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Pulp capping
I am final yr bds std.i have done pt with pulp capping.after dycal i directly use composite on that for filling. But after 2 days pt hav pain.is that correct method of filling of composite?? And reasons for pain??
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If pain persists then you have to go for rct
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Prescribe medicines
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Hi dear ..u did direct pulp capping or indirect ?? In Term if composite we do go for selective etching rather than total etch.
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Must use LC glass ionomer base over the dycal liner before composite
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Hey dear
What was the chief complain of pt. Before u did the procedure??
Have to taken iopa before beginning the procedure??
Either the pulp was already infected or the pulp might get exposed during the treatment ...
Whatever
Don't panic
Do iopa and go for rct if required.
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Was the tooth decayed or was it an accidental pulp exposure? In all likelihood, it must have been a decayed tooth and the pulp was already infected. If capped, then the pulpit is sets in and patient c/o severe pulpit is pain. The treatment is to do a RCT
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Dear ,colleague pulp capping is s very technique sensitive or skillfull procedure with strict protocols, So if the patient complaints of pain then it might be due to pulp exposure, high points, polymerization shrinkage at certain part of a cavity etc.
Next Steps
Do the IOPA first and proceed accordingly
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Patient may need RCT
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R u sure it was a case for pulp capping...if patient has pain either the tooth needs rc or you have erred in the protocol or there is a high point in the restoration.
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ping on personal chat with the pre op iopa
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Dr. S Selva Ganesh
Dentist
13 yrs exp
Chennai
Avoid pulp capping as much as possible and in this case the reason for pain will be due to infection or incomplete removal of coronal pulp.
Next Steps
IOPA or RVG should be taken to diagnose the current status of the tooth and should be followed by RCT which appears to be more likely treatment from what I infer.
Health Tips
Explain the patients about technique sensitive issues related to pulp capping if your opting it and educate them with the future recommended treatments such as RCT or even extraction in case of failure.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.