Pulp Protection | Dental Cement Base , Varnish, Liner

Pulp Protection | Dental Cement Base , Varnish, Liner | Part 4

Рет қаралды 9,418

Күн бұрын

This 4th Part of the video by Aspire 32 is on Pulp Protection, a part of an ongoing series for dental students' with an aim to help them understand the various situation for application of Dental Base, Dental Varnish and Dental Liner and the various material like MTA, Calcium hydroxide, GIC used for the same. The series tries to explain why pulp protection is important at various depths of the cavity preparation during restoration. Pulp Protection 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.
Correction for the answer. it should be 3.2 mm and not 3.02 mm
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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#Pulp protection in cavity preparation, #Pulp protection liners, and bases, #Cavity Varnish, #aspire32, #Easy Dentistry, #Suresh Shenvi

Пікірлер: 89

@Aspire32 4 жыл бұрын

Dear friends. Please note correction for the answer.. It should be 3.2 mm..

@megaronqa1948 3 жыл бұрын

Sir the gic luting cement can i use it as a base or its a different type and it dose not work ? Please answer

@Aspire32 3 жыл бұрын

You can but it wont have adequate properties which is required for base since the particles size is small. Theoretically its not right.

@megaronqa1948 3 жыл бұрын

@@Aspire32 thank you very much sir greetings from iraq

@Aspire32 3 жыл бұрын

@@megaronqa1948 so happy to interact with you. Here is the link for playlist of videos related to operative Dentistry. do check it kzfaq.info/sun/PLdPsg6P-6VldPaNEpJji-C_2NuP4i97Kj

@Aspire32 3 жыл бұрын

@@megaronqa1948 Do check other 3 parts of pulp protection to understand it completely

@muzamilqayoom6211 8 күн бұрын

👍

@ummm...309 3 жыл бұрын

You make the college life of dental students so easy sir!!! And even in higher education in dentistry

@Aspire32 3 жыл бұрын

So happy to hear that :):)

@nazishiqbal7688 3 жыл бұрын

Wonderfully simplified. God bless you Doc ❤

@Aspire32 3 жыл бұрын

Most welcome :)

@rajeshwariauti6660 2 жыл бұрын

Completed all 4 parts and finally understood kab kaha varnish lagana hai....really thank u very much sir for these videos....

@Aspire32 2 жыл бұрын

Most welcome 😊 Hope you will subscribe and check other videos too :) Do check the fundamental of cavity preparation.

@lisapizza121997 5 жыл бұрын

Thank you for these videos sir, it is a very helpful series.

@sureshshenvi8186 5 жыл бұрын

Welcome :)

@anjalinavadiya_ 2 жыл бұрын

It makes my operative dentistry so easy...thank you 🙌🏻

@Aspire32 2 жыл бұрын

So nice to hear :):)

@riddhikakodkar2055 Жыл бұрын

Sir these videos are very helpful even during my mds 1st year discussions . All concepts are cleared, thank you

@Aspire32 Жыл бұрын

And it will be helpful in future exams too :):)

@shreanshimate4219 3 жыл бұрын

Thank you so much sir for such a simplified explanation!!

@Aspire32 3 жыл бұрын

Thanks for the appreciation. Hope you Checked all 4 parts here kzfaq.info/sun/PLdPsg6P-6Vlezs_0ZaBoOU7u9OC_KlVma

@anjaliroy3373 4 жыл бұрын

Very nice video.. understand the concepts thoroughly.. nd also hope u will make more videos like dis

@Aspire32 4 жыл бұрын

Glad.to hear that.. do check the other videos.. and dont forget to. Subscribe

@mythilil7573 4 жыл бұрын

Wow awesome sir... You made these lectures so easy to understand ... Thank you for the effort you have taken for us.

@Aspire32 4 жыл бұрын

Your are welcome :).. I hope you will check other videos and subscribe to the channel :)

@mythilil7573 4 жыл бұрын

Yes sir... I am watching all your videos and already subscribed😊sir

@tmadhuri2759 Жыл бұрын

Sir make a video about teeth whitening , what are the products we use for teeth whitening and all

@KavitaPatil-gn3jh Жыл бұрын

Very informative sir thank you🙏

@Aspire32 Жыл бұрын

Most welcome

@darshitasaini1217 4 жыл бұрын

Thankyou so much for your video really help alot hope we get more videos !

@Aspire32 4 жыл бұрын

Thank you. Dont forget to subscribe and also check other video's:)

@sanjaikumar7914 2 жыл бұрын

Thank you very much sir it is very helpful for me😊 Great explanation sir👍👏

@Aspire32 2 жыл бұрын

Most welcome dear :)

@geetasoni6570 5 ай бұрын

Nice explanation 👍🏻

@Aspire32 5 ай бұрын

Thank you

@mmtrivedi9348 3 жыл бұрын

Beautifully explained 👍

@Aspire32 3 жыл бұрын

Thank you. Please watch the whole series here kzfaq.info/sun/PLdPsg6P-6Vlezs_0ZaBoOU7u9OC_KlVma

@mmtrivedi9348 3 жыл бұрын

@@Aspire32 thank you

@dabeastxxx 4 жыл бұрын

Great video sir! One question: when you apply the base /liner on the dentin, do you dry the prepared dentin and clean it with benzin or Corsodyl prior to it?

