Asymptomatic #21 with deep decay. I was hoping to leave the affected dentin and not expose the pulp. I tried to remove the last bit of decay stain and there it was. So I got my other world class assistant (where would I be without them???) to get the stuff and away we go……..Here's the procedure:
So far so good on this one. The key is that the tooth must be asymptomatic. If not just start the endo. This case was unusual because of the direct exposure. I usually will stop before that happens. I place Durelon only when I can either see pink dentin, or if there's a direct exposure. The best pulp cap is decayed dentin, so I often leave "affected" dentin. When I do I always make sure that after Surpass 2, or your dentin primer, is dry that the dentin appears shiny. If not I apply more Surpass 2 primer so I know it's sealed in under the resin.