ENDODONTICS

Internal Bleaching

What Is Internal Bleaching?

Internal bleaching (also called non-vital bleaching) is a professional dental procedure used to whiten a tooth that has darkened after a root canal. Unlike over-the-counter whitening products, this treatment is done from the inside of the tooth and performed only by a dentist or endodontist.

This approach is especially effective for teeth discolored by dental trauma, previous root canal therapy, aging, or certain medications.

A tooth may suffer discolorations due to different reasons

Tooth Discoloration:

Discoloration of a single tooth may result from caries or dental trauma, starting internally and moving outward. Generalized discoloration can occur due to aging, medications, or habits such as smoking.

Treatment options include internal bleaching, bonding, or crowns. The appropriate method depends on factors such as:

  • The degree and type of staining

  • The remaining tooth structure and whether changes to the tooth’s shape are needed

Your dentist will recommend the best approach to achieve safe and effective results.

What is the Difference between Teeth Whitening and Internal Bleaching?

Professional teeth whitening and internal bleaching both aim to make teeth appear whiter, but they differ in approach. Professional whitening, or external bleaching, includes in-office laser treatments and take-home kits. Internal bleaching is more invasive and reserved for teeth that have undergone root canal treatment.

How Does Internal Bleaching Work?

A safe oxidizing agent (bleaching solution) is placed inside the tooth to lighten discoloration. This can be done in two ways:

  • Chairside bleaching – the bleach is applied and removed during a single office visit.
  • Walking bleach technique – the bleaching agent remains inside the tooth for several days and is removed at a follow-up visit.

In some cases, multiple treatments are needed depending on the severity of the discoloration.

Internal Bleaching vs. Teeth Whitening

  • Professional teeth whitening (external bleaching) uses trays, gels, or laser whitening to brighten all visible teeth.
  • Internal bleaching targets a single discolored tooth from the inside, making it a great option for patients with one darkened tooth after a root canal.

Treatment Options for Tooth Discoloration

Tooth staining may result from:

  • Dental trauma
  • Caries (cavities)
  • Aging
  • Medication use
  • Habits such as smoking

Depending on your case, treatment may include:

  • Internal bleaching
  • Dental bonding
  • Crowns to restore tooth strength and appearance

    Your dentist will recommend the best option to achieve safe, long-lasting, and natural results.