@Aspire32 4 жыл бұрын

There may be some articles which say it may benefit with corsodyl. However hypochlorite has been recommended in some or infact many articles which will help to arrest the bleeding. If it does not then case it not suitable for pulp capping

@deepa4928 3 жыл бұрын

Sir, can you please help me with this question? Which of these following can be used as a base for composite restoration? 1. Varnish 2. Calcium hydroxide 3. ZOE 4. Zinc phosphate cement. a. 1+2, b. 2+3, c. 3+4 d. 2+4 Thank you sir.

@ronyalshiky3872 4 жыл бұрын

Thank you for great explanation I follow you from Libya I have a question is there any difference in base and liner between primary and permenent teeth?

@Aspire32 4 жыл бұрын

No. There is no difference as such.

@durjoyghosh1745 3 жыл бұрын

Thank you Sir for clearing many doubts.sir if you give a chart that which base is suitable for which restorative material it will be very helpful.

@Aspire32 3 жыл бұрын

Hi.. Thank you for watching the video :). Did you check all 4 videos of this series ? I may have explained.it in one video. HERE IS THE LINK kzfaq.info/sun/PLdPsg6P-6Vlezs_0ZaBoOU7u9OC_KlVma

@durjoyghosh1745 3 жыл бұрын

@@Aspire32 thank you sir

@satanimohit7310 3 жыл бұрын

Thanks 😊

@Aspire32 3 жыл бұрын

Most welcome. Do check the whole series to understand it better kzfaq.info/sun/PLdPsg6P-6Vlezs_0ZaBoOU7u9OC_KlVma

@contentkakeeda123 3 жыл бұрын

If I am giving base of gic or polycarboxylate with RDT of ≤ 0.5 should I give a CaOH liner below that??

@Aspire32 3 жыл бұрын

Yes. Its must since gic is moderately acidic and it may irritate the pulp. Pls watch all the videos in pulp protection to understand it better. Here is the link kzfaq.info/sun/PLdPsg6P-6Vlezs_0ZaBoOU7u9OC_KlVma

@pneumonoultramicroscopicsilic1 8 ай бұрын

Sir,i have come across various videos of yours Can you pls tell me whether the micromechanical & 'Mechanical' bonding are just the same / different? Thanks

@Aspire32 8 ай бұрын

They are different.

@SamiGB1994 2 жыл бұрын

Dear Dr.Suresh 🌹💚 I have 3 questions if you may. 1) in deep composite cavity like 0.5 mm of remaining dentin thickness is remained .. if i put the bond and composite directely is it right that the monemer may get inside the tubules and irritate the pulp.. because some say yes and some say no the bond will protect the pulp ? 2) composite is connecting to tooth by micromechanical mean.. if i decided to put glass ionemer cement in the floor of the deep cavity than i will apply the bond .. how the bond will connect to the glass ionemer as the self etch will not make micro pours in the glass ionemer or should i use sand blast here or what ? 3) I heared doctor said do not use resin modified glass ionemer under composite as the glass is setting by acid base reaction means it needs water thus will absorb it from the dentinal tubules which may lead to necrosis and sever post operative pain .. use the capsule or 2 pastes glass .. is that right or wrong dear Doctor ?

@Aspire32 2 жыл бұрын

1) at 0.5 mm remaining dentin thickness liner is must before placing composite. 3) resin modified gic is best for base. Pls check my fundamental of tooth prepration video

@prateekgupta456 3 жыл бұрын

Sir if we are not using sandwich tecq then after applying liner, we etch the liner also Or just the sides of the tooth and not liner becoz liner is alkaline and if we etch then it becomes neutral and there would be no use of liner??

@Aspire32 3 жыл бұрын

Pls email to the schools of usa. They will reply

@glamorousglam6112 2 ай бұрын

Please give me the reference for application of varnish sequence for zinc phosphate

@Aspire32 Ай бұрын

It's given in Phillips 11th ed. Initial chapter or cements

@aakriti_image 4 жыл бұрын

is the thickness of dentin 0.2mm? so it is added is added with 3mm?

@Aspire32 4 жыл бұрын

Yes. Its 3.2 mm.. right answer :)

@rmswinterbear7925 5 жыл бұрын

Sir , in atraumatic restorative treatment what GIC is used Is there is any specific name for that gic? Please kindly reply sir .

@Aspire32 5 жыл бұрын

Fuji 9.. high viscosity gic

@rmswinterbear7925 5 жыл бұрын

@@Aspire32 thank you sir for your kind response.

@sureshshenvi8186 5 жыл бұрын

@@rmswinterbear7925 welcome

@kartavyagupta7514 3 жыл бұрын

Sir in deep cavity we apply liner and base(gic) also if we are using sandwich techq so can the chemical bond still be formed no matter liner is there or not?? I mean isn't the liner produce any hinderence in chemical bond of base with the tooth?

