direct pulp capping - na.eventscloud.com

7/13/2016

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Direct Pulp Capping for the 21st Century

Presented for the Academy Of General Dentistry

July 16, 2016

Michael Teitelbaum DMD, FAGD

[email protected]

914-941-2000

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“I always work under a rubber dam! …”

“I always work under a rubber dam! …” J

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Principles of Occlusion

1) Simultaneous, pinpoint, contact in centric

2) Immediate anterior disclusion in all excursions

3) Progressive anterior guidance

4) Narrow Bu-Li occlusal width

Principles of Adhesion


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Restorative Occlusion


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Jim

III “Gided” Excursions III

Fractured #8 with the piece:Pushing the envelope

Anterior Balancing Interference


Fractured #8 with the piece:Tx: Sandblast

EtchPrime

Cement



Pushing the envelope?

Donna

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Total Etch Resin Direct Pulp Cap

23 years experience

90%+ success rate

400+ cases treated

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My Criteria for

Direct Pulp Capping:



1) Test pulpal vitality

2) Sensitivity upon exposure

3) Ability to stop any bleeding

4) NO Sensitivity once sealed

5) Relieve occlusion slightly

6) Charge

Electric Pulp Testing

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Importance:

1) Minimize embarrassment

2) Minimize potential lawsuits

3) Profit center

4) Impressive tech


Dialogue:

Direct Pulp Cap

Elena

2 for the price of, well, 2…

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Resized & colorized for you enjoyment




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Connie, which looks worst?




Direct Pulp Cap

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No Microetcher? Remember pumice?



Direct Pulp Cap



Direct Pulp Cap

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Direct Pulp Cap





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Direct Pulp CapConnie

6 years of success



Prep: Shoulder/Bevel

Provisional: Wax/Acrylic



Prep: Shoulder/Bevel

“Final” Crown

Minimal anatomy

Large Contact Area

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October, 2002

March, 2004

January, 2006

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July, 2008

April, 2011

March, 2012

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September, 2013

January, 2016



Chuck

8 years old,

soccer

accident

Direct Pulp Cap

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Direct Pulp Cap



Direct Pulp Cap



Direct Pulp Cap

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PamLooks can be deceiving

Direct Pulp Cap


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Direct Pulp Cap






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My Buddy Frank

Esthetics &5 - Star Service

Esthetics &5 - Star Service

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Dr. Teitelbaum is now available for questions.

Thank You

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BTW…

January, 2015

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