Page 24 - DP Vol 21 No1_Neat

PEDIATRIC DENTISTRY SECTION

Fig 28: Digital HD Fig 29: Immediately on removal of Conjoint Restorations. Fig 30: 84 – Infected decayed dentin excavated with
IOPA Reveals: Conjoint - 84 – Recurrent Decay. a sharp spoon excavator. Affected dentin retained
Radioapque Restorations. - 85 – Distal root – Lack of any sealer. – to allow to mineralize and also to retain a dentinal
- 84 – DO – Radiopaque Clinically took a decision to immediately Restore 84 and barrier.
restoration. Partial Re-treatment of Partial Pulpectomy 85 and then 85 – carious lesion excavated and chemo-mechanical
- Subjacent radiolucent restore the same. preparation done of the Distal canal only with rotary
line indicative of recurrent Note: No antibiotic cover was initiated – only anti- endodontic instruments – thoroughly irrigated and
decay. inflammatory paracetamol if needed. dried.
- Dentinal barrier evident.
- 85 – MO – Radiopaque
restoration.
- Partial pulpectomy with
distal root not sealed.
- Distal root – slight
periapical resorption.
- Radiolucent changes in
the furcal area.
- Occlusal level of
developing 45 inferior to
the level of developing 44.

Fig 31: 85 – Distal canal after sealing with Zinc-Oxide Fig 32: 84 – Proximal axial wall reconstructed with
Eugenol Sealer. Reinforced G.I.C;
85 – Reinforced G.I.C. placed and sculpted to
form a proximal axial wall with a proximal box – to
allow Sandwich restoration.

Fig 33: 84, 85 – Post Etch, Bonding agent application Fig 34: 84 – restored with Fig 35: Digital IOPA HD Post Partial Re-Treatment Partial
and Finn’s Customized T-Band matrices placement. Nano-Cluster Flowable Pulpectomy:
composite, incrementally. - 84 – DO – Radiopaque restoration, subjacent
85 – restored with radiolucent line indicative of Affected demineralised
Nano-Cluster Paste Form dentin, thin radiopaque line – G.I.C. along the axial
Composite, incrementally. proximal wall noted.
- 85 – Distal canal fully obturated, radiopaque effect of
Reinforced GIC and Nano Cluster Paste Form Composite
can be noted on the radiograph.
24 Dental Practice I January-February 2025 I Vol 21 No 1 Continued on Page 26