From: Noemí Pascual
To: ROOTS
Sent: Thursday, March 15, 2007 4:24 AM
Subject: [roots] emergency case

This patient come today with intense and continuos pain in 36 due to a caries and leaky restoration. Vitality was possitive for cold. Palpation was normal but slighly sensitive to percussion. No mobility and normal periodontal probing. The diagnosis was irreversible pulpitis.

Pulpotomy was done after obturation the distal face with Ketac Cem. It took me a lot of time to obturate the distal face. I would like to know different tecniques and materials that you use to do that???? I left a dry cotton and placed a temporal filling. What do you think about intracanal medicament used in pulpotomies???? After occlusal adjustment and analgesics - Noemí Pascual, Barcelona - Spain

Noemi, this would be a good case for the canal projectors, they help reinforce the coronal while leaving access to each individual canal. helps seal coronally between appointments. I am a big believer in using CaOH (I like Vitapex but other brands are available too) between visits to kill bacteria in the canal and promote healing. with the canal projectors after you place the CaOH (after instrumenting the canals) you shorten the projector coronally and stick it back in each canal then overlay with some cavit. next visit you pop the spot of cavit off and insert a file into the projector and out it comes and your ready to work in the canal. no cotton pellet needed. I have no finanical interest in this product but have used it for about 8 years - Gregori Kurtzman