Pulp and periapical lesions - Part I (in Hindi)। Chairside Diagnosis 

Thank you so much..🙌

Thank you..

Thank you so much..u can let me know the topics as well..

@@fortheloveofteaching-drshi5011 yes sure 😃

Thank you so much..😊

Thank you so much cutie..😘😘😘

Very soon..il make a video for dat..

Mam keep making videos more on the oral medicine and radiology subject .... you really explain so nice in every video

Thank you..n Ur diagnosis is complete and your treatment isn't..u need to extract that tooth for relief..

Thank you so much..

Yes..for sure..

Please suggest topics..il definitely..

@@fortheloveofteaching-drshi5011 benign and malignant neoplasm of oral cavity

Oh..k..do u want me to do it in brief or detail as per BDS or MDS??

@@fortheloveofteaching-drshi5011 bds mam

@@rimpychoudhury4856 cool..👍

Usually the prognosis of an already treated tooth is poor means it's not usually possible to save the tooth as the RCT treated tooth is already brittle..but depending on the xray of the tooth multiple factors like furcation involvement tooth structure left..amount of infection in the tooth..feasibility of doing RCT, re-root canal can be decided by the doctor..

@@fortheloveofteaching-drshi5011 Got it. I am confused since one dentist suggested the extraction and the dentist who did my RCT has said that no extraction is required and Re-RCT is possible (RCT is 15 years old). The new dentist has suggested me implant and told about israli and korean implants but I am confused between the two. Is there any specific brand and what is the difference among them

Thank you so much..

For sure..You may let me know some topics..

It's a combination of white and pharoah..freny...and what I was taught in my college GDC, Bangalore..

Mai antioxidant (lycostar) le rha hu rha hu 7 din se Mujhe aisa lag rha hai ki uske side effect se etching bhi hone lagi hai...

Sir pic jaise bhi aye thoda door se pic lekar bhejiyega mje..

It can either become chronic Periapical abscess.. then granuloma..then radicular cyst.and even cellulitis.. So in acute periapical abscess- there is localized swelling..whereas in cellulitis streptococcus bacteria are involved which produce hyaluronidase and fibrinolysin which breaks down hyaluronic acid which cements the cells togther and also fibrin in the ground substance and therefore it spreads across the tissue planes..and causes infection of facial spaces..n hence the swelling is not localized..

@@fortheloveofteaching-drshi5011 Thank you . Please l have 3 question: ● how acute apical periodontitis if not treated become acute periapical abscess or chronic apical periodontitis ? ● acute apical absces if not treated it has 2 pathways either( penetrate bone and cause sinus tract) or (can't penetrate bone and cause chronic periapical periodontitis ) the statement in correct ? ● Can chronic apical periodontitis have sinus tract ?

In Acute apical periodontitis, the infection is confined to the pdl space..as the infection increases, it enters the bone and there is resorption of the adjacent bone which is seen a break in lamina dira radiographically..resulting in abscess..then coming to chronic periapical periodontitis which is nothing but Periapical granuloma..so if the infection is low grade or an acute infection is not treated properly..it becomes chronic and there's formation of garnulation tissue with resorption of bone periapically..resulting in chronic Periapical periodontitis or granuloma. Then acute periapical abscess- if the oedema or pus collection is so much that it creates a lot of pressure then it preforates the bone at the area of least resistance which means where the bone is thin or not very compact and opens as a sinus tract resulting in chronic Periapical abscess.. You cant say it can't penetrate bone..it can perforate bone in later stages but does not perforate in Periapical granuloma.. Yes, Chronic Periapical periodontitis (CPP) in few cases may present as a sinus tract clinically...so we will give provisional diagnosis as Chronic Periapical abscess but wen we take the xray we may see a Periapical granuloma or CPP.then final diagnosis will be Periapical granuloma or CPP.. I hope it helps..

@@fortheloveofteaching-drshi5011 Thank you very very very much 💙❤🧡💙❤🧡💙

Thank you..il try my best to enable it..

@@fortheloveofteaching-drshi5011 Thank youu so muchh mam. Goodday😃

Same to you..😊

Periodontal abscess and periodontitis..or Periapical abscess and acute apical periodontitis?

Anywaz. So localized periodontitis.we see pocket formation clinically. Periodontal abscess we see a pocket and pus discharge from the pocket...or sinus tract opening higher up near the gums and not periapically.. Acute periapical abscess- severe pain..top, fever history, vestibular obliteration Chronic Periapical abscess -dull pain sometimes that too history patient doesn't complain of any pain as such..no top no fever sinus tract opening clinically mostly present periapically.. I hope I answered ur question.. If u still have any doubts u can msg me..

@@fortheloveofteaching-drshi5011 thankyou maam

Oh..k..I will for sure soon..👍