Stepwise caries removal Where gross caries is present in a tooth, an assessment should be made of the likelihood of creating a carious exposure should all caries be removed. In the situation in which risk of an exposure is high, it is prudent to remove only the peripheral caries and the majority of caries on the pulpal floor. A calcium hydroxide dressing (to encourage formation of tertiary dentine and kill any remaining bacteria) and a well-sealed temporary restoration is then placed. Approximately 3 months later, re exploration of the cavity is performed and remaining caries removed. Such an approach reduces the incidence of pulpal exposures and subsequent loss of vitality
Posted on: Sun, 20 Apr 2014 16:55:16 +0000
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