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Using a modified subopaquing technique to treat highly discolored dentition.

BACKGROUND
The objective of esthetic dentistry is to treat diverse problems and achieve natural-appearing results. The author reviews the issues involved in the discoloration of human dentition and the concerns associated with current treatment for this problem. Understanding the proper use of materials in esthetic dentistry can result in a conservative, natural-appearing restoration.


OVERVIEW
Dentition discoloration due to intrinsic staining can be a severe esthetic problem. Current treatment using crowns and highly opaque porcelain veneers has inherent disadvantages in regard to the final restorations. The author explores a subopaquing technique that allows for progressive lightening of highly stained teeth to create natural color depth in a conservative porcelain veneer procedure.


CLINICAL IMPLICATIONS
In treating dental problems, the clinical practitioner looks for solutions that conserve tooth structure. To achieve natural-appearing esthetic results, it is important for the practitioner to be aware of technological advances in materials science as well as the proper use of esthetic dental techniques. Understanding the problems associated with dental discoloration and ways of correcting them will allow the practitioner to solve these moderate-to-severe esthetic problems on a consistent basis.