Case No 10. RA & The Wand(TM) A Win-Win

Well here we are again back on cloud nine. This case combined my newly delivered Wand Plus LA machine and RA. Yesterday's case involves a 12/13 year old. She was seen for the first time recently with a deep carious cavity in # 46. X-ray and symptoms indicated a likely pulpal exposure. #47 was in position and #48 was present on radiograph.

At her first treatment visit , she easily accepted RA and we proceeded with normal ID block. Very careful caries excavation produced an evident vital exposure. This was dressed and a discussion with mother followed re endo or ext and ortho to move #47 mesially keeping it upright. She attended about a week later requesting Ext.

We went ahead with her RA sedation and acheived adequate levels within 2-3 minutes. Using the Wand and the single tooth technique . #46 was individually anaesthetised -NO ID BLOCK was used and the tooth ext painlessly about 1-2 minutes later.

Result. Relaxed happy patient and mother ( who watched the entire procedure- her choice not mine !). Her Mother , also a new patient has recently had RA for her treatment too. Will I use this combination again- why certainly ! Would it have worked with conventional IDB - why certainly but the wand meant no numb lip for hours afterwards and a rapid and predictable anaesthesia. I have yet to review her regarding healing and her experience of the post op period. I'll let you know when I do.

REVIEW
Case History Case 10- REVIEW We reviewed our case 10 ,young lady, treated as described below. She and her mother were absolutely delighted with the result. The healing was quite uneventful, and the patient in question had some further restorative treatment under RA which was starightforward too. Result: Happy patient ~ Happy Dentist - Win- win with RA !