Inside-Out: Managing Intrinsic Discolouration in the Aesthetic Zone
A diagnosis-first approach to the intrinsically discoloured anterior tooth. Across four cases, Dr Adnill George Kock distinguishes necrotic pulp, calcific metamorphosis and internalised discolouration, and shows how each leads to a different strategy, from inside-out bleaching to prosthetic masking.
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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.
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Meet Dr Adnill George Kock
Dr Adnill George Kock
Dr Adnill George Kock is a general dentist with a special interest in endodontics and biomimetic dentistry. He graduated with a BChD from the University of the Western Cape in 2018 and completed a Postgraduate Diploma in Implantology at UWC in 2021. In July 2023, he limited his clinical practice to endodontics and currently manages all endodontic and referral cases…
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10/1/2025 to 9/30/2027.
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