Wednesday, May 19, 2004

Case No.14

20 yr old gagger

A lady in her late twenties attended today. She was moderately anxious with a tendancy to gag. UL7 was grossly carious though only slightly sensitive. A PA showed the caries to be very close to the pulp. But the tooth was salveagable.

She was booked today for an exploration and temporary dressing. Proceeding incrementally, good sedation was, unusually, only acheived initially at 30% N2O/O2. LA was acheived using The Wand Plus TM The Nitrous Oxide ratio was reduced to 40%/60% Oxygen.

Without detailing the detailed clinical stages from here, the net result, was a vital pulpal exposure , needing intra-pulpal LA and a vital pulpotomy.

She was delighted with the result and has promised a testimonial. She was clear that she would not have tolerated treatment "that far back" without the assistance of RA. I am sure you all see patients like this on a regular basis.

RA makes life so much easier for everyone and the patient is sure to return and be a source of referrals.



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