From yesterday 82 yo Mom of long term patients with significant dementia has "broken a tooth". #29 had a large DOL filling which has come out. She's asymptomatic but x-ray shows decay at the top of the canals, although there is no PARL. So we set up for endo + buildup, gave (1) carpule of 3% Carbocaine at the mental foramen, placed a dam and cleaned out the decay. At that point it was obvious that the canals were not exposed, so we did not do endo, just went ahead with the buildup.
Total time was 25 minutes from injection to completion. Using Injectafill saves a huge amount of time, and having Exquisite bonded on the occlusal layer insures durability. The restoration is not in occlusal contact necessarily to help prevent fracture and need for more treatment. We take lots of compromises with Geriatric dentistry simply to limit the number of procedures/stress on these patients.