Rely On Us - March/April 2018 - 15
to
a
permanent filling after treatment of the dentin
wound close to the pulp.
t ssue cannot e stoppe , t e attempt to ma nta n
pulp vitality should be discontinued.
Therapy Pulp protection in case of deep cavity treatment
Biodentine:
Dr Peter
Robotta,
Munster filling was removed
The
existing
mesial-occlusal
very deep, no exposure of the pulp occurring
under
local
anesthesia
and
defect-oriented
distal
(Fig.
5). After
washing
of week
the cavity
3%),whose
A 38-year-old male patient attended because he had noticed
a "hole"
in tooth
46 one
earlier.(NaOCl
The patient,
teeth had been
conservatively
hadout
a defective
amalgam
fillingto
in the
tooth
46. was
A disto-approximal
widening
of the
cavity wastreated,
carried
(Fig. 2 mesial-occlusal
the dentin wound
close
pulp
covered
(Fig. 1)
secondary
caries
was also clearly
apparent,
which
had resulted
in the collapse
of the distalSt
marginal
ridge.
™ (Septodont,
and
3). After
application
of a dental
rubber
dam
with Biodentine
Maur des
Fossés,
(Fig.
4), the carious
dentin
was removed
France) (Fig. 6).
Diagnosis:
Suspected
reversible
pulpitis.completely.
In
the
distal
region,
the
defect
was
found
to
be
With the aid of a sectional matrix system
Therapy:
Fig. 2: Removal of the defective filling.
Fig. 3: Primary preparation and preparation
of the defect.
Fig. 4: Application of dental dam.
Case Studies 13.qxp_Mise en page 1 15/03/2016 21:16 Page18
Fig. 5: Complete excavation down to the
dentin close to the pulp.
Fig. 6: Treatment of the dentin close to the
pulp with Biodentine™.
Fig. 7: Application of the distal matrix.
17
Fig. 8: Reconstruction of the distal wall and
application of the mesial matrix.
Fig. 9: Finished marginal ridges.
Fig. 11: Finished restoration after trimming
and polishing.
Fig. 12: Clinical picture after one year.
Fig. 10: Reconstruction of the chewing
surface.
Fig. 13: X-ray findings 15 months after
treatment, Biodentine™ immediately next to
the pulp.
After removal of the dental rubber dam, the
occlusion could be checked and the filling could
be trimmed and polished (Fig. 11). In the clinical
surface were reconstructed with composite
follow-up, the symptom-free tooth 46 still exhibited
(Venus Heraues Kulzer, Hanau, Germany) by
positive sensitivity after one year (Fig. 12). X-ray
the adhesive technique (iBond, Heraeus Kulzer,
examination 15 months after the end of treatment
Hanau, Germany) (Fig. 7-10).
did not show any abnormalities (Fig. 13).
Orders 1 3 0 0 6 5 8 8 2 2
(Composi-Tight 3D ring with sectional matrix
For
complete
case
study contact Germany),
your
band,
Garrison,
Übach-Palenberg,
first the Schein
approximal
walls
and thenManager.
the chewing
Henry
Halas
Territory
15
Table of Contents for the Digital Edition of Rely On Us - March/April 2018
Contents
Rely On Us - March/April 2018 - 1
Rely On Us - March/April 2018 - Contents
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