Dentaltown July 2020 - 26

message board
jaldmd
Member Since: 04/12/04
Post: 9 of 39

These things happen. I've been prescribing antibiotics with any RCT and ibuprofen for
three days. I feel it helps avoid problems.
Next time, consider just doing the RCT when it's close to the nerve on your wife just to
avoid the problem. ■
3/3/2020

Just a Dentist
Member Since: 10/13/11
Post: 10 of 39

I think that if it were that bad and the tooth was #18, then I would have considered just
taking the tooth out.
Aside from taking the tooth out, I'm not sure there's much you could have done differently.
I do a lot of endo and I am starting to think that the majority of teeth with crowns on them are
necrotic. Most of them remain asymptomatic and never cause a problem, but some of them end
up needing endo. ■
3/3/2020

digital
Member Since: 03/29/08
Post: 12 of 39

When you say "open," do you mean leave the access open or formocresol cotton pellet and
close cover with Cavit?
Do you leave the pellet in, or like a pulpotomy, remove it after a few minutes? ■
3/3/2020

flyfishdr
Member Since: 02/26/04
Post: 13 of 39

The technique is to use a cotton pellet with formoscresol that has no actual liquid on the
pellet. So you wet the pellet, then squeeze the pellet in gauze to wick away excess formo.
It's just the vapors doing the work. Put the impregnated formo pellet in the chamber, cover
with something (Cavit, IRM). The canals are effectively open, but not the tooth.
You do not put the formo pellet in without covering it with something. (I actually don't use
this myself, but I used to. It is effective).
If a person decides they want it open/open, then place a nonimpregnated pellet in the chamber-or nothing-and don't place a temporary. That's something exceedingly rare for me to do.
(Generally, I do cases exactly as the OP did. Naturally, hindsight can provide different
insight.) ■
3/4/2020

Born2Drill
Member Since: 02/06/12
Post: 18 of 39

If we leave the canals empty with the formo pellet, are you going back later to medicate, or
are you just bringing them back a few weeks later and going straight to finish? ■
3/4/2020

almunk
Member Since: 12/17/05
Post: 19 of 39

If you're satisfied with your instrumentation, then just confirm your length and fill.
Otherwise, get your instrumentation completed and fill. Always confirm length before filling. ■
3/4/2020

Batlle
Member Since: 08/29/18
Post: 20 of 39

So, she's still really swollen. Had my oral surgeon look at her and bumped her oral clinda
dose to the max yesterday. Not much better today and had a family friend endo look at her; was
concerned about the hardness of the neck swelling and gave her a steroid. Close observation at
this point and if it doesn't improve tomorrow, then it's a hospital admission. ■
3/4/2020

Laz The Humidifier
Member Since: 05/14/19
Post: 22 of 39

Sorry for your troubles. Just wanted to say to consider ice compress on the swelling
if you think it's still "cellulitis," which sounds like it is.
Also, clindamycin is a great antibiotic, but if it doesn't seem to work, consider augmentin.
Wish you two the best. ■
3/4/2020

26

JULY 2020 // dentaltown.com

DT0720_MB2_AG.indd 26

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Dentaltown July 2020

Table of Contents for the Digital Edition of Dentaltown July 2020

Dentaltown July 2020 - Intro
Dentaltown July 2020 - Cover1
Dentaltown July 2020 - Cover2
Dentaltown July 2020 - 1
Dentaltown July 2020 - 2
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Dentaltown July 2020 - Cover3
Dentaltown July 2020 - Cover4
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