Endodontics | Adjunctive Treatment

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Endodontics | Adjunctive Treatment | INBDE, ADAT

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Күн бұрын

In this video, we cover vital pulp therapies including pulpotomies and apexogenesis as well as other adjunctive procedures we may have missed in the previous videos. Thanks for watching!
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Пікірлер: 89

@mentaldental 3 жыл бұрын

Quick correction! At 1:31, the chemical formula for calcium hydroxide is Ca(OH)2, not CaOH2.

@ManelMhamsadji 6 ай бұрын

Thanks. MTA = Calcium, aluminium and Selenium.

@gracemusabeyezu5241 4 жыл бұрын

Thank you for everything! May God continue to bless you in all you do!

@eshachaudhary8242 6 ай бұрын

God bless you for making our lives so much easier! Hats off to the best videos i've found so far!

@mentaldental 6 ай бұрын

Thank you so much for the kind words! ☺️ God bless you as well! 🙏🏼

@nayanpatel1036 3 жыл бұрын

Thank you so much for doing these videos for us! Really appreciate it! Watching all these videos for NBDE II (taking on March 8, 2021) is my primary method for preparing for this exam. Finally, I am clear on the difference between Apexification and Apexogenesis! Thank you a ton Dr. Ryan and may God bless you!!

@mentaldental 3 жыл бұрын

You’re very welcome 😊 So glad to hear this! God bless!!

@Ahuromazda 4 жыл бұрын

God bless you! You have saved me! You deserve the Noble Price for this! Greetings fr Stockholm.

@lSomeRandomGuyl 3 жыл бұрын

He definitely deserves the tuition money that I'm giving my school.

@qianzhou6853 2 жыл бұрын

Do his videos help to a Swedish dentist licence?

@Ahuromazda 2 жыл бұрын

Helps Everyone studying dentistry or who has graduated.

@pricilalopez1110 4 жыл бұрын

Thank you for doing these videos your making online school better due to the quarantine.

@minamegally3055 2 жыл бұрын

I never usually do any comments on any KZfaq Videos but I think you deserve it DR Ryan :) Thank you so much for all your videos , they are really helpful

@mentaldental 2 жыл бұрын

You’re very welcome! Thanks for your kind words 😊

@lexielenney4853 4 жыл бұрын

Thank you for this amazing video!!

@DentalLyfe 3 жыл бұрын

God bless you!! This was awesome 🙏🏾

@aishwaryanaidu6432 3 жыл бұрын

Thank you so much ... god bless you doc !

@salik674 5 жыл бұрын

Thank you so much doc God bless you :)

@alptekinakturk4185 5 жыл бұрын

thank you for your videos

@SohelRana-ox5rc 5 жыл бұрын

Sir your vidios are so much helpful.you helped me a lot..love from Bangladesh

@amirapal 3 жыл бұрын

oh this is savior of my life :((( it's just too hard to understand on my class because there's just many things that skipped (compared to your video)

@sukanyadutta4041 2 жыл бұрын

I love this so much 💓

@user-hh1iw8jt8p 4 жыл бұрын

Thank you so much

@lora7677 2 жыл бұрын

Thank you so much!

@prasadshetty8423 4 жыл бұрын

God bless you...thank you so much

@sumbalkhan2025 5 жыл бұрын

Thank u so much sir , u are a life saver , from pakistan :)

@brianmbayiwa8116 4 жыл бұрын

I watch one video then accidentally watch 10 , love this channel

@rumesa5075 3 жыл бұрын

THANKYOUSOMUCH 🥺🥺👏👏👏🌸🌸

@dr.sumaya3122 4 жыл бұрын

Thanks 🙏🏻 ❤️

@tenzinpassang2071 Жыл бұрын

Great video thanks doc👍🏼

@mentaldental Жыл бұрын

My pleasure!

@yusrabashir9181 4 жыл бұрын

Thank youu✌️

@TheSANATmethod Ай бұрын

Thank you.

@Aisha-ij9zd 3 жыл бұрын

Thank uuuuuu doc god blessed u from KSA

@yaraalataya9171 2 жыл бұрын

Thank u so much it’s very helpful 😔❤️

@mentaldental 2 жыл бұрын

So glad to hear that! 😊

@drdada104 10 ай бұрын

Thank you dr from saudi arabia.

@Faryaby 2 жыл бұрын

AWSOME !

@utkarshparashar9030 2 жыл бұрын

I just found these videos a few days back! These are awesome. Helping me in quick revision. Is there any way to get ppts/pdfs of these lectures? Thank u so much for all the help!

@paulrichter666 4 жыл бұрын

I really like your videos. Will there be an update with Bioceramics vs MTA vs CaOH with pulp capping?

