Aapke sare video se dislike ka option hata dena chahiye ......sab video hote he itane helpful hai ...m roj clinic se aakar aapke 1-2 video dekhati hu ...or kuch intresting Sikhati hu
your videos are really helpful and informative kudos for your hard work you put in your content which helps young dentists to counter various problems.
Formacresol in very little quantity in OPEN DRESSING gives 80-85 % success rate in pulp Devitalizing as well as bactericidal effect as the doctor said.
I think Good NaOCl mechanical irrigation alongwith CaOH with iodoform dressing would do the exact same thing and apart from that unnecessary periodontium risk due to formocresol would avoided🤔 any views ??
hi sir...i am also a dentist...i have used eugenol solution for numbing the pain...even during the treatment if patient has pain and even as dressing...it has worked very well
well I am not a fan of devitalizing agents specially formocresol. I usually prefer doing a little bit of bmp and a lot of NaOCl irrigation very carefully using mechanical irrigators just after access opening. yes that's true that patient may experience little bit of pain and discomfort but it only last for about 30 sec. as debridement is completed I use intrapulpal LA in each canal after BMP to subside the pain instantly and use CaOH open dressing for 3-4 days. with some good SP analgesics and Antibiotics. Apart from a very few exceptions none of my patients experiences any pain or anything on next sitting where i complete the BMP and obturate it. (open for any suggestions)
@@dr.kanhapurohit9475how do you drain minute apical abscess and manage increased intra pulpal pressure post bmp then ? And please share if you have faced any idiopathic flare ups after temp. Restoration. And what are the consequences of open dressings according to you ?
I have written below about the Intrapulpal ( forceful,with a pressure)inj.of LA or inj even of normal sterile saline(used for i.v.inj) to anaesthetise the painful pulp in spite of previous block or infiltration LA given to the tooth. Needless to say that in tight, narrow, small, canal opening the needle goes only a few mm.inside the (unprepared) canal which is filled with most of the intact pulp and we can push only few drops of LA or saline under pressure and most of the inj.liquid tries to escape back into the pulp chamber therefore we should put a tight cotton plug in the pulp chamber around the needle to creat pressure and prevent the jet of inj. liquid spraying into the oral cavity, it pains momentarily, but due to this pressure anaesthesia the pain goes off within few minutes and we get total pain relief to the pt.and start working cleaning the canal within few minutes. Due to only few drops of inj and pulp remnants in the canal not much inj. of the liquid or infected pulp material is pushed in apical area which is a closed opening before bmp. One has to push inj.needle tightly into the canal orifice to inject LA or saline.We have to inj.all other painful canals in a similar way and then proceed with rct procedure. Hope this explanation makes this method clear.dr.latkar b.d.s.09422263064.Nashik road.MH.India.
Side vent needle with pressure do great job in narrow canals..i some times fill chamber with la and slowly proceed using no. 6 file in cases when patient dosent allow to directly give intrapulpal..it takes time sometimes but succeed 100% .
hello dr. Sunil, dr. Karan Thakkar this side. I'm from Surat Gujarat. I never use formocresol or calcium hydroxide. if there is a periapical abscess, I prefer MTA syringe, and I complete BMP during 1st sitting, so in 2nd sitting I don`t have to give local anesthesia and I can easily RCF in 2nd sitting.
Then what is the role of anaesthetic? Repeat the anaesthesia and use intrapulpal as well. If it is painful then how to give even a ditch in tooth without pain? Be a little patience and proceed with pulp extirpation in first sitting only.
Hi sir Kay ap muze bata sakte ho mera 1st drasing hone vala he Mera re root canal treatment hey muze bahot pain hey and swaling bhe hey kay ye normal hey??
If the block is perfect the patient never experiences pain. if the block is perfect and the patient is still in pain, then don`t go for further treatment, give anti-biotic and the painkiller to the patient and complete your RCT on your next visit.
Hello Dr. Sunil...This is Bhavna (Product Specialist) From Pharmadent Remedies...Original Manufacturer of Formoa Cresol...I would like to Interact with you in Person...
Sir even I have RCT in first appointment they opened it and said to come in another day in 2 day there was a severe pain when they put file inside it they putted cotton and closed it what will be the furter process
Can u write pls about which drug u told at first to correct formocresol toxicity? I understood topical steriods, analgesics, anti histamine, multi vitamin.
