Inside-Out: Managing Intrinsic Discolouration in the Aesthetic Zone

Course Overview

Inside-Out: Managing Intrinsic Discolouration in the Aesthetic Zone This lecture presents a diagnostic-first approach to managing intrinsically discoloured anterior teeth. Through four clinical cases, Dr Adnill George Kock demonstrates how to differentiate between necrotic pulp, calcific metamorphosis, and internalised discolouration, and how each diagnosis drives a different treatment strategy. Techniques covered include the inside-out bleaching method using low-dose carbamide peroxide, intracoronal bleaching, CEJ-guided barrier seal placement, and prosthetic masking with opaque composites when tooth structure is too compromised for conservative management.