How to Place Temporary Restorations on Endodontically Treated Teeth
About this video
This video by Dr. Siju Jacob provides a professional guide on improving endodontic temporary restorations to prevent tooth recontamination during multi-visit procedures.
The Problem with Common Methods: Dr. Jacob explains that the traditional technique—placing a cotton pellet over calcium hydroxide and covering it with Cavit—is prone to failure. Cavit lacks the strength to resist occlusal forces, leading to dislodgement, while cotton fibers can act as capillaries, drawing contaminants into the canal.
Recommended Protocol: To overcome these issues, Dr. Jacob recommends a two-layer approach:
1. Place Cavit directly over the calcium hydroxide (omitting the cotton pellet/Teflon)
2. Seal the top with a harder material, specifically glass ionomer cement, to provide superior resistance to occlusal forces
Removal Process: Upon the patient's return, the hard glass ionomer is removed using a bur, followed by the use of ultrasonic tips to easily remove the underlying Cavit and clear the canal.
