Root canal therapy is a great practice builder to a dentist. As a new dentist, this can also be one of the most technically challenging procedures — that you are least prepared for — when entering private practice. If you can’t get someone out of pain, it reflects poorly on you and your team as an oral healthcare professional.
Sometimes, performing a pulpotomy or gross pulpal debridement is a great way to get the patient out of pain, build confidence in the dentist, and foster a trusted relationship with the patient. For a practitioner, this may be the happy medium to get the patient out of pain and get back on schedule. At that time, you can decide to either refer the patient out to a specialist or complete the root canal at a visit where you have more time to finish the case.
Some basic rules in our practice on whether you can finish the case in a single visit or complete the case in the second visit are as follows: If the patient is swollen and I cannot dry the case, or the patient is in extreme pain, I don’t finish the case.
As a specialist, I want to return the case back to the referring doctor asymptomatic. This same thought could be used in a general practice when placing the final restoration on the tooth. Try to do so when the tooth is asymptomatic.
When completing the case in two visits, I place calcium hydroxide as an interim medicament to take advantages of its healing characteristics. Placing CaOH becomes very easy with the Visco-Tip. It allows for very direct placement of medicine into the canal system, which in turn allows the tooth to start to heal.
What was once complicated, messy, and challenging has just become the easiest part of the procedure with the use of this tip.
Click here for more information on Visco-Tip
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