A different concept of formocresol pulpotomy procedure has been proposed where the formocresol pulpotomy is done with smaller access to the pulp chamber. In our study formocresol pulpotomy was carried out in 128 primary molar teeth with a limited amount of access opening, saving a bit of more tooth structure, which excludes the requirement of placement of a stainless steel crown (SSC). In 2 years follow-up period, no crown fracture was reported. One hundred fifteen teeth remain vital at the end of 2 years period of observation with the periodic clinical and radiographic review. The result shows 89.4% clinical and radiographic success of this nonconventional pulpotomy procedure that corroborates with several studies of the conventional formocresol pulpotomy procedure. How to cite this article Chakraborty A, Dey B, Jana S. A Nonconventional Approach to Formocresol Pulpotomy. Int J Clin Pediatr Dent, 2018;11(6):490-495

The major challenge of performing root canal treatment in an open apex pulp-less tooth is to obtain a good apical seal. MTA has been successfully used to achieve a good apical seal, wherein the root canal obturation can be done immediately. MTA and White Portland Cement has been shown similarity in their physical, chemical and biological properties and has also shown similar outcome when used in animal studies and human trials. In our study, open apex of three non vital upper central incisors has been plugged using modified white Portland cement. 3 to 6 months follow up revealed absence of clinical symptoms and disappearance of peri-apical rarefactions. The positive clinical outcome may encourage the future use of white Portland cement as an apical plug material in case of non vital open apex tooth as much cheaper substitute of MTA.

67-year-old white man presented to the emergency department with a 10-day history of left-sided facial numbness, vertigo and nausea, along with new-onset gait imbalance. He had been treated for 1 week with prednisone (45 mg/d) and amoxicillin (500 mg 3 times daily) for suspected Bell palsy and concomitant sinus infection.The patient's medical history included hypercholesterolemia, colon cancer resection without recurrence (9 years previously) and smoking. His medications included rosuvastatin and acetylsalicylic acid for primary prevention. He had no history of travel or weight loss, fever or night sweats.On examination, the patient had head deviation to the left in lateral flexion at rest (Figure 1). He had left-sided facial asymmetry sparing the forehead (Figure 2) and decreased facial sensation over the V 2 -V 3 distribution. He also had ptosis and an inability to close his left eye, with associated horizontal nystagmus on rightward gaze (Figure 3). His pupils were equal and reactive to light, with normal visual acuity and visual field testing. Hearing was decreased on the left. His gait was ataxic with a wide base and he could not achieve tandem gait. Patellar reflex was brisk and plantar response upgoing on the right. The remaining neurologic examination was normal, including midline tongue, palate rise, cerebellar finger-to-nose testing, tone, sensation and motor testing. Findings on cardiovascular, respiratory, lymphatic and abdominal examinations were normal, with no evidence of dysautonomia.On initial blood work, the patient's complete blood count, electrolytes and creatinine were within normal limits. His electrocardiogram showed normal sinus rhythm.

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