Question 110 (part 2) · LDEK · Irrigation and intracanal medicaments
A patient referred to the dental office due to pain of tooth 36. A diagnosis of irreversible pulpitis has been established, basing on clinical and radiologic examination. Due to lack of time, vital extirpation has been performed only in distal canal in local anaesthesia. Which procedure should be implemented during next visit?
- A. applying devitalizing paste on the orifices of all other canals.
- B. applying Ca(OH)2 insert to the distal canal and administering NSAIDs in case of lasting pain.
- C. applying insert of polyantibiotic-corticosteroids mix to the chamber.
- D. applying insert of polyantibiotic-corticosteroids mix to the chamber and administering systemic antibiotics and painkillers in case of symptoms exacerbation.
- E. applying insert of polyantibiotic-corticosteroids mix and iodoform to the distal canal and mesial canals’ orifices.
Hint
Inflamed vital pulp is left in the mesial canals; choose an interim dressing that suppresses pulpal inflammation until the next visit.
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