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Case DentalDate

Deep caries without opening the pulp: precise work under the microscope

The patient came to the clinic with complaints of pain from cold and sweet in tooth 1.4. The pain goes away immediately after removing the stimulus, but it interferes with life.

Dr. Vera Demidova
Dr. Vera Demidova

General dentist, Endodontist

Objectively: volumetric filling on the chewing and distal contact surface of tooth 1.4, its marginal adherence is broken, secondary caries. Carious cavity on the medial contact surface of the tooth.

After removal of the old filling a deep secondary carious process was found. Threat of pulp opening. Using a microscope, which allows to see in detail and excise only the affected tissues, we managed to keep the tooth vital.

The tooth was restored on both contact and chewing surfaces using composite material, taking into account the anatomical and morphological landmarks.