Restoration of endo-treated teeth with composite

[Vapor1122]

I'm going to be doing this for a patient as a longer-term temporary until she can afford some cuspal coverage (#4 MO). Not quite sure what to do with the sealed canal orifice, though -- should I place composite all the way down the access and on top of the gutta percha? Obviously it won't bond at that spot, but that's got to be better than having a cotton pledget in there.

Or is there another way?

---

Members don't see this ad.

 

[TheSculptor]

Use a colored flowable composite like PermaFlo Purple (UltraDent) over the pulpal floor and cure it. Never leave cotton under a permanent restoration!

 

[Edentulator]

We usually seal with glass ionomer (Fuji II), even under permanent restorations, unless you'll need the canal for some kind of retention like a post or amalgam plug. In that case, it's best to place that right away then seal the canals, because the number one reason for failure of endo treatment is coronal leakage!

 

[DrJeff]

We usually seal with glass ionomer (Fuji II), even under permanent restorations, unless you'll need the canal for some kind of retention like a post or amalgam plug. In that case, it's best to place that right away then seal the canals, because the number one reason for failure of endo treatment is coronal leakage!

Agree 100%! Get that access chamber sealed as soon as possible, preferably immediately after you finish cleaning up the excess gutta percha from obturating, while you still have the rubber dam on!