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- เผยแพร่เมื่อ 15 ก.ย. 2024
- This video by Aspire 32 is a part of an ongoing series on Pulp capping. This explains Indications, Contraindications, Conditions, and the mechanism involved in Direct and Indirect pulp capping in a simper way. It also covers the material like calcium hydroxide, MTA for pulp capping. At the end of the video students will be able to differentiate between direct and indirect pulp capping and understand the role of such techniques in preserving the vitality of the tooth. Pulp capping is an important topic from Endodontics and Operative Dentistry. Easy dentistry at Aspire32 helps grasp such topics of Dentistry in the simplest possible way for dental students and dentists.
This video of Aspire 32 is made by Dr. Suresh Shenvi who has cleared various exams like ADAT, NBDE from the USA, DHA from Dubai, and various Indian Entrance exams like PGI, KCET, NEET. I am MDS in Conservative Dentistry and Endodontics by profession. I am also an author of dental books on the entrance exam and I am also currently a faculty at KLE University and a receiver of best teacher award.
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Link for Complete Playlist on Pulp Protection ( Direct and Indirect Pulp capping)
• Pulp Protection - Varn...
Link for Complete Playlist on Pulp and Periapical Diseases
• Pulp and Periapical Di...
Link for Complete Playlist on Dental Composite
• Dental Composite
Link for Complete Playlist on Fundamentals of Cavity Preparation.
• Fundamentals of Tooth ...
Link for Complete Playlist on Glass Ionomer Cement and its types.
• Glass Ionomer Cement (...
#Pulp capping, #Dental pulp capping, #Direct Pulp capping, #Indirect pulp capping, #Calcium hydroxide pulp capping, #Aspire32, #Easy Dentistry, #Suresh Shenvi
That's an amazing video..Thank you doctor 😊 TH-cam became the best teacher wow
Glad you liked it. Do watch the other videos and do not forget to subscribe to the channel :)
@Riley Maxwell instablaster :)
Thankyou so much sir,
many doubts which i had are now clear.
You are most welcome
Really informative and explained in simple yet comprehensive way. Good work by Dr Suresh yet again !
+Chinmay Vakade Thank you soo much for the valuable feedback :)
Very systemtically explained.waiting for more videos😊😊
Thank you. Do subscribe to the channel and check the other video.
Will surly make new one soon :)
Tough topic but you made it very easy for the students. Thank you!
Glad to know that :)
Thank you sir ... You explained it very simply....
Glad to know that. Do check the other videos and subscribe to the channel :)
very simple and attractive way of teaching ......thanks a lot
Thank you soo much :). I hope you will also check ther other video's from the channel. Do let me know if I need to make any changes to make videos better :)
many thanks for excellant presentation in simple words, great video :) keep up the good work.
So happy to hear :)
Thank you so much for your effort.
Most welcome :)
Can u explain in detail about dpc in traumatic exposure..within how mny hours it can be done..
Surely make a video on it soon :)
An excellent video! Helped me a lot!
Welcome :)
Thank you so much that was really helpful ^^ can you do a video about dentin capping please ! Thanks again
Thank you. May I know what you mean by dentin capping?
Thank you sir to make it easy.
Welcome :)
Very well explained ..waiting for some new videos soon doc !!
Sure. I will try to make another one soon. Pls subscribe to the channel also share it with your friends
Aspire32 already subscribed
Thank you Dr Manash :)
Very well explained 😊
Thanks a lot 😊
Amazing video sir!!!.. very well explained 😊
Thank you Pallavi...Hope you will find the other videos helpful.too. Do subscribe to the channel :)
Sir kindly make a video on c-factor
Great work, well done.........
Thank you :)
Superb Sir 👌Great effort from your side 🙏
Thank you :). Hope it reaches new students :)
very good lectures delivered by you dr
Thank you so much :):)
Sir kindly upload some scenario type mcqs which come in dha exams.
Plzzzz plzzz
Which of the following conclusions would be correct if, after six weeks, a pulp-capped tooth were asymptomatic?
