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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 -
From: RafaŽl Michiels
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

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3 canal premolar

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