@jiveshvilbhumindraram4855 3 жыл бұрын

Is it ok if i ask that you can maybe do a video on endodontic medicaments and their adv/disadv and clinical trials🥺🥺

@udayalakshmi8690 Жыл бұрын

Tq for these videos and encouraging👍. Can u do videos for general medicine and general surgery?

@drewand1515 5 жыл бұрын

I have heard different stances on use of formocresol in pulpotomy protocol. Current literature seems to indicate this is no longer the acceptable treatment. Is this still the technique of choice for boards questions?

@tejasvimondreti4436 3 жыл бұрын

Dear Dr. Ryan, I was taught that Direct pulp cap is indicated for any mechanical exposure and not carious exposure. If it is involving caries, the infected tissue will result in pulpal inflammation and should be removed by pulpotomy. @8:00 minutes in the video, it mentioned carious exposure. Kindly validate my understanding. Thank you!

@mentaldental 3 жыл бұрын

Great question! According to Al-Hiyasat et al, the success rate of direct pulp capping is 92.2% with mechanical exposure and 33.3% with carious exposure. So you are right to say that carious exposure is best treated with pulpotomy, but if it is small and recent, it can be treated successfully with a more conservative direct pulp cap (best with MTA).

@tejasvimondreti4436 3 жыл бұрын

@@mentaldental Thank you for clarifying! You may be pleasantly surprised to know that I am watching your Oral surgery videos right now, when I received your response.

@payalsharma224 3 жыл бұрын

Hey Dr Ryan… you are a saviour. I love your videos. 💙 I have one doubt… is indirect pulp capping and direct pulp capping done in primary teeth and permanent immature tooth only?

@mentaldental 3 жыл бұрын

Thank you! And they can be done in mature permanent teeth as well.

@jawadbukhari3681 5 жыл бұрын

Thank you for your videos, really helpful. Can you please explain a little bit about types of root resorption if this is important for the board exams.

@mentaldental 5 жыл бұрын

I'm glad you are finding them helpful! Please see this video I've made earlier in the Endodontics series. I benchmarked the time when I start talking about root resorption. kzfaq.info/get/bejne/gr6pjaWors6seKc.html

@jawadbukhari3681 5 жыл бұрын

Mental Dental thank you ryan

@Swiftie4life721 4 жыл бұрын

Thank you, how do you make time for all these great videos?

@mentaldental 4 жыл бұрын

I’m not sure to be honest! It’s a challenge to find time, but I’m continually motivated by all of these greats comments.

@margarethcure6631 3 жыл бұрын

@@mentaldental oh wow! thank you for making the time and help so many dentist who are preparing for the Dental Boards, you are a blessed for of all us 🦷❤️

@ruaahaddar5634 Жыл бұрын

hello doctor thanks for the video. I have something to ask about pulpectomy.. why we do it as temporary then we do rct i mean why not to do rct directly instead? is there like a specific situations where we cant do rct directly ?

@rubaalaswadi8501 Жыл бұрын

Hey doctor thanks a lot for your videos you have no idea how much I benefit from them❤. But i have one question i dont know exactly how phrase it but bear with me pls 🤣 we’ve taught at dentistry school that one of the ways to apexogenesis that when you have an non vital immature permanent teeth is to poke the open apex after you pulpectomy till the canal is filled with blood ..ect but i don’t remember the procedure name and i don’t remember the steps and i was hoping to find it here in your video .. excuse my bad English it is not my mother tongue ❤️ again thank you so much 🙏🏻🙏🏻

@Bejman13 5 ай бұрын

Dear Doctor Ryan, I have a question regarding the pulpectomy procedure. You say to fill the canal with CaOH. Is this the case with a permanent tooth as well? How will the dentist be able to remove the CaOH to perform the final RCT? It must be extremely challenging and a lot of work for the endodontist to drill though the CaOH, risking perforations and over preparation of the canals. How do you recommend we remove the CaOH?

@ahmedagamy1692 Жыл бұрын

I have a question real quick You said w do pulpectomy on non vital primary teeth with no symptoms. Does that mean we do partial or total pulpotomy on primary symptomatic teeth ?

@marianakh7222 4 жыл бұрын

so direct pulp cap is indicated with fractured teeth supposingly less than 24 hours passed on the fracture

@ghada2879 3 жыл бұрын

hey dr rayan thanks for the video .. I just have one question regarding pulpotomy .. the indication for pulpotomy in the NBDE2 student to student book is irreversible pulpitis in primary tooth..and contra indication in other texts for pulpotomy is symptomatic tooth my question is how could irreverisble pulpitis be an indication and one of its feature is sponatneous pain which means that the tooth is symptomatic?

