one trick for palatal anesthesia from old DT is using cold spray on a cotton swab. i practice without a DA, but when i have a DA near me i spray endo cold spray 2-3 seconds on a cotton swab, than the DA apply it on the injection site for 2-3 seconds (but not for a long time because it may cause necrosis- i think- of the palate), swap the swab with my needle and inject slowly a few drops a the site of the cotton wab contact with the palate. sometimes works perfectly but it's not a 100% technique. thank you for this video. hot tooth part was gold!
Great question about the articaine/lidocaine armementarium. Regarding the hot pulp, I learned some really great tips from Ammar Al Hourani for managing this. Once you have got as far as the pulp chamber, shove in some topical lidocaine on a CWP and leave it for a few minutes. This is 30% so it is stronger and in my experience has worked a lot better than trying to inject directly into the canals which probably washes straight out. Another great episode! Thanks Jaz and Dr George. - Michael Orlans
I'm from north Africa and I discovered your channel only few months ago, and i just want to tell you that you're so good at what you're doing, so keep doing it. Such a great host ! You invite incredible gests, encourage them to develop and share their ideas, good listener, always gives a breif recap on the important points the guest touches on, also ask great questions that come up to my mind when listening! I always learn new things in each episode that help me improve my practice. so thank YOU and all the amazing guests for sharing valuable knowledge.
I've got a question regarding intrapulpal injections. If it comes down to the pressure itself and not the anesthetic in those cases, why do we inject anesthetic and not just water/saline/any irrigant fluid and use the pressure from that liquid? 😁
thanks for the kind comment Brendon! With all the doom and gloom I still believe there has never been a better time than now to be a Dentist who is hungry for knowledge and who wants to do good Dentistry 😁🙌
Haha the part about dad can't cope.with heat in India, exactly the same my dad can't spend more than 3 weeks in India haha. And the get things done now haha