The other side of endodontics — VPT follow-up

Teenager was referred by the paediatric dentist for a 4.5 which had deep caries on the distal aspect with close raport to the pulp chamber. On x-ray examination, a larger apical diameter was noted and alternatives for the endodontic treatment were discussed with the parents which they agreed upon. After clinical removal of caries — under rubber dam placement and microscope magnification — the pulp chamber was opened. Profuse bleeding of the pulp tissue was present. With a small round diamond coated bur, under constant cooling, portions of the pulp tissue was subsequently removed until the bleeding was controled. NaOCl 5,25% was used for cleaning and repeated pressure with sterile pelets was performed until good haemostasis was achieved. A fast-setting…