A. Pulp capping was a success.
B. Lack of adverse symptoms might be temporary.
C. Reparative dentin formation at the exposure site was complete.
D. Adjacent odontoblasts had proliferated to cover the site of exposure
What we should answer please !!!
B.. pulp capping success should be decided only after 3 months
Yes just got confused because you mentioned that some textbooks put that 3/4 weeks are enough to decide
Yes. The questions are generally confusing :)
Sir pls make a video on crown cutting measurements, veneers and braces pls
Have any topic on Dental Materials ?
So helpful! Thank you so much!
Welcome :) Thank you soo much for visiting the channel !
Great explanation 👏👏thank you sir
Most welcome :)
Thanks dear doctor for your useful vedios
Most welcome :)
Simple and apt presentation
Thank you soo much. Do subscribe to our channel :)
already subscribed
Your lectures awesome sir
Thank you :)
Hi sir....for cavity liners as u said u can u can apply calcium hydroxide liner light cured and continue with composite ..... similarly can we use MTA cavity liner and continue with composite restoration ...i wanted to know compactiblity between composite and MTA ....?
Yes. You can bond composite to mta. But generally one should allow it to set
you can place light cured liner on mta to save it ,then continue composite restoration.
Very well explained... Sir, we would like see a video on Apexogenesis of Anterior and Posterior teeth in Blunder buss Apex.
Yes. I am currently running a series on composite. Let me make one for it then I can plan for apexogenesis
Thank you sir.
Most welcome :) hope you will visit the playlist section
hello doc, thanks for sharing this educational video, i'm currently learning about indirect pulp cap, direct pulp cap, and pulpotomy in primary teeth, but there's something i couldn't understand, in one book i read there's two way to treat IPC, one visit and two visit,
and coronal seal is very important to the success of treatment
if i choose two visit treatment then should i place cotton between liner and basis ?
thank you...
Two visit only means that there is a temporary restoration instead of permanent restoration. We do not place any cotton during two visit. The temporary restoration is removed while second visit and this allows us to reconfirm the formation of the reparative dentin.
Also note, pulp capping is not done in Primary teeth. Only pulpotomy is done and calcium hydroxide is not used in primary teeth.
@@Aspire32 thank you again doc 🙏😊
Why calcium hydroxide is not used in primary teeth?
@@talhasiddique2680 because it character that could lead to internal resorb, as for the new alternative u could consider biodentin
Amazing sir
Thank you. Do check the other videos and dont forget to subscribe :)
I am new to your channel and I must say that you are an awesome teacher . Your explanation is clear and immaculate ...
Doc , got few questions . Did you post your video on pulpotomy .. ? I am really keen to know and learn more .. like you said , it’s ironic that all say that teeth has amazing healing properties and still do Endo for all the teeth .
The biggest challenge lies when there is a tooth with a large caries , but completely asymptotic till you start treating the tooth and then , pain appears for the patient . Atleast in such cases , I wish we could save the tooth with DPC/ coronal pulpotomy or anything ..
And what’s your take on biodentine . Sir ? I saw many vouch for it even in moderate carious exposures ..
Many thanks !
Thank you soo much for the encouragement. I am glad that you find me as a good teacher :)
I am yet to make a video on pulpotomy. I will surly work on it..I understand that cases may fail and its disappointing. But its these challenges which makes the dentistry interesting.
I guess I can make a small video on biodentin too :)
Aspire32 sure doc ! Keep going .. am eagerly waiting for your video on pulpotomy :)
Yes. Will work on it soon :)
Thanks sir
it was a good vedio😄
Thank you. Do check the others and dont forget to subscribe snd share :)
Sir plz uplaod lecture on partial and complete pulpotomy
Great sir 💥💥💥
Thank you :)
Thank you sir awesome work
👍👍
Thank you. Do check other videos. And dont forget to subscribe the channel
Good explanation doctor. What will be the ultimate fate of caoh. Will it resorb or it act as restoration below composite?
A part of it may resorb.
Another great video !! Thanks!
Welcome :)
Sir what is difference between indirect pulp capping and step wise excavation?
thank you, so useful!
