ฝัง
- เผยแพร่เมื่อ 28 มิ.ย. 2024
- Anyone who works with the Dentin Pulp Complex needs to know the biology of pulp. In this basic review Dr. Nasseh explains the biological basis of some diagnostic and clinical testing as well as some additional basis of pain on pulpal innervation.
- ภาพยนตร์และแอนิเมชัน
![[LIVE] : ONE ลุมพินี 68 | คู่เอก "พระจันทร์ฉาย vs โจนาธาน"](http://i.ytimg.com/vi/F3IM3w-XchI/mqdefault.jpg)
I've watched your videos in dental school and I was amazed at your teaching, and now that I'm a dentist, I still find myself coming back to your videos for a reminder of what I see clinically in patients. Great explanations, glad to have access to this information just at my fingertips. You are easy to follow and yet go into a lot of detail. Perfect for any dentist to watch. Thanks.
Thank you for the kind words. Motivation for making more like this. In fact, I'll make a video on apical pathology which I will hopefully share next week. Best wishes! :)
May God bless you Dr Nasseh... I can't tell how much this means to me. You do justice to your channels name. I will never forget a word of this lecture because you so beautifully correlated theories to the real Endodontic practice... This is real world Endo. Bless you.
Thanks for the simple but yet exceptional explanation, also thanks for taking the time to share your knowledge with all of us.
That was immensely informative, thank you dear endodontist for making dentistry a little better.
i always asked the question why cold application can reduce the pain in pulpitis when its the primary cause of pain in all patients and now I finally know the answer . thank you dr ali I look forward to videos like this one .
Fantastic explanation! I never understood the dental pulp and diagnosis in this way
Every sec of the video was educational ... Much appreciation Dr. thank you
I love the way you teach Endodontics... here, a new follower and learner, from Chile
Fundamental yet pragmatic Demonstration.
Dr. Nasseh is blessed with striking eloquence! Quite salient a correspondence between Name [nasseh=adviser] and Attribute [rhetoric]
way better explanation than in dental school.
That was in one word an AMAZING lecture. never understood this concept as simple as this one. Thank you so much doctor.
Thank you so much for the clarity of presentation and the generosity! Super helpful- you are an amazing teacher.
I know I'm late but great video thx a ton!! It's amazing how complex our bodies are down to the tooth
Thank you Dr. Nasseh! I really enjoy your videos as a dental student. Thank you for your work.
Thank you!
I just became so much clearer on the pain mechanism. Thank you doc.😊
Extremely good way of teaching !
This video was very very helpful for my endodontic residency exam , I am very grateful for your videos and clinic tips , love it 👍👍👍😁😁😁
Beautiful explanation! thank you so much!
Thank you for this great review.
Thank you, Nice job explaining the pulp process.
Wonderful video, thank you!!
Merci Dr.Nasseh.
Gratitude beyond limits..
Thank you for the concise and helpful lecture!!
Great way to teach such complex subject thanks doc
thank you doctor Nasseh.Yor work is very interesting and helpfull.i enjoy it.
AWESOME video. Very helpful. THANK YOU!
congrats, the explanation was very clear,
Very Informative, nice simplification of the subject. Thank you
This video is amazing in its explanation. Thank you.
Thank you Dr. Nasseh. Not only do I enjoy your lectures and clinical demonstrations, I have already put some of what I learned from you into practice. Thank you!
patients shows no response to cold and EPT test.and heat test shows positive test .then sir wat is the treatment plan ???
That's not enough info. You need history of present illness, chief complaint, and other clinical radiographic data to make a decision. Without that it makes no sense to propose anything. So, what's next is gathering more clinical and radiographic data. However, it sounds like it will likely be irreversible pulpitis.
OK thank u so much sir .
Excellent review
Merci
Thank you very much , great lecture!
Thankyou so much doc!
Excelente docente, muchas gracias!
Thank You dr..very appreciated work
Thank you Doc!
Thank you sir. It's a very helpful video. The histo-clinical correlations where very interesting.
