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I Had a Root Canal and Now My Tooth Is Dark. How Can I Get My Bright Smile Back?

It is not uncommon for teeth to turn darker in color either before or after being treated with a root canal. Deposition of pigment within the tooth from the nerve, usually due to major trauma, can cause the tooth to turn either gray or brown. What happens is a reactive process causing calcification within the tooth can cause it to turn yellow. The treatment to regain your bright smile now depends on both the type and the severity of the color change.

Treatment Options

Internal Dental Bleaching

By far the easiest way to correct the color is by dental bleaching the tooth. The procedure for this is different than for conventional dental bleaching, where you are whitening all of your teeth.

The technique involves your dentist or endodontist placing a small amount of extremely strong dental bleaching material inside the tooth where the nerve was. It is placed through the small hole in your tooth through which the root canal was done. A temporary filling is then placed to seal in the tooth whitening material for three to four days.

The tooth will start to lighten almost immediately, and you will often see improvement on the night that it was placed. You will have to return to your dentist to have the dental bleaching material replaced because its effectiveness decreases over time. It usually takes two to three applications to regain your bright smile.

Once the tooth is lightened, a permanent filling will be placed. This procedure is very stable and it works best for teeth that have turned brown or gray. Even though the tooth color is lightened, it is difficult to obtain a perfect match with your other teeth.

Bright Smiles with Dental Veneers and Crowns

Another treatment option is to use a restoration to cover the tooth to mask the color change. The type of restoration needed will vary depending on how dark the tooth is and how much lighter it needs to be.

For teeth that are slightly to moderately dark, the best restoration is a porcelain veneer. Porcelain veneers are thin restorations that, when bonded to the tooth, can change both its shape and color.

Because of the thinness of the porcelain veneers, the color may show through the veneer if the tooth is too dark. Therefore, they are most successful for treating color changes that are not severe. For extremely dark teeth, a crown may be indicated to help mask the color.

It is important to note that although a crown or veneer may mask the darkness from the tooth, there may still be some darkness from the root that can show slightly through the gum tissue. The effect of this will vary depending on how dark the tooth is and the type of gum tissue.

A darker tooth with thinner gum tissue is more likely to have the dark color show through than a lighter tooth with thicker gum tissue. This darkness may not be a factor if the lip does not move up high enough to show the area at the gum line when smiling. If it does show and is an issue, the treatment will most likely need to include dental bleaching of the tooth, as previously discussed, with or without a restoration.

By Greggory Kinzer, DDS, MSD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Dental Crowns And The Dreaded Black Line: A Dead Giveaway That It's A Fake

We have all seen smiles that you know have dental crowns in the front. You look at them and say to yourself that something is not natural. Many times, it is the dark rim of gum tissue that gives it away. The dark rim of gum tissue does not occur around natural teeth, only around teeth that have been covered with dental crowns.

What Causes the Dark Line on My Gums?

The dark line is associated with an old porcelain dental crown. This style of dental crown is referred to as porcelain fused-to-metal dental crowns because it uses tooth-colored porcelain on the outside and it uses metal under the porcelain for strength. The dark line originates from the edge of the dental crowns where the porcelain and the metal meet at a knife-edge at the gum line. At the knife-edge, a very thin amount of the metal always shows. One of the illusionary techniques cosmetic dentists have used was to hide the thin dark line under the gum line. Over time, the gum tissue would recede and expose the dark line. In some patients the dark line would show through the gum and make it appear dark as well.

How Do You Get Rid of It?

The only way to eliminate the esthetic problem is to replace the dental crowns. When replacing just one single dental crown in the front, you should expect that it might take more than one try-in of the new dental crown before it is permanently cemented into place. Because your central incisors are the most prominent teeth in the mouth, matching them is the most difficult esthetic challenge. Only the best dental technicians are able to mimic one central incisor tooth next to another.

What Are Some of the Replacement Dental Crowns Like?

Some of the clever ways dentists and dental technicians have been able to mimic natural teeth is through the new advancements in dental materials. New all-tooth-colored ceramic dental crowns are the latest technological advancement cosmetic dentists have to recreate natural teeth. In comparison to porcelain fused-to-metal dental crowns, all-ceramic dental crowns do not contain any metal, thus no dark line can appear.

Some advantages and disadvantages of all-ceramic dental crowns are as follows:

Advantages of All-Ceramic Dental Crowns

• High esthetics
• Excellent fit
• If gum recession occurs, there is no dark line

Disadvantages of All-Ceramic Dental Crowns

< li>Not as strong as porcelain-fused-to-metal dental crowns
• Cannot be used in all areas of the mouth

Dental crowns often need to be replaced after several years of service for esthetic or functional reasons. With the growing esthetic awareness of patients and the available ceramic technology, this type of re-treatment is becoming more common in the dental office.

By Benjamin O. Watkins, III, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.