Maret 03, 2017
treatment of primary upper molar 54 with a 3mâ„¢ espeâ„¢ stainless steel crown.with courtesy of "internationale praxis fã¼r kinderzahnheilkunde und kieferorthopã¤die", dr. jaqueline esch, mã¼nchen cariotic defect of tooth 54 in a 3-year-old tray including all necessary materials and instruments rubberdam is needed to ensure a clean environment and good visibility occlusal reduction with round diamond bur and opening of pulp chamber removal of inflamed pulp hemostasis with cotton pellets soaked with ferrous sulfate sealing of the pulp with zinc oxide eugenol cement. alternative: mineral trioxide aggregate (mta) or calcium hydroxide tangential prep with a diamond bur to prepare for stainless steel crown
select the right crown size with a caliper. if needed, the crown can be trimmed and crimped for optimal adaptation check crown fit on the tooth prep check with a probe that there is no gap between crown and tooth prep mix the cement (e.g. ketacâ„¢ cem) according to instruction for use and fill the crown place the crown on dry tooth prep (dried with gauze) use a crown pressing tool to seat and drive the crown down (if child cannot bite down due to general anaesthesia) remove excess cement
final restoration of 54 with stainless steel crown
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