Digital Workflow for Rehabilitation of Severely Discolored Teeth Due to Red Staining from Endodontic Material

Int J Prosthodont. 2024 Nov 15;0(0):1-8. doi: 10.11607/ijp.9106. Online ahead of print.

Abstract

The aim of this short communication is to present a technique to rehabilitate severely discolored teeth with computer-aided designed and computer-aided manufactured (CAD-CAM) zirconia crowns. After confirming the absence of periapical lesions and sufficient crown structure, any caries or fractured restorations can be removed and replaced by an interim composite restoration. A shoulder subgingival preparation is performed and scanned with an intraoral scanner to design a CAD-CAM zirconia crown using a monolithic zirconia material. This crown is highly polished using a specific polishing kit, but not glazed. This technique is suggested to be useful in cases of dark discolored teeth due to staining endodontic materials such as resorcinol-formaldehyde resin.

Keywords: computer-aided design; computer-aided manufacturing; tooth discoloration.