Comments on The Endo Blog: Preventing Coronal Leakage in A Pediatric Patient...

I agree w robert - should have pulp capped the exp...

2010-07-14T14:37:21.859-07:00

I agree w robert - should have pulp capped the exposure w MTA!!!!!!!!

That is an excellent point. That exact point was o...

2008-12-08T11:54:00.000-08:00

That is an excellent point. That exact point was one that was discussed prior to treatment. I typically explain to parents that the final decision will be made at the time of excavation.

At the time of treatment, the clinical judgement was made to complete treatment for the following reasons...apices were completely formed, the patient was completely cooperative, and the decay was extensive, pulp hyperemic.

Your point is well taken. Thank you for your comment.

If the diagnosis was reversible pulpitis with a c...

2008-12-08T08:30:00.000-08:00

If the diagnosis was reversible pulpitis with a carious exposure, you could have tried placing MTA on the pulp exposure. This would have prevented the need for endodontic therapy in such a young patient.Upon setting of the MTA tooth could be restored with a bonded composite.

This is a great article regarding this topic:
Direct pulp capping with mineral trioxide aggregate: an observational study.

Bogen G, Kim JS, Bakland LK.

J Am Dent Assoc. 2008 March

all the best,
robert salehrabi,DDS

I'm just curious: Does MTA really provide a better...

2008-12-08T06:23:00.000-08:00

I'm just curious: Does MTA really provide a better coronal seal than a bonded restoration? Whats the reason for that suggestion?

Best regards from Switzerland