Direct Pulp Cap by Dr. Ahmad Fayad
Posted on May 15 2019
Noteworthy use of the Greater Curve technique by Dr. Ahmad Fayad.
28 year old female with senstive Upper left first molar #26.
No spontaneous pain, no lingering pain, no pain on vertical percussion.
Diagnosis: Reversible pulpitis with normal periapex
Good isolation is the key
After removal of previous leaking composite and caries excavation, I exposed the pulp.
Soaked cavity with full strength bleach for one minute.
Pulp cap placed
After bleeding control, I apply the pulp cap material. I use Theracal, others use Duralon. In my hands, Theracal has a high success rate.
Greater Curve Standard band in place
Post prime and bond
After prime and bond (clearfil se protect), I seal the entire margin with a very thin layer of flowable composite (Majesty flow).
Place composite in increments. I don't get carried away by placing anatomical features yet. I find when I try to create anatomy with uncured composite, I tend to stretch it creating voids and weak links between layers (others may have different opinions). A nice solid structure is what I aim for now, all packed nicely. Composite: Exquisite from Apex
Post op BW
Post op PA