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MTA direct pulp capping - 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: Javier Pascual
Sent: Sunday, December 13, 2009 4:29 PM


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


Patient is asymptomatic
No vertical/horizontal percussion
No probing
Normal response on 4.6 to cold test
- Javier Pascual

Hi 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 dentists 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

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