Today's RA case History
Case 15

Well here we are again back on cloud nine. This case combined my newly delivered Wand Plus LA machine and RA.

Yesterday's case involves a 12/13 year old. She was seen for the first time recently with a deep carious cavity in # 46. X-ray and symptoms indicated a likely pulpal exposure. #47 was in position and #48 was present on radiograph.

At her first treatment visit , she easily accepted RA and we proceeded with normal ID block. Very careful caries excavation produced an evident vital exposure. This was dressed and a discussion with mother followed re endo or ext and ortho to move #47 mesially keeping it upright.

She attended about a week later requesting Ext. We went ahead with her RA sedation and acheived adequate levels within 2-3 minutes.

Using the Wand and the single tooth technique . #46 was individually anaesthetised -NO ID BLOCK was used and the tooth ext painlessly about 1-2 minutes later.

Result. Relaxed happy patient and mother ( who watched the entire procedure- her choice not mine !). Her Mother , also a new patient has recently had RA for her treatment too. Will I use this combination again- why certainly !

Would it have worked with conventional IDB - why certainly but the wand meant no numb lip for hours afterwards and a rapid and predictable anaesthesia.

I have yet to review her regarding healing and her experience of the post op period.

I'll let you know when I do.