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Deep decay : carious exposure
From: John A. Schehl
To: ROOTS
Sent: Tuesday, May 12, 2009 9:37 PM
Subject: [roots] Learning to post
The second case from yesterday. Deep decay, carious
exposure.
As you can see from the b/up, this tooth could easily
have been shucked.
The patient is a young single mother w/o resources and
I wanted to try and salvage this tooth for her. I will
crown it. Protapers and precurved handfiles, lots of 'em.
I think I was a little heavy with the GG, a little coke
bottled shape. 1 visit - John A. Schehl
I would flick the rubber dam from off the wings of the
clamp, you must limit the amount of irrigant you can
use by having a hole like that around? It's a 2 second
job for a proper seal. I'm obsessive about proper dam,
do it right and you can forget about oraseal etc.
Thanks to Jan and Stephane for the encouragement.
I've not used oraseal in a long time.
Yep it's over enlarged, can't really see the apices of
the buccal roots, but in a carious exposure with vital
tissue you should be fine. How fast are you spinning
the GG's and with how much pressure? Mine are at
800 rpm with no apical pressure, very delicate.
I'm sure it will be ok, thanks for posting.
Chamber cleanup and build up look great - Bill
I agree the clamp kept slipping off and thats why I left
it over the wings but for sure that is a great tip and
one I will heed. I use light - moderate
apical pressure 800-1000 rpm. Typically I do not
"coke bottle" with GG's so much. The pictures have a
quick link to picassa, and this allows a larger view
although I will find a better technique to allow quicker
and more clear imaging. Thanks for your response
- John Schehl
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