm cervical barrier of resin-modified glass ionomer cement to prevent cervical resorption. After two bleaching sessions, a satisfactory shade match with adjacent teeth was achieved without any complications. Conclusion: Internal bleaching with the walking bleach technique provides an effective, conservative, and predictable solution for managing discolored in non-vital teeth. The use of a proper cervical barrier and careful case selection are essential to minimize risks. This approach provides favorable esthetic results while preserving tooth structure. Keyword: Internal bleaching, esthetics, non-vital tooth, tooth discoloration, endodontic

Page 10 of 10 | Total Record : 93

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