Glad to know that. Do share it :)
After placing calcium hydroxide or MTA how much time needed for the cemenf to be left for setting prior to placement of further restoration?
There are two aspects of this
Calcium hydroxide sets fast but mta takes 20 min to 24 hours to set according to the brnads used.
Once the material sets u can do restoration
Earlier people used to do two visit pulp capping now its single sitting..
Tnq. Beautiful way of video presentation. Please do post more videos
Thank you :)
Nice video sir.... Doubts got cleared.... Explain Apicoectomy please
Thanks for watching. Hope you Subscribed. I want to make a full series on Endodontic surgery. Its my favourite one. I will include apicectomy during that video series.
@@Aspire32 Yes obviously I subscribed. I am really excited for that series!
Yes. I will plan it. Do give me some time :)
@@Aspire32 Definitely sir, take your time and try making it by December, please start with either apicoectomy or intentional replantation... Thanks 😊
very helpful , thank you
Glad you liked it. I have many more new videos on Aspire32. Do subscribe and visit the playlist section :)
if we don't want to make a mechanical exposure we can let some of caries?
Yes. But only in the floor and not on the side.
Sir, even if it is soft infected dentin, we can intentionally leave and do ipc? Will this work? Because sometimes the patients becomes asymptomatic because the pulp starts necrosing. And after few months, patients develop pain, on exploring shows necrosed pulp chamber.
Yes. If you are worried, you can do two visit and remove the decay in 2nd visit. In this case pulp exposure won't happen since there is reprative dentin formation in pulp.
I agree pulp may become necrotic that's why followup is required to check the success of IPC and dpc
If pulp is already involved in caries then there is no question of pulp capping.
Follow up should not be based on symtoms alone right? Because necrotic pulp also shows no symptoms. Which means radiograph is mandatory. Right sir?
How internal root resorption occurs while doing direct pulp capping in primary teeth?
There is a video about this on my channel. Pls check
Pulp capping in mature tooth may be followed by
A pulpalgia
B internal resorption
C hypercalcification within rootcanals
D all of the above
What is the anser given ?
your videos help me a lot understanding dental procedures but (no offense) could you please have subtitles next time,Indian accent is kinda difficult for me to understand since English is not my mother language..!
thanks a lot
I completely understand. I never thought someone will ask for one, since I was not sure if my viewers are from different parts of the World.
I will soon try to make substitles and upload it. Give me some time :)
Thank you for giving this feedback :)
@@Aspire32 Thank you a lot again i appreciate it , and greetings from Greece!
Most welcome. :)
I made a new video with the subtitles. Pls do give the feedback . th-cam.com/video/0pJQPW4m-rA/w-d-xo.html
Thank you!
Welcome :)
Thank you 🙂
Welcome :)
Thanks you sir
Thank you. Pls check other videos too :)
What are the tt for Primary vital immature tooth with vital pulp got trauma
It depends on the type of truma.u can visit the international dental traumatology website and there is a pdf with guidelines.
Pls make a video on x ray diagnosis and treatment plan.
Pls check pulp and Periapical diseases. It has this information :)
Why pulp capping not done in primary tooth
I dont understand it well
Will u pls say
I will make a small video on this question this week. Will it be fine ?
@@Aspire32 ok thank u sir
Ur big hearted
I thought u may not reply to mee
Here is a video explaining why pulp capping is not done in primary teeth.
th-cam.com/video/51xNl-ioKh8/w-d-xo.html
Sir while removing carious lesion . if a patient complain of sudden pain . then what should we do? Should we treatment the patient with direct pulp capping? If we are using a spoon excavator to excavate carious lesion and patient complain of pain then what should we do?
Ideally all cases should be done under local anaesthesia if the dentists feels there will.be discomfort for the pt
@@Aspire32 pls make a video on partial and full pulpotomy..
Sir while doing IPC(2 step approach) we placed IRM and in the next visit if we want to do permanent restoration then should we use composite??
