From: Regenerative endodontic procedure using Emdogain: a case series
 | Protocol | |
---|---|---|
Sequence | First appointment | Second appointment (2Â weeks later) |
1 | Local anesthesia 4% articaine 1:100,000 epinephrine | Local anesthesia 2% lidocaine without vasoconstrictor |
2 | Rubber dam isolation and access opening | Rubber dam isolation and re-access opening |
3 | Irrigation with 10 mL 2.5% sodium hypochlorite (NaOCl) | Irrigation with 10 mL EDTA to remove the calcium hydroxide (Ultracal®) |
4 | Working length (periapical radiography) and gentle mechanical preparation in the coronal and middle canal thirds | Irrigation with 10Â mL saline solution |
5 | Re-irrigation with 10Â mL 2.5% NaOCl with 27-G needle tip | Drying with absorbent paper points |
6 | Irrigation with 10Â mL EDTA | Bleeding induction with K-file size #40, gentle movements up to 2Â mm beyond the root apex |
7 | Irrigation with 10Â mL of 2.5% NaOCl | Determination of bleeding time (s) |
8 | Irrigation with 10 mL of saline | Application of the total syringe (0.15 mL) of EMD (Emdogain®) mixing with blood |
9 | Drying with absorbent paper points | Placement and condensation of white MTA in the coronal third of root canals |
10 | Insertion of calcium hydroxide (Ultracal®) | Base of restorative glass ionomer cement |
11 | Insertion of a sterile cotton pellet | Definitive restoration with composite resin |
12 | Temporary restoration (Coltosol® + Riva Light Cure restorative glass ionomer cement) | Radiograph to confirm MTA placement/adaptation |