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Question:
Topic: Sedative filling restorations
My colleague and I disagree on removing a sedative filling before placing a permanent filling.
He feels all material should be removed to avoid breakage and I was taught to leave a small amount as not to disturb the tooth. ...Dentist from IN
Answer:
I have tried lots ot things and I think my current method works the best. I do what I call "clean enough".
This may leave some leathery dentin. I remove everything I can to just avoid seeing the lights of pulp city. Then I use Fugi IX (or whatever high fluoride release product you like), put that in and leave for about 3 months. Then, if no problems, I use as a base and do not remove.
My thinking is that if I clean completely, I may have an exposure and then they must have endo. If I stop at "clean enough" and they have no problems, they may eventually need an endo, but almost nobody does. I don't remove all affected dentin because I was lucky enough to avoid an
exposure the first time and don't like to test my luck.
I don't understand what your colleague thinks is going to break, but it doesn't matter. A tooth that has enough decay to be close to an exposure probably needs a crown anyway.
Corinne Scalzitti, DMD, MAGD
Austin Reconstructive Implant Dentistry
Texas Periolase
3900 RR 620 South
Austin, Texas TX 78738
(512) 263-3330
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