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MTA direct pulp capping - Courtesy ROOTS
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From: Javier Pascual To: ROOTS Sent: Sunday, December 13, 2009 4:29 PM Subject: [roots] MTA DIRECT PULP CAPPING 16 MONTHS FOLLOW UP MTA DIRECT PULP CAPPING JULY 08 - 9 year-old boy was referred to my office for RCT on tooth 3.6 Pulp Diagnosis: Asymptomatic Irreversible Pulpitis Patient is asymptomatic No vertical/horizontal percussion No probing Normal response on 4.6 to cold test Pulp exposition when cleaning the caries, with rubber dam Direct pulp capping with MTA Wet cotton pellet+cavit Patient is referred with his GP for coronal build up NOVEMBER 09 Patient is asymptomatic No vertical/horizontal percussion No probing Normal response on 4.6 to cold test - Javier PascualHi Javier, When the exposure occured, how did you manage it? Was is bleeding? Could you please run through your technique? - Abdul Thank you Abdul, IŽll try to answer your question (excuse my poor English) Patient was aware of a possible pulp exposure. Caries was removed under the scope with RD. Once pulp comunication happened (young patient, asymptomatic, clean field, and small size exposition) I decided to do a DPC with MTA. Just little pressure with a cotton pellet (pediatrician dentis from UIC moist it with NaOCl) to stop bleeding and MTA placed with MTA Gun (Maillefer). Then patient was referred with his GP to do the build up - Javier Thanks Javier - Abdul
