To Bleach or Not to Bleach? Research Paper on Bleaching for MIH

MIH-related defects in anterior teeth present as sharply demarcated opacities ranging from whitish-yellow to yellow-brown, with highly variable manifestations. Custom, step-by-step treatment planning is frequently required due to this variability. In many cases, a combination of different treatment approaches is necessary.

In the research paper entitled “To Bleach or Not to Bleach? – The Role of Bleaching in the Clinical Workflow for the Treatment of Demarcated Opacities in Anterior Teeth”, the authors present a structured approach to the aesthetic management of these dental defects, emphasising the importance of adopting the most conservative treatment strategy possible. Bleaching is highlighted as a tooth-preserving, non-invasive option in treatment planning.

Using case studies, the paper demonstrates how bleaching can be employed as a first treatment step, and which further measures – such as resin infiltration or composite restoration – may follow depending on severity. The goal is to preserve and enhance both aesthetics and tooth structure through a systematic, minimally invasive approach, thereby maintaining and improving patients’ self-confidence and quality of life.

You can read the full paper in English in the Journal of Esthetic and Restorative Dentistry here.