The conservative management of a discolored, pulpless premolar: A case report

Endodontically treated premolars may discolor with time, impairing the esthetic appearance. Frequently combined with large defects, they are subject to an increased risk of fracture. The restoration of such teeth with a cast post and core and a separate porcelain-fused-to-metal crown results in additional loss of intact tooth structure. A case is presented in which the cavity of a discolored, pulpless maxillary premolar was restored, without further loss of tooth cavity substance, with an adhesively luted porcelain inlay after intracoronal bleaching, a technique traditionally used to lighten discolored, pulpless anterior teeth.