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Endo Questions for the RWE Faculty:

In this area, users are encouraged to ask questions from the RWE Faculty regarding Endodontics in General and the EndoSequence Technique.

Endo Questions for the RWE Faculty:: intrapulpal injection in an open apex root

Missing

Joined: October 2016

Rank: Rookie

Posts: 2

#1
Hello everyone.i just wanna ask if there is any contraindication for intrapulpal anesthesia  in an open apex root and what kind of anesthesia is appropriate for this method?
Screen_shot_2013-11-27_at_7.08.57_pm

Joined: November 2013

Rank: Faculty General

Posts: 43

#2
In reply to Sj aghamiri No contraindications in open apex teeth. Remember that you give an intrapulpal in a vital pulp. Therefore, the apex is closed off with tissue and it's not like you will be pushing all the bacteria out. The key is to make sure the roof of the chamber is intact before you give the shot, otherwise it won't be as effective if you can't produce the required pressure for anesthesia to work. 
Good luck!
Missing

Joined: October 2016

Rank: Rookie

Posts: 2

#3
Really thanks for your reply.but how about in the cases that the roof has been complately removed and during the apexogenesis intrapulpal is administerd directly inside the canal as a supplementary injection?
Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 299

#4
In reply to Sj aghamiri If you're doing apexogenesis it's generally better not do too much manipulation of the radicular pulp. Why would you give an intrapulpal anyway? Your patients should be number before you get into the pulp. If they feel it, take the rubber dam off and give more anesthesia along with supplemental anesthesia like Intrasulcular or intraosseous, not an intrapulpal. Intrapulpal is a very bad way to achieve primary anesthesia. You only hurt your patients and are not getting effective, long anesthesia anyway.