Endodontics | Adjunctive Treatment | INBDE, ADAT

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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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2 июл 2024

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Комментарии : 89

@mentaldental 3 года назад

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

@ManelMhamsadji 5 месяцев назад

Thanks. MTA = Calcium, aluminium and Selenium.

@gracemusabeyezu5241 4 года назад

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

@eshachaudhary8242 5 месяцев назад

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

@mentaldental 5 месяцев назад

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

@pricilalopez1110 4 года назад

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

@lexielenney4853 4 года назад

Thank you for this amazing video!!

@Ahuromazda 4 года назад

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

@lSomeRandomGuyl 3 года назад

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

@qianzhou6853 2 года назад

Do his videos help to a Swedish dentist licence?

@Ahuromazda 2 года назад

Helps Everyone studying dentistry or who has graduated.

@nayanpatel1036 3 года назад

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 года назад

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

@minamegally3055 2 года назад

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

@mentaldental 2 года назад

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

@DentalLyfe 3 года назад

God bless you!! This was awesome 🙏🏾

@salik674 4 года назад

Thank you so much doc God bless you :)

@alptekinakturk4185 5 лет назад

thank you for your videos

@aishwaryanaidu6432 3 года назад

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

@sukanyadutta4041 2 года назад

I love this so much 💓

@SohelRana-ox5rc 5 лет назад

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

@lora7677 2 года назад

Thank you so much!

@brianmbayiwa8116 4 года назад

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

@prasadshetty8423 4 года назад

God bless you...thank you so much

@rumesa5075 3 года назад

THANKYOUSOMUCH 🥺🥺👏👏👏🌸🌸

@user-hh1iw8jt8p 4 года назад

Thank you so much

@amirapal 3 года назад

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)

@sumbalkhan2025 4 года назад

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

@dr.sumaya3122 4 года назад

Thanks 🙏🏻 ❤️

@Faryaby 2 года назад

AWSOME !

@Aisha-ij9zd 3 года назад

Thank uuuuuu doc god blessed u from KSA

@utkarshparashar9030 2 года назад

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!

@yusrabashir9181 4 года назад

Thank youu✌️

@paulrichter666 4 года назад

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

@tenzinpassang2071 Год назад

Great video thanks doc👍🏼

@mentaldental Год назад

My pleasure!

@TheSANATmethod 8 часов назад

Thank you.

@drdada104 9 месяцев назад

Thank you dr from saudi arabia.

@yaraalataya9171 2 года назад

Thank u so much it’s very helpful 😔❤️

@mentaldental 2 года назад

So glad to hear that! 😊

@udayalakshmi8690 Год назад

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

@drewand1515 5 лет назад

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?

@jiveshvilbhumindraram4855 3 года назад

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

@rubaalaswadi8501 Год назад

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 🙏🏻🙏🏻

@jawadbukhari3681 5 лет назад

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 лет назад

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. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-LXyZBwIhHHs.html

@jawadbukhari3681 5 лет назад

Mental Dental thank you ryan

@marianakh7222 4 года назад

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

@ruaahaddar5634 Год назад

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 ?

@Swiftie4life721 4 года назад

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

@mentaldental 4 года назад

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 года назад

@@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 🦷❤️

@Bejman13 4 месяца назад

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?

@payalsharma224 2 года назад

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 2 года назад

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

@ahmedagamy1692 Год назад

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 ?

@tejasvimondreti4436 3 года назад

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 года назад

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 года назад

@@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.

@jaclynrose1835 2 года назад

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 2 года назад

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.

@ghada2879 3 года назад

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 года назад

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

@Mohammad-kn3iy 2 года назад

🙏🙏🙏👏🏻👏🏻

@Laayekthar 5 лет назад

Great video, but no mention of revascularization

@mentaldental 5 лет назад

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 лет назад

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

@alishacsotogonzalez4580 4 года назад

Is periapical microsurgery the same as apexification?

@mentaldental 4 года назад

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.

@Ahuromazda 4 года назад

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

@mentaldental 4 года назад

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

@blertabruci227 2 года назад

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

@benitajat.9625 2 года назад

@@blertabruci227 it works for my Samsung 🙂

@sharanshah5446 2 года назад

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

@mentaldental 2 года назад

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

@adnanhakim8046 2 года назад

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

@Coco-572 2 месяца назад

Biodentine . Where can I get pulpotomy in the USA ?

@hagarabouzaid9715 3 года назад

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 года назад

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

@dr.arefalnaib3425 3 года назад

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 года назад

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 года назад

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

@TorgoenWatches 3 года назад

@@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 года назад

@@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 года назад

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.