Dentaltown May 2017 - 88

the teeth isolated with rubber dam isolation.
Caries removal was completed to the dentin,
enamel junction and towards the pulp.
Remaining caries was left adjacent to the
pulp to avoid pulpal exposure.
A composite restoration was placed
using Filtek A2B. There is no plan for
re-entry to the teeth unless restorations
begin to leak or symptoms arise. The teeth
remain asymptomatic at recall visits, and
no apical pathology is evident on periapical
films. Note that radiolucencies
may be evident if decay is left,
Hear Dr. Jarod
and clinicians should combine
Johnson's session on
subjective and objective findings
Dentistry Uncensored when evaluating teeth with deep
with Howard Farran
restorations. It may be advisable
Pediatric dentist Dr. Jarod Johnson
to place a colored glass ionomer,
discussed code bundling, HIPAA
such as Fuji Triage, as a base to
laws, opioid abuse and more on
this podcast episode. To listen, visit
alert practitioners that caries was
dentaltown.com/podcasts and type in
not completely excavated.
"Jarod Johnson."

Case 2: Complete caries removal
A 17-year-old male presented with
a history of pain in the maxillary right
region. The patient localized the pain to
tooth #14. The tooth had a large carious
lesion on the occlusal surface and tested
positive to sensibility testing without
lingering pain. The patient complained

of pain when biting. He was anesthetized
and the tooth isolated with rubber dam
isolation. Caries removal was completed
without pulpal exposure, and NeoMTA
from NuSmile was placed as an indirect
pulp cap using an amalgam carrier and
cotton pellet. The tooth was restored with
a composite resin.

Direct pulp cap
Direct pulp caps have historically
been carried out with calcium hydroxide.17
Calcium hydroxide works by inducing
coagulative necrosis in the superficial pulp
and stimulates the formation of dentin.
Calcium hydroxide has dissolution over
time, and dentin formed by it is porous;
89 percent of caps with calcium hydroxide
have tubular defects after two years.18 This
makes the material more prone to failure
from coronal leakage.
The dentin barrier formed by calcium
hydroxide also takes a longer period of time
to form compared to that formed by MTA.19
A recent study on direct pulp caps found
MTA to be superior to calcium hydroxide.
A key finding of the study was that placing
a final restoration at the time of pulp cap
resulted in high success rates regardless of
the material used.20

Case 2

Preop BW

Preop periapical

MTA placement

88

MAY 2017 // dentaltown.com

MTA placement

Postop periapical

Final restoration

Caries removal



http://www.dentaltown.com/podcasts http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown May 2017

No label
Dentaltown May 2017 - No label
Dentaltown May 2017 - Cover1
Dentaltown May 2017 - Cover2
Dentaltown May 2017 - 1
Dentaltown May 2017 - 2
Dentaltown May 2017 - 3
Dentaltown May 2017 - 4
Dentaltown May 2017 - 5
Dentaltown May 2017 - 6
Dentaltown May 2017 - 7
Dentaltown May 2017 - 8
Dentaltown May 2017 - 9
Dentaltown May 2017 - 10
Dentaltown May 2017 - 11
Dentaltown May 2017 - 12
Dentaltown May 2017 - 13
Dentaltown May 2017 - 14
Dentaltown May 2017 - 15
Dentaltown May 2017 - 16
Dentaltown May 2017 - 17
Dentaltown May 2017 - 18
Dentaltown May 2017 - 19
Dentaltown May 2017 - 20
Dentaltown May 2017 - 21
Dentaltown May 2017 - 22
Dentaltown May 2017 - 23
Dentaltown May 2017 - 24
Dentaltown May 2017 - 25
Dentaltown May 2017 - 26
Dentaltown May 2017 - 27
Dentaltown May 2017 - 28
Dentaltown May 2017 - 29
Dentaltown May 2017 - 30
Dentaltown May 2017 - 31
Dentaltown May 2017 - 32
Dentaltown May 2017 - 33
Dentaltown May 2017 - 34
Dentaltown May 2017 - 35
Dentaltown May 2017 - 36
Dentaltown May 2017 - 37
Dentaltown May 2017 - 38
Dentaltown May 2017 - 39
Dentaltown May 2017 - 40
Dentaltown May 2017 - 41
Dentaltown May 2017 - 42
Dentaltown May 2017 - 43
Dentaltown May 2017 - 44
Dentaltown May 2017 - 45
Dentaltown May 2017 - 46
Dentaltown May 2017 - 47
Dentaltown May 2017 - 48
Dentaltown May 2017 - 49
Dentaltown May 2017 - 50
Dentaltown May 2017 - 51
Dentaltown May 2017 - 52
Dentaltown May 2017 - 53
Dentaltown May 2017 - 54
Dentaltown May 2017 - 55
Dentaltown May 2017 - 56
Dentaltown May 2017 - 57
Dentaltown May 2017 - 58
Dentaltown May 2017 - 59
Dentaltown May 2017 - 60
Dentaltown May 2017 - 61
Dentaltown May 2017 - 62
Dentaltown May 2017 - 63
Dentaltown May 2017 - 64
Dentaltown May 2017 - 65
Dentaltown May 2017 - 66
Dentaltown May 2017 - 67
Dentaltown May 2017 - 68
Dentaltown May 2017 - 69
Dentaltown May 2017 - 70
Dentaltown May 2017 - 71
Dentaltown May 2017 - 72
Dentaltown May 2017 - 73
Dentaltown May 2017 - 74
Dentaltown May 2017 - 75
Dentaltown May 2017 - 76
Dentaltown May 2017 - 77
Dentaltown May 2017 - 78
Dentaltown May 2017 - 79
Dentaltown May 2017 - 80
Dentaltown May 2017 - 81
Dentaltown May 2017 - 82
Dentaltown May 2017 - 83
Dentaltown May 2017 - 84
Dentaltown May 2017 - 85
Dentaltown May 2017 - 86
Dentaltown May 2017 - 87
Dentaltown May 2017 - 88
Dentaltown May 2017 - 89
Dentaltown May 2017 - 90
Dentaltown May 2017 - 91
Dentaltown May 2017 - 92
Dentaltown May 2017 - 93
Dentaltown May 2017 - 94
Dentaltown May 2017 - 95
Dentaltown May 2017 - 96
Dentaltown May 2017 - 97
Dentaltown May 2017 - 98
Dentaltown May 2017 - 99
Dentaltown May 2017 - 100
Dentaltown May 2017 - 101
Dentaltown May 2017 - 102
Dentaltown May 2017 - 103
Dentaltown May 2017 - 104
Dentaltown May 2017 - 105
Dentaltown May 2017 - 106
Dentaltown May 2017 - 107
Dentaltown May 2017 - 108
Dentaltown May 2017 - 109
Dentaltown May 2017 - 110
Dentaltown May 2017 - 111
Dentaltown May 2017 - 112
Dentaltown May 2017 - 113
Dentaltown May 2017 - 114
Dentaltown May 2017 - 115
Dentaltown May 2017 - 116
Dentaltown May 2017 - 117
Dentaltown May 2017 - 118
Dentaltown May 2017 - 119
Dentaltown May 2017 - 120
Dentaltown May 2017 - 121
Dentaltown May 2017 - 122
Dentaltown May 2017 - 123
Dentaltown May 2017 - 124
Dentaltown May 2017 - 125
Dentaltown May 2017 - 126
Dentaltown May 2017 - 127
Dentaltown May 2017 - 128
Dentaltown May 2017 - Cover3
Dentaltown May 2017 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com