Dark teeth are a common aesthetic concern in daily practice, but they are a challenge to manage conservatively. Our first thought is often ”how much more should I prep it?”, but there are many more conservative solutions which should be considered as first line treatment.

We will discuss why bleaching should always be the first technique to consider in the management of dark teeth, then progress to other strategies to mask discolouration using ceramic restorations including use of opaque ceramics, opaque cements & composites and different preparation techniques to mask discolouration in a minimally invasive way. 

• 1. Assess discoloured anterior teeth and select appropriate treatment options;
• 2. Implement the use of inside-outside bleaching to improve the colour of dark teeth.
• 3. Appropriately use opaque ceramics, opaque cements / composites and altered preparation techniques to mask discoloured substrates.
• 4. Utilise techniques for improve