@Aspire32 3 жыл бұрын

Liner is applied only on the floor below the gic.. the gic still touches the sode of the cavity and it will have chemical bond and the side and seal the cavity.

@kartavyagupta7514 3 жыл бұрын

@@Aspire32 Thank you sir

@krishnachauhan5643 4 жыл бұрын

Sir if the dentin thickness is less than 0.5 mm during composite restoration then what will be better... Using a gic base or not using any base. As u said we can use base it we want...? What u prefer in practice.

@Aspire32 4 жыл бұрын

Gic can help. Because it gives the advantage of sandwich techniques. If you plan to place a liner even then gic can be placed. I recollect that I have mentioned this in some of the video, but I am not sure which one.. you can check ny latest video which also covers pulp protection in brief in the second half of it. this..kzfaq.info/get/bejne/h9F3qteDrcumimQ.html But there is also something called as sdr Composites which is similar to gic and used as base below restorative Composite. Even that can be used but it is expensive

@krishnachauhan5643 4 жыл бұрын

@@Aspire32 Got it sir. Thank you much. I am in BDS final year.. U make all the topics very interesting and easy to understand. 😊

@Aspire32 4 жыл бұрын

Glad to know that. There are many videos. Do check them :)

@mythilil7573 4 жыл бұрын

One doubt sir, over the base, do we have to etch ,bond and apply c? omposite

@Aspire32 4 жыл бұрын

Yes. Both the tooth structure and the base had to be etched and bonded for COMPOSITE. However there are some articles which says bond strength to etched or non etched gic base is almost same. Some say etched is better.. I hope this answers is helpful :)

@mythilil7573 4 жыл бұрын

Oh OK.. Thank you sir.

@bsk4627 4 ай бұрын

Hi sir I would like to share a case scenario which I recently come across please give your valuable opinion sir 19 year old male patient 36 - class 1 caries buccal pit and occlusal surface. I had excavated the caries . Caries is too deep to near the pulp. I restored with the light cure composites. On restoring i apply the etchant, bonding agent and while light curing the patient feels slight senstivity and the sensitivity subsided after curing the bonding agent I restored the whole tooth with light cure composite. No liner applied The patient doesn't feels any sensitivity. But the patients reported after a week and complaining that while having any thing hard on that teeth like seeds I feel some pain on that area and there is no issue with sensitivity I checked for any high points with articulating paper and there is no high points There is widening of lamina dura in 36 and no periapical pathology If the pulp is dead the patient might feel severe sensitivity and pain, but in these case no history of pain and sensitivity. Pain occurs only on having hard food items like seeds Is there anything wrong with pulp protection If the pulp is inflammed the patient might have a history of senstivity Please give your valuable opinion in these case sir

@Aspire32 2 ай бұрын

Pls. Share it in Instagram

@SamiGB1994 3 жыл бұрын

Dear sir i have 5 inquiries you may ❤ 1) can i apply a varnish to all cavity walls after I finally cure the composites , so i get the benefit of gap sealing for any polymerization or any future composite shrinkage and guaranteed that varnish will not affect composite polymerization because it is already polymerized . 2) would you correct my steps here In deep composite cavities we put the liner at 1st then etch and bond to ensure acid etch will not affect the pulp is it right 3) we can put the liner in axial wall if i saw that the cavity is deep to the pulp Or it is only should be placed in cavity floor 4) will the liner prevent the formation of resin tags at the area we put the liner , means if we put broad amount of liner in broad deep cavity will this lead to weak composite bond or the the liner will not effect the resin tags formation 5) in composite why patient may feel pain because of monomer penetration although we sealed by the bond is it a curing mistake from the doctor or the bond may irritate the pulp

@Aspire32 3 жыл бұрын

Answer 1- Composite has a micromechanical bond and the initial gap is very microscopic, varnish wont seal it. In fact, nowadays even amalgam sealants are used instead of varnish. I have explained this in my series of Fundaments of tooth preparation. Pls, do watch it:) Here is the link kzfaq.info/sun/PLdPsg6P-6VldA4PC0H0z54QVemWhi75Ke Answer 2 - You are right :) Answer 3 - Liner base should be applied to any surface which is closer to the pulp. For example, both the pulpal and the axial wall can affect the pulp but not the gingival Seat. Hence we only give liner in the pulpal floor and axial wall. Hope you saw all the videos of Pulp protection. Link kzfaq.info/sun/PLdPsg6P-6Vlezs_0ZaBoOU7u9OC_KlVma Answer 4- Yes. That's why liner is placed in a very thin layer and placed only in deep surfaces. Answer 5 - You need to watch my dentin bonding agent series to understand why patients feel pain even after bonding. Here is the link. Pls, watch completely :) Here is the link kzfaq.info/sun/PLdPsg6P-6Vle8ObwfNLOhO4D6z2W81Pj4

@SamiGB1994 3 жыл бұрын

@@Aspire32 thank you very much for your fast reply, y r a very respectful and Allah knows how much I got benefits from you ❤ hope to see you one day.