#30 – Truss Access
Pre-op IOPA reveals a #30 with irreversible pulpitis involving the distal pulp horn and a fairly intact Mesio-occlusal surface.
Treatment plan: Truss access planned leaving the bridge of dentin in the centre intact. Truss access’s are precise and more conservative with a CBCT. But in a scenario where a CBCT is not feasible for routine cases, a good pre-op IOPA assessment and tracing the caries outline can help limit the extensions. I call it the Desi-IGE
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