I learned so much here. Pefsonally I will be taking Advil after every deep dental filling from now on to reduce inflammation
Amazing video thank you
Thx fr your lecture, doc.
well explained dr naseeh thank u
Thank you for this informative lecture
Wonderful explanation associated with clinical tips👍👍
A great lecture doctor
I have some questions
1- where does the fluid go when it leaves the conical dentinal tubule ? Does it reach enamel and then exits the tooth and how ?
2- when we cut the dentin doesn’t that make the tubule wider as it is conical in shape ? So doesn’t that allow more fluid to go through? So that will trigger pain ? And still now where does that fluid go as we use the bonding agent that goes inside of the tubule
3- isn’t there a nerve inside the tubule so isn’t cutting the dentinal tubule going to cause a permanent injury to the nerve and the odontoblast that has a process inside the tubule so this contradicts with the principle of conservative fillings
4- what about lateral canals does this apply to it too ?
5- what is the fluid that goes through the dentinal tubules made of ?
Sorry if i had so many questions and i hope you answer all. Thank you 🙏
Always good learning
I appreciate Dr. Nasseh's review of the pulp and its complex. However, Dr. Nasseh mentioned that a rise in pressure causes wide spread effects in the pulp and this has been implied as unlikely(Tonder and Kvinnsland, 1983). A change in localized pulpal pressure does not appear to spread throughout the pulp or effect the venous beds at the base of the pulp when measured in vivo, and thus strangulation of the pulp is unlikely. Other than this very minor point I thought this was an excellent review. Thanks.
You are amazing!!!! Thank you so much:)
Ty. Sir..... great info......clear most of the doubts......
Thank u very much. Just superb
yeahh !!! this remided me about college ..man ... very nice and on point explanation :)
amazing profound
thankyou sooo much sir that was really helpful :)
It was great Sir Ali
perfect 😍 thank you 🙏🏻
thanku sir fr ur valuable lecture
thank you so much it so relevant !!!!!
well i have understood about nerve supply would u explain me about hyperemia and its sequele in pulpal irritation ?. by the way ur clarity on the subject is awesome. tthank you somuch dr.
Thanks aloootttt soo usssseful
Please more lectures
from a dental student myself, I thank you!!!!
I also love the fact you include "clinically" relevant information. Please continue to spread your wise knowledge!
Frome my deepst harte very huge respect and thanx alot
Thank you ,DrNasseh :D
just learned a new word thanks to you :D
permeable
permeable
permeable
permeable
permeable
permeable
permeable
thanks, sir
u r awesome :) thanq somuch !
grt explanation sir :)
how to diagnose radiographically cyst and granuloma and apical abscess and the treatment also.
Background music fantastic
Thank you very much for posting this.
How can we tell if the inflammetion is confined to coronal pulp or has reached the radicular pulp clinically to do whether pulpotomy or pulpectomy as an emergency treatment?
Best
Currently you can’t tell for sure. You can use the bleeding time and whether the pulp stomp coagulates within 2-5min as a proxy for it not being infected. It’s not a clear science but it’s what we have for now… until we come up with a potential chair-side biological marker to use for this measurement. Cheers.
thnkx sir
may i know why in cases of pulp canal obliteration,the electric pulp test shows delay response...tq
wow I have nothing to do with dentistry but I watched it with such interest... great presentation
LOL!! How did you even end up on this page?!!! Happy New Year!
@@AANasseh Was in general looking at how teratoma ability to parasitically harness body's stem cell power to grow its own teeth could be better understood and used for regrowing teeth in humans in the future - somehow ended up watching your video - it made me think how precious this pulp is, how precious milk teeth and wisdom teeth could be in dentistry. in general your presentation style is very interesting. and this remark about how pulp can't increase in volume - otherwise pain - that's why I rinse with geranium essential oil with water and coconut oil as prevention. Have a wonderful year! thanks for all you do:)
@@cheerstopoland Yeah... lots of totipotent stem cells in and around the pulp, especially in the dental follicle of developing roots. Those cells could be harvested to regenerate the pulp. The main problem for this premise is not the pulps regenerative capacity, which is a given, but our inability to completely sterilize the inside of the tooth, which would be a required step before pulp can regenerate predictably. The main limitation is the complexity of the system and our inabilty to sterilize it, which is why we fill root canals instead of leaving them open. This way we entomb and eliminate the grown of any bacteria. Cheers!