@mentaldental 3 жыл бұрын

Not sure I agree with that. Pulpotomies are frequently done for symptomatic primary teeth, and irreversible pulpitis is often the diagnosis for them.

@jaclynrose1835 3 жыл бұрын

Hi Ryan, just a q about the apexogenesis procedures. I was taught that only medicament in direct contact with the pulp tissue would be considered apexogenesis, so indirect pulp cap wouldn't achieve that. Any thoughts?

@mentaldental 3 жыл бұрын

That is a great point. There is some debate about this and I have seen it discussed both ways, but I would tend to agree with you, that apexogenesis is more accurate to describe treatment for pulpal exposures of immature teeth.

@alishacsotogonzalez4580 4 жыл бұрын

Is periapical microsurgery the same as apexification?

@mentaldental 4 жыл бұрын

Periapical microsurgery refers to resection of the apical part of the root, inspection for any potential fracture, ultrasonic retro-preparation, and the placement of a retro-filling. Apexification is a totally different process specific to immature teeth with a necrotic pulp. The pulp is removed, and medicaments are placed within the canal to allow for a natural calcific barrier to form at the root apex.

@sharanshah5446 3 жыл бұрын

Isn’t the use of formocresol contraindicated in primary teeth?

@mentaldental 3 жыл бұрын

Nope! There are concerns and side effects with any medicament, but it is not contraindicated.

@Laayekthar 5 жыл бұрын

Great video, but no mention of revascularization

@mentaldental 5 жыл бұрын

Thank you! I didn't cover this topic, because it is not (to my knowledge) covered on the NBDE, but it is a very interesting area of study.

@iranfelix605 5 жыл бұрын

This is a good article that explains it www.hindawi.com/journals/tswj/2014/737503/

@adnanhakim8046 2 жыл бұрын

Which is better to use in direct pulp capping .. Calcium hydoxide or MTA ?!

@Coco-572 3 ай бұрын

Biodentine . Where can I get pulpotomy in the USA ?

@Ahuromazda 4 жыл бұрын

What's the best way to prepare for NBDE? besides book 1 and 2, what other material do you recommend?

@mentaldental 4 жыл бұрын

I recommend the Boards Mastery App for both Part 1 and 2!

@blertabruci227 2 жыл бұрын

@@mentaldental It only works with apple.What about samsung users? it doesn't work on my samsung

@benitajat.9625 2 жыл бұрын

@@blertabruci227 it works for my Samsung 🙂

@hagarabouzaid9715 3 жыл бұрын

Please help me answering this. A 7 year old has 2m exposure on upper central çame 3 hours after trauma 1. Direct pulp cap 2. Pulpotomy with calcium hydroxide

@jenniferdume5119 3 жыл бұрын

I think this would be a direct pulp cap because it’s a 2m traumatic exposure less than 24 hours

@Mohammad-kn3iy 3 жыл бұрын

🙏🙏🙏👏🏻👏🏻

@dr.arefalnaib3425 3 жыл бұрын

Hey Dr. Rayn please can you answer this question and explain why A 7-year-old patient fractured the right central incisor 3 hours ago. A clinical examination reveals a 2-mm exposure of a "bleeding pulp." The treatment-of-choice is A. pulpectomy and apexification. B. pulpotomy with calcium hydroxide. C. direct pulp cap with calcium hydroxide. D. one-appointment root canal treatment. the answer is A but i don't feel it is true thank you

@mentaldental 3 жыл бұрын

The correct answer is A. The trick here is the age of the patient, and consequently, the stage of root development of that central incisor, which is immature. So your choices are 1. Regenerative endo + monitor, 2. Calcium hydroxide apexogenesis, and 3. Pulpectomy and apexification. So the best choice of the answers is A.

@sakshisharma1601 3 жыл бұрын

@@mentaldental how will i judge whether i need to do pulpotomy or pulpectomy in this case?

@TorgoenWatches 3 жыл бұрын

@@mentaldental if it has been less than 24 hours and the apex is open why not try for apexogenesis using Cvek (i.e. answer B)?

@samuelsamaroo7423 3 жыл бұрын

@@TorgoenWatches @mental Dental, I think based on the criteria in thevideos, it should be C (less than 24 hrs/2mm/allows for apexiogensis -Root completed @ 10yrs old).Your feed back would be greatly appreciated :)

@iono1019 3 жыл бұрын

I believe the key in the question is "bleeding pulp" after the exposure which indicates irreversible pulpitis. With irreversible pulpitis or necrotic pulps we should do a pulpectomy and apexification.