After ipc one can either go for composite or amalgam. The issue with irm or any Eugenol based cement is that they can reduce bond strength of composite. However there are articles which says that if you to total etch, they can remove the residual eugenol from walls and composites can attain good strengthen. Do understand my explanation do watch the zoe cement video on my channel
Sir what's the main difference between mechanical exposure and carious exposure? Can you tell me in brief way?
In carious exposures the caries has reached the pulp.. in mechanical the caries has not reached pulp but the pulp exposure is because of excessive cutting
Sir pls make a video on deciduous root canals and roots anatomy....
Sure :). I will plan it
Can we do IPC in primary dentition?
Yes. As per literature you can.
If we do ipc with composite restoration in nonsymptomatic patient and pain or sensitivity arises after ipc what is the next treatment plan other than RCT.if it fails composite will not remove easily ,and we end up with more big cavity
If sensitive was because of tooth not responding to pulp capping then the treatment is rct.
@@Aspire32 sir,if patient came with no pain but during caries removal he feels severe sensitivity which subsides when we stop procedure ,than what is the treatment plan.
@@Nehakumari-in9wh this looks like you are removing deep caries without local anaesthesia.
@@Aspire32 sir ,is local anesthetia mandatory .and sir for ipc, setting or nonsetting calcium hydroxide (aqueous or oil based)is the right choice.please suggest me and also which restoration is good for lateral incisor with deep caries ,plain composite or Sandwich with gic
@@Nehakumari-in9wh pain control is mandatory if pt id experiencing pain during treatment
Sir i found difficulty in retreatment kindly give me some tips
In practice or theory ?
@@Aspire32 sir in practice
In 2 step pulp capping, why do we re call the patient after 21 days to go for temporary removal for permanent restoration ?
That was the concept before. Now u can do one step
@@Aspire32 still we were told to do two steps and this question was asked in a viva so
They asked why "21" days
@@dt6304 because it takes some time for repearitive dentin formation
Sir if a proximal carious lesion extend towards cej should we extract that tooth or do rct in it?
This depends on many factors. Is it a exam question ?
@@Aspire32 no.. I m asking this bcoz I m confused . many dentist are doing rct in those teeth in which carious lesion is extending towards cej ... That's confusing Me .. So pls make a video on x ray diagnosis and treatment plan pls pls
What is the be benefits of calcium hydroxide ??
Reparative dentin formation, pulp protection from irritants and antimicrobial effect
@@Aspire32 tnx sir
Wow
Glad you liked it :)
M glad u upld this vid n clear my doubts m bds intern
Welcome. Will try to make many more soon !
Sir ,, complete pulpotomy and pulpectomy are the same thing?
No..there are two pulpotomy.. partial and complete.. partial means removal of part of coronal pulp and complete means removal of complete from coronal pulp.. coronal pulp means , the pulp which is in pulp chamber.. .. plulpectomy means u r removing the coronal pulp and radicular pulp.. radicular pulp means the pulp which is present in root
@@Aspire32 thank you so much sir....u have cleared all my doubts🙏
Welcome :)
If the pulp doesn't stop bleeding when exposed, why not just heal it up with the right herbs, including comfrey. Maybe a new layer of dentin will grow to cover the pulp.
Currently some studies are done with herbals but it has not shown promising results
Sir what does intermediate filling material means??
Intermediate is very similar to temporarily. That is if we r delaying permanent restoration, we have to still fill cavity prepration with something. For shorter duration its called temporary and for bit longer duration that is 6 months then its called as intermediate
@@Aspire32 Thank you sir
@@Aspire32 sir can u plzz give me some examples of intermediate filling material?
IRM the modification of ZOE cement
Do watch cements here th-cam.com/play/PLdPsg6P-6VldTjajPjbmZWE9mK3hQRlfQ.html
doctor can u pronounce it at 1:12, if the pulp dies or ___???
blunderbuss canal or open apex
@@Aspire32doctor , i heard it starts with alphabet U like urimodly? i am not sure doctor
@@jackshen2628 you remove the pulp
@@Aspire32 thank you very muchhhhh
please remove background music
All my new videos dont have background music