Rct

Rct

1. NON-SURGICAL MANAGEMENT OF MANDIBULAR FIRST MOLAR USING METAPEX AS ROOT CANAL MEDICAMENT Case 15

2. A 13 years old male patient came to D ept. of Pedodontics and Preventive D entistry with the chief complaint of mild continuous pain in right side of mandible since 6 months . Intraoral examination– showed carious exposure of 16 & mild tenderness to percussion.

3. Intraoral periapical radiograph shows carious 16 with pulpal exposure and large radiolucency involving both mesial and distal roots.

4. Treatment plan : Non surgical treatment of periapical radiolucency by intra canal placement of calcium hydroxide Followed by root canal treatment and crown.

5. Access opened in 16 without anaesthesia, bmp done in MBC & MLC and DC. Intracanal Metapex given in all three canals. Access cavity filled with glass ionomer cement . Patient recalled after 1½ month.

6. Patient was advised to come after next 1 ½ month . After 1 ½ month, IOPAR taken showing decrease in radiolucency ,

7. IOPAR showing normal bone pattern in periapical region of both roots .

8. Obturation done by guttapercha followed by cast metal crown