EXAMINATION :
Isolating tooth and checking for cold test
Recent restoration Response to application of cold
More sensitive to EPT (time linc, hot sharp or warm)
AB fibers EPT
Aδ fibers – stimulated by tubule fluid movement
Aδ fibers – stimulated by tubule fluid movement at higher levels of EPT A + C (Stimulation ) Produces the painful response (C = fibers “Kick in “ ) TREATMENT Physiology Modality Remineralization of dental tubular from the calcium phosphate carbohydrate protein complex. CHEMICAL / MECHANICAL a) Potassium Oxalate (BY Green with and Pashley) (PROTECT) b) Stontium chlorides SENSODYNE THEMODENT tooth paste