Endodontics · single question

What is the appropriate treatment for a single discolored, endodontically involved (necrotic) anterior tooth?

  1. Complete root canal therapy followed by internal (non-vital) bleaching
  2. External bleaching alone
  3. Immediate full crown without endodontics
  4. Observation only
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Correct answer: A. Complete root canal therapy followed by internal (non-vital) bleaching

A discolored necrotic tooth needs root canal therapy first, then internal (walking) bleaching to address the intrinsic discoloration from pulpal breakdown.Other options: External bleaching alone will not correct internal discoloration from a necrotic pulp; crowning without addressing the necrosis is incorrect; observation ignores the pathology.Key exam takeaway: Discolored necrotic tooth = root canal therapy then internal bleaching.

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