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Direct Capping with MTA - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: RafaŽl Michiels
To: ROOTS
Sent: Friday, November 20, 2009 4:23 AM
Subject: [roots] Direct Capping with MTA
here is a case I finished today.

The patiŽnt was referred for endo of the 4.7
Tooth responded normal to sensibility testing, there were no spontaneous 
symptoms and the patiŽnt was only 29 years old.

I removed the caries and exposed a little pulp horn. While removing the
caries I constantly rinsed with CHX 0,2% aequous solution. When I finally 
had all the caries removed  hemostasis was achieved with a cotton pellet
soaked in CHX 0,2% aequous solution and was left in the cavity for 5 minutes,
I had a coffee then.

After this I placed MTA angelus and let it set. On the MTA I placed a 
temporary filling in Fuji IX, which will be left in place for about 6 months. 
Further follow-up will happen in:

1 week (telephone)
1 month (telephone)
3 months (office)
6 months (telephone)
1 year (office)

Now, fingers crossed and hopefully he does not phone me tomorrow with an 
acute pulpitis :-) - RafaŽl

Direct Capping with MTA

Direct Capping with MTA Hello Dr. Michiels, do you removed the pulptissue of the pulphorn? I donīt know the literature. Is there any reason (and I expect there is one) why you use CHX 0.2% solution for cavity cleaning and hemostasis? - Leo Zutz Hello Leo, I did remove the pulp tissue of the pulphorn with a new round bur, so, not the one I used to remove the caries. The reason for the use of CHX 0.2% is because of its antimicrobial capacity, but you can also use CHX gel 1% or 2%. In the literature, a lot of different concentrations are used - RafaŽl thanks for the reply and comments! I had a similiar case one year ago. No problems up to this time...hope it will be long lasting! - Leo

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves