NUR KAMALIAH BINTI JAMEL (DIA160039)

SEMINAR 21/10/2019 (GROUP D & E)

Treatment Case Medicament Final Radiograph Review

selection -describe the restorations involved -what are you
- Caries mechanism of - Justify on - Give looking at during
extensio action for each types of your review? (describe
n medicament different justifica the details)
- Behavio restorati tion
ural ons
rating involved
scale
(Frankl
scale
score)
- Patient
age
Pulpotomy -caries ICDAS Mineral Trioxide Composite Bitewing - Clinically,
score 5 & 6 Aggregate (MTA) restoration radiograph should be no
involving MOA: - Used - To symptoms,
-vital tooth - Able to form when assess absence of
-Frankl scale dentine there is extensio abcess or
score 3/4 bridge, sufficient n of sinus, no
promotes crown caries. tenderness &
regeneration no tooth
of the Glass Periapical mobility.
original ionomer radiograph - Radiographic
tissue when cement (GIC) - To ally, the
place in assess tooth should
contact with the show signs of
dental pulp Stainless extensio healing at
- MTA reacts steel crown n of the
with tissue - Used caries, periradicular
phosphates when periapic region, no
to form there is al lesion bone loss &
hydroxyapati sufficient and root no
te and crown integrity. pathological
become a for bone
chemical preparati resorption.
bonding on - Free from
between - Can give pain, swelling
cavity wall a good and
and MTA. coronal odourless.
- MTA induces seal
hard tissue
formation Fibre post
- Cementoblas - Used
t can attach when
to MTA there is
NUR KAMALIAH BINTI JAMEL (DIA160039)

surface and insufficie

produce nt crown
mineralized - Prevent
matrix gene. fracture
- MTA
promotes
cellular
migration,
differentiatio
n,
attachment
and up-
regulation of
cytokines
and bone
proteins.
- High pH of
MTA inhibit
bacterial
growth.

Ferric sulphate
MOA:
- Reacts with
pulpal tissue
to form a
superficial
protective
layer of iron
protein
complex to
stop
bleeding

Calcium
hydroxide
MOA:
- High pH of
calcium
hydroxide
inhibit
bacterial
growth.
- Calcium
haydroxide
dissolve
necrotic
tissue
remnants
and bacterial
 NUR KAMALIAH BINTI JAMEL (DIA160039)

byproducts.
- Calcium
hydroxide
activates
alkaline
phosphatase
which
related to
mineralizatio
n to form
hydroxyapati
te.
Iodoform paste
(vitapex)
- High pH of
calcium
hydroxide in
vitapex
inhibit
bacterial
growth
- Able to alter
the integrity
of bacterial
cytoplasmic
membrane.

Pulpectom -caries ICDAS Mineral Trioxide Composite Bitewing - Clinically,

y 5&6 Aggregate (MTA) restoration radiograph should be no
involving - Used - To symptoms,
pulp Calcium when assess absence of
-restorable hydroxide there is extensio abcess or
non-vital sufficient n of sinus, no
tooth Ferric sulphate crown caries. tenderness &
-at least 2/3 no tooth
of root still Iodoform paste Glass mobility.
intact (vitapex) ionomer Periapical - Radiographic
-Frankl scale cement (GIC) radiograph ally, the
score 3/4 - To tooth should
assess show signs of
Stainless the healing at
steel crown extensio the
- Used n of periradicular
when caries, region, no
there is periapic bone loss &
sufficient al lesion no
crown and root pathological
for integrity bone
preparati resorption.
on - Free from
- Can give pain, swelling
 NUR KAMALIAH BINTI JAMEL (DIA160039)

a good and
coronal odourless.
seal

Fibre post
- Used
when
there is
insufficie
nt crown
- Prevent
fracture
RET -ICDAS 5&6 Mineral Trioxide Bitewing - Radiograph
(Regenera invoving Aggregate (MTA) radiograph should be
tive pulp - To taken to
endodontic -non vital Calcium assess monitor
) tooth hydroxide extensio healing of
n of the lesion
Ferric sulphate caries. - Non tender
to palpation
Iodoform paste Periapical and
(vitapex) radiograph percussion
- To - Free from
assess pain, swelling
the and
extensio odourless.
n of
caries,
periapic
al lesion
and root
integrity

Why calcium hydroxide cannot be used as a permanent root filling material in permanent teeth?

- Its efficacy diminishes in 7-10 days

- It will undergo dissolution over time especially if patency filing has been used or the apical
foramen is open
- If used without removing the smear layer it may actually serve as food for bacteria
- Its long term use may impact greatly on the strength of the dentin

In deciduos teeth, calcium hydroxide can cause internal resorption due to its high alkalinity which has
the propensity to hasten the inherent predilection of the pulp progenitor cells in primary teeth to
form odontoclasts.