Dr. Nasseh...I have one question
Is it true that after root canal therapy the tooth is actually not dead because it still has blood supply from periodontal ligament? Please throw some light on it considering my question...
Love from India...
what about pain to "sweets"
some pts claim that it occurs spontaneously after eating...
what's the mechanism behind that or is just dentinal hypersensitivity?
massive fan and student of yours from Iraq!
Good question! Current theory is that sweets is causes an osmotic gradient across the dental tubules moving fluids out and causing pain. Also, within 30 seconds of introducing sweets in the mouth the pH drops down below 5.5 in the oral cavity. So, sweets also activate the microbes in the caries to release acid that further irritates the pulp. So, that's from the sharp and quick sweet reaction to osmotic pressure all the way to long lasting pain which is acid from a carious lesion. Hope his helps! :)
I often wonder why after chewing something sour like a piece of lime, even after washing and after couple of days, that teasing sensation last s?
If the sensitivity during biting wasn't caused by any suspicious crack, so happen there was a composite filling just did by someone not long ago. What would be the sequence of examination to ascertain if there is a chance of debonding? Appreciate your guidance!
That's fairly common actually. The main reason is a lack of proper seal in some areas of the composite. You also have to see whether the sensitivity is due to biting, which is likely due to cuspal deflection due to improper bonding, or merely cold sensitivity or if you're running an explorer on the tooth causing sensitivity. Those are all poor bonding technique and allowing for small areas where no bonding is present on the surface of etched dentin, causing fluid movement in the tubules. All those can generally be resolved if you remove the entire composite and replace it with a sedative filing and observe the symptoms. If they improve, go back to a new, better sealing composite. If they don't, then endo may be required.
I just want to ask any dentists out there- is it normal to open and drill dentin out then remove some abscess from roots and not finish root canal fully and just close it? Thats what my dentist did and i feel pain whenever my treated tooth touches the tooth in the bottom.. he said he cant finish the root canal due to covid 19. The treated tooth also has a minor crack, so im worried it will just break although im being really careful not to put any stress on it. Any advice would be appreciated.
so how sweets can cause pain what is the mechanism?
Doc could you please explain why we need to de-occlude after endodontic treatment or is it really necessary??? because patients complain of POP a lot of times if the RCT procedure is planned for 2-3 seatings
thankyou
Not sure what you mean by de-occlude... do you mean remove the smear layer or to achieve patency through apex? Most cases can be done in a single visit if you understand the underlying principles of success and your efficient enough in applying the required protocol for success. Cheers!
Informative
Reversible pulpitis why dull pain non continous intermittent in character... Tou told that a fibres are situated periphery...
If the caries reaches near to pulp most of the patient will have dull pain less intensity
Whats the reason for that
If the caries reaches the pulp it's generally considered irreversible pulpitis. The dull ache is the spontaneous component of pain, which is generally from the pulp proper (c-fibers). They feel the A-fibers whenever they have something cold given their decay! (sharp shooting pain!)
Is this possible, the pulp is necrotic but no caries/whole in the crown/root area?
Yes, it's more common than one would think. In about 7% of the population, the cementum doesn't cover the root around the CEJ. In canine teeth and some other anterior teeth, this can cause infection through these tubules that along with possible cases of ortho or trauma, can cause necrosis. Sometimes these teeth are necrotic but asymptomatic. Other times, they can become symptomatic. But over all, it's very possible to have necrosis in what appears to be a virgin tooth. It's very important to do proper vitality tests with cold (comparing to the contralateral side) as well as EPT to make sure before cutting into the tooth. Cheers!
Feynman of teeth? That made perfect sense.
Frome my deepest harte ve
very nice
The pulp has a special odor which the patient probably sense each time the file is passed under his or her nose.
If i thank you, it will be very less than your effort. I have nothing to give you against the knowledge you share with us.