First step | |
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Local anesthesia | |
Isolation of the tooth with a rubber dam | |
Disinfection of the tooth with 10% povidone-iodine (iso-Betadine) before opening it | |
Opening of the pulp chamber to canal entrance (pulpotomy) | |
Application of Biodentine on dentinal tubules of the pulp chambera | |
Root canal disinfection with 17% EDTA following by 2.5% sodium hypochlorite warming at 37°C | |
Drying root canal with paper cones | |
Insertion of the triple antibiotic pasteb into root canal with a Lentuloc | |
Place a cotton ball at the root canal entrance | |
Sealing of the access cavity with a temporary filling |
aIt is important to keep root canal entrance accessible. This action is intended to seal dentin tubules in order to avoid any subsequent medicine staining.
bMixture of equal proportion of three antibiotics: metronidazole, ciprofloxacin, and minocycline bonded with propylene glycol (concentration of 0.39 μg/mL).
cWithout overflow at the pulp chamber to avoid any future staining.