DentaltownUK July 2017 - 52

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
Hear Dr. Jarod
recall visits, and no apical pathology
is evident on periapical films. Note
Johnson's session on
Dentistry Uncensored that radiolucencies may be evident
if decay is left, and clinicians should
with Howard Farran
combine subjective and objective
Pediatric dentist Dr. Jarod Johnson
findings when evaluating teeth with
discussed code bundling, HIPAA
deep restorations. It may be advisable
laws, opioid abuse and more on
this podcast episode. To listen, visit
to place a colored glass ionomer,
dentaltown.com/podcasts and type in
such as Fuji Triage, as a base to
'Jarod Johnson.'
alert practitioners that caries was
not completely excavated.
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

52

JULY 2017 // dentaltownuk.com

MTA placement

Postop periapical

Final restoration

Caries removal



http://www.dentaltown.com/blog/post/3368/221-hit-the-ground-running-with-jarod-johnson-dentistry-uncensored-with-howard-farran-podcast http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK July 2017

No label
On Dentaltown.com
Mike Gow: Record-Breaking Big Smile Big Band
Meet the Team
Howard Speaks: Thank You for Your Referral
Rehabilitation After Oral Cancer: Patient Treatment Considerations
Sugar-Free Eating
The Perfect Smile Studios Joins Dentex, the U.K. Dental Partnership Group
The Social Media Buffet
The Mobile Dentaid Unit Provides Care for Vulnerable People
Mastering the Spectrum of Care
The BDA Conference 2017 at Manchester Central Convention Centre
Time Out
Guy Laffan Interviews Imran Nathoo, MasterChef 2017 Finalist
Case Study: No Shrink? No Stress? No Problem.
Through the Keyhole—Surgery: Away with Natalia Letunova
Pulp Vitality in Pediatric Patients
Protecting Smiles of Future Champions
Finding the Right Work/Life Balance
Perfect Anteriors with the BACD
Lifestyle
Poll: Materials
CE Update
Students
Classified Listings
Wish List with Dr. Zaki Kanaan
DentaltownUK July 2017 - No label
DentaltownUK July 2017 - Cover2
DentaltownUK July 2017 - 3
DentaltownUK July 2017 - 4
DentaltownUK July 2017 - On Dentaltown.com
DentaltownUK July 2017 - Mike Gow: Record-Breaking Big Smile Big Band
DentaltownUK July 2017 - 7
DentaltownUK July 2017 - 8
DentaltownUK July 2017 - 9
DentaltownUK July 2017 - Meet the Team
DentaltownUK July 2017 - 11
DentaltownUK July 2017 - Howard Speaks: Thank You for Your Referral
DentaltownUK July 2017 - 13
DentaltownUK July 2017 - Rehabilitation After Oral Cancer: Patient Treatment Considerations
DentaltownUK July 2017 - 15
DentaltownUK July 2017 - 16
DentaltownUK July 2017 - 17
DentaltownUK July 2017 - Sugar-Free Eating
DentaltownUK July 2017 - 19
DentaltownUK July 2017 - 20
DentaltownUK July 2017 - The Perfect Smile Studios Joins Dentex, the U.K. Dental Partnership Group
DentaltownUK July 2017 - The Social Media Buffet
DentaltownUK July 2017 - 23
DentaltownUK July 2017 - 24
DentaltownUK July 2017 - 25
DentaltownUK July 2017 - 26
DentaltownUK July 2017 - The Mobile Dentaid Unit Provides Care for Vulnerable People
DentaltownUK July 2017 - Mastering the Spectrum of Care
DentaltownUK July 2017 - 29
DentaltownUK July 2017 - 30
DentaltownUK July 2017 - 31
DentaltownUK July 2017 - 32
DentaltownUK July 2017 - 33
DentaltownUK July 2017 - The BDA Conference 2017 at Manchester Central Convention Centre
DentaltownUK July 2017 - 35
DentaltownUK July 2017 - Time Out
DentaltownUK July 2017 - 37
DentaltownUK July 2017 - 38
DentaltownUK July 2017 - Guy Laffan Interviews Imran Nathoo, MasterChef 2017 Finalist
DentaltownUK July 2017 - 40
DentaltownUK July 2017 - 41
DentaltownUK July 2017 - 42
DentaltownUK July 2017 - Case Study: No Shrink? No Stress? No Problem.
DentaltownUK July 2017 - 44
DentaltownUK July 2017 - 45
DentaltownUK July 2017 - 46
DentaltownUK July 2017 - 47
DentaltownUK July 2017 - Through the Keyhole—Surgery: Away with Natalia Letunova
DentaltownUK July 2017 - 49
DentaltownUK July 2017 - Pulp Vitality in Pediatric Patients
DentaltownUK July 2017 - 51
DentaltownUK July 2017 - 52
DentaltownUK July 2017 - 53
DentaltownUK July 2017 - 54
DentaltownUK July 2017 - 55
DentaltownUK July 2017 - Protecting Smiles of Future Champions
DentaltownUK July 2017 - 57
DentaltownUK July 2017 - Finding the Right Work/Life Balance
DentaltownUK July 2017 - 59
DentaltownUK July 2017 - 60
DentaltownUK July 2017 - 61
DentaltownUK July 2017 - 62
DentaltownUK July 2017 - 63
DentaltownUK July 2017 - Perfect Anteriors with the BACD
DentaltownUK July 2017 - 65
DentaltownUK July 2017 - Lifestyle
DentaltownUK July 2017 - 67
DentaltownUK July 2017 - 68
DentaltownUK July 2017 - 69
DentaltownUK July 2017 - 70
DentaltownUK July 2017 - 71
DentaltownUK July 2017 - 72
DentaltownUK July 2017 - 73
DentaltownUK July 2017 - Poll: Materials
DentaltownUK July 2017 - 75
DentaltownUK July 2017 - 76
DentaltownUK July 2017 - 77
DentaltownUK July 2017 - CE Update
DentaltownUK July 2017 - 79
DentaltownUK July 2017 - Students
DentaltownUK July 2017 - 81
DentaltownUK July 2017 - 82
DentaltownUK July 2017 - 83
DentaltownUK July 2017 - 84
DentaltownUK July 2017 - 85
DentaltownUK July 2017 - 86
DentaltownUK July 2017 - 87
DentaltownUK July 2017 - Classified Listings
DentaltownUK July 2017 - 89
DentaltownUK July 2017 - 90
DentaltownUK July 2017 - 91
DentaltownUK July 2017 - 92
DentaltownUK July 2017 - 93
DentaltownUK July 2017 - 94
DentaltownUK July 2017 - 95
DentaltownUK July 2017 - Wish List with Dr. Zaki Kanaan
DentaltownUK July 2017 - Cover3
DentaltownUK July 2017 - Cover4
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