How to whiten a dead tooth

A dead tooth, also known as a non-vital or necrotic tooth, can become discolored over time, leading to aesthetic concerns and potential oral health issues. Whitening a dead tooth is possible, but it requires specialized techniques and treatments. This comprehensive guide will explore the causes of tooth discoloration, the symptoms of a dead tooth, and various methods to whiten a dead tooth, as well as preventive measures and maintenance tips.
Understanding a Dead Tooth
What is a Dead Tooth?
A dead tooth is a tooth that has lost its blood supply and nerve function. This can occur due to trauma, decay, or other factors that damage the tooth’s pulp (the innermost part of the tooth containing nerves and blood vessels).
Causes of a Dead Tooth
- Trauma or Injury: A blow to the mouth or face can damage the tooth’s pulp, leading to a dead tooth.
- Tooth Decay: Severe decay that reaches the pulp can cause infection and death of the tooth.
- Gum Disease: Advanced gum disease can lead to the loss of blood supply to the tooth, causing it to die.
- Dental Procedures: Certain dental procedures, such as multiple fillings or crowns, can stress the tooth and result in pulp damage.
Symptoms of a Dead Tooth
- Discoloration: A dead tooth often becomes discolored, turning yellow, gray, brown, or even black over time.
- Pain: Initially, there may be pain or discomfort, but the pain may subside as the nerve dies.
- Swelling and Abscess: Swelling of the gum around the affected tooth and the presence of an abscess or pus can indicate a dead tooth.
- Bad Breath: Persistent bad breath or a foul taste in the mouth may be a sign of a dead tooth.
Whitening a Dead Tooth
Why Does a Dead Tooth Become Discolored?
A dead tooth can become discolored due to the breakdown of red blood cells within the pulp, which releases pigments that seep into the dentin (the layer beneath the enamel). Additionally, the lack of blood flow and nutrient supply can cause the tooth to take on a dull, lifeless appearance.
Whitening Methods for a Dead Tooth
Whitening a dead tooth requires professional dental treatments, as over-the-counter whitening products are typically ineffective for internal discoloration.
1. Internal Bleaching
Internal bleaching is a specialized procedure performed by a dentist to whiten a dead tooth from the inside out.
Procedure:
- Accessing the Tooth: The dentist will create an opening in the back of the affected tooth to access the pulp chamber.
- Cleaning the Chamber: Any remaining pulp tissue is removed, and the chamber is thoroughly cleaned.
- Bleaching Agent Application: A bleaching agent is placed inside the pulp chamber, and the opening is temporarily sealed.
- Re-evaluation and Repeat Treatments: The tooth is monitored over several days, and the bleaching agent may be reapplied as needed to achieve the desired level of whitening.
- Final Sealing: Once the tooth has reached the desired shade, the opening is permanently sealed with a filling or crown.
2. External Whitening
In some cases, external whitening treatments may be used in conjunction with internal bleaching to achieve a more uniform appearance.
Procedure:
- Custom Trays: Custom whitening trays are made to fit your teeth.
- Bleaching Gel: A professional-strength bleaching gel is applied to the trays, which are worn for a specified period each day.
- Monitoring: The dentist monitors progress and adjusts the treatment as needed to ensure optimal results.
3. Veneers or Crowns
For severely discolored or structurally compromised teeth, dental veneers or crowns may be recommended to improve aesthetics and restore function.
Veneers:
- Thin shells of porcelain or composite resin are bonded to the front surface of the tooth to improve color and shape.
Crowns:
- A crown, or cap, covers the entire tooth, providing both cosmetic enhancement and structural support.
Preventing Discoloration of a Dead Tooth
1. Timely Treatment
Seeking prompt treatment for a dead tooth, such as root canal therapy or internal bleaching, can prevent or minimize discoloration.
2. Good Oral Hygiene
Maintaining good oral hygiene practices, including regular brushing, flossing, and dental check-ups, can help prevent decay and gum disease, reducing the risk of a dead tooth.
3. Avoid Trauma
Wearing protective gear during sports and avoiding habits that can cause dental trauma (e.g., biting hard objects) can help prevent injury to the teeth.
4. Regular Dental Visits
Regular dental visits allow for early detection and treatment of potential issues, reducing the risk of a dead tooth and subsequent discoloration.
Maintenance and Aftercare
1. Follow-Up Appointments
Regular follow-up appointments with your dentist are essential to monitor the health and appearance of the treated tooth.
2. Good Oral Hygiene Practices
Continue to practice good oral hygiene, including brushing twice a day, flossing daily, and using an antiseptic mouthwash to keep your teeth and gums healthy.
3. Avoid Staining Foods and Drinks
Limit consumption of foods and drinks that can stain your teeth, such as coffee, tea, red wine, and dark-colored berries. Rinse your mouth with water after consuming these items.
4. Use a Straw
When drinking staining beverages, use a straw to minimize contact with your teeth.
5. Quit Smoking
Smoking can cause significant staining and discoloration of teeth. Quitting smoking can improve the overall appearance and health of your teeth.
Frequently Asked Questions
1. Can a dead tooth be whitened at home?
Home whitening treatments are generally ineffective for dead teeth, as the discoloration is internal. Professional treatments, such as internal bleaching, are required to address this type of discoloration.
2. How long does internal bleaching take?
Internal bleaching typically requires multiple visits over several weeks to achieve the desired level of whitening. The exact duration depends on the extent of discoloration and the tooth’s response to treatment.
3. Is internal bleaching painful?
Internal bleaching is generally not painful, as the tooth is already non-vital (without nerve sensation). However, some patients may experience minor discomfort or sensitivity, which can be managed with over-the-counter pain relievers.
4. How long do the results of internal bleaching last?
The results of internal bleaching can last for several years, but the tooth may eventually darken again over time. Regular dental check-ups and good oral hygiene can help maintain the whitening results.
5. Are there any risks associated with internal bleaching?
Internal bleaching is considered safe when performed by a qualified dentist. However, there is a risk of tooth weakening or fracture if the procedure is not done correctly. It’s essential to follow your dentist’s recommendations and care instructions.
Conclusion
A dead tooth can become discolored and affect the overall appearance of your smile. Whitening a dead tooth requires specialized dental treatments, such as internal bleaching, external whitening, or the use of veneers or crowns. Understanding the causes, symptoms, and treatment options for a dead tooth can help you make informed decisions about your dental health. By practicing good oral hygiene, seeking timely treatment, and following your dentist’s recommendations, you can maintain a healthy and beautiful smile. If you have a dead tooth that requires whitening, consult with your dentist to determine the most appropriate treatment plan for your needs.
Related to read:
Best Oral Hygiene Practices For Optimum Oral Health.
How to Whiten Teeth Naturally?
How to keep your gums healthy and disease-free?
References
To ensure the information provided is accurate and up-to-date, the following sources were referenced:
- American Dental Association. (n.d.). Plaque and Tartar. Retrieved from ADA website
- Mayo Clinic. (n.d.). Dental Plaque. Retrieved from Mayo Clinic website
- National Institute of Dental and Craniofacial Research. (n.d.). Periodontal (Gum) Disease. Retrieved from NIDCR website