Sir please discuss a topic about allergic reaction of the patient after take prescribed medication. Such as, Antibiotics/Analgesic🙏 How we can prevent them.
yeah that's true but its next to impossible to achieve a 100% pulpectomy without use of endomotor, mechanical irrigators and a lot of skills. and what about pulpal tissues in accessary canals ?? because without intracanal medicaments those little accessary canals might fail your RCT. trust me we should never be a hero while we are doing our RCTs. use medicaments and avoid unnecessary risks. 😊😊😊
Thank you so much sir 🙏 ☺ you provide very honest &very useful information ,ur all videos helps me a lot in my clinic 🙏 I read all the articles u mentioned in description 😀 I wish u will be one of best dentist...🦷
Generalized Sensitivity ka proper treatment according to you Coz hr tooth me rct is not possible n most of time Sensitivity toothpaste se ya kuch aur temporary treatment se nhi jati sensitivity,,, mere paas bhut se pt.aate hai sensitivity k
1st remove the cause Agar sensitivity attrition ya abrasion ki wjha se he to RCT krni pdegi Only abrasion he to cervical filling se bhi shi ho jayegi sensitivity. Agar gingival recession he to Gum paint and desensitizing tooth paste se theek ho jayegi Kuch condition me desesitizing primer (like Gluma) bhi use kr skte he accha result he uska bhi. Sb case pr depend krta he.
@@DentalJiOfficial thank you for your reply😊😊😊 but mere paas bhut se young pt. Hai jinko inme se koi problem nhi hai but generalized Sensitivity hai jiska ek proper treatment smj nhi aata k kya hona chaiye 😐😐😐temp.tt to bonding agent lga k ho jata hai lekin parmanent kya😐😐😐
Sir i have seen a very renowned dentist giving eugenol dipped in very small cotton before closing the dressing with temporary filling. What's ur opinion about it? Also with todays video i m really confused whether to use or not formacresol in pulpotomy on pulp stumps or directly give calcium dressing and gic? But i must say u make good and simple videos.Thanx to be on u tube:)
You can use formocresol in some vital cases as a devitalizer but with caution Yes Eugenol is a Desi Indian jugad to relieve pulpitis pain but it is just relieve the pain not cure the cause So some time when dentist is in hurry due to huge crowd in reception, they use eugenol to relieve the pain by putting cotton dipped in eugenol in the pulp chamber for sometime and recall the patient accordingly.
that's a brilliant approach but could you please share some more data regarding this technique ??? may be i am wrong but i think leaving paper points soaked with formocresol might disrupt periodontal harmony through its seepage from apical foramen.
I'll tell you what I do, i use formocresol, but i wind some cotton clockwise on a smaller file, take very Lil amount of formo on the apical end of the cotton wound file, and insert is in the canal. The formocresol acts up only when it comes in contact with the mucosa. I've been placing formocresol like this instead of cotton ball and I've not seen any complications in 3 years. But i don't have any article regarding a placement like this. But i hope it helps. Try it
sir 1st visit me access opening and bmp k bad aap k according open dressing dena chahiye ya close?? i think 1st visit me close dressing k bad kabhi kabhi severe pain ho jata hai.please reply
Mere according humesha close dressing hi Deni chaeye Or jo severe pain he vo vital pulp ke upar formo ya pulp devitalizer ki dressing Dene se hota he. Agar 1st sitting me hi pulp remove Kara jaye to pain nhi hoga
Sar mai akkal dat nikalwaya hai aur 5din bad dard horaha tha to doctor ko bola to wo sirf dawa diye aur bole 14 din me shi ho jayega az10 din ho gya dard abhi bhi hai kya karu
Idk if it right or not but I keep two layers of cotton one with formocresol palette and one normal so that it won't get overflow and after it I place temp. 😅 I used eugenol as devitalizer also and good irrigation with NaOCl and saline also useful
![Blox Fruits Dragon Rework Update [Full Stream]](http://i.ytimg.com/vi/EqDAp8udhm0/mqdefault.jpg)
Aapke sare video se dislike ka option hata dena chahiye ......sab video hote he itane helpful hai ...m roj clinic se aakar aapke 1-2 video dekhati hu ...or kuch intresting Sikhati hu
Main be😅😅
your videos are really helpful and informative kudos for your hard work you put in your content which helps young dentists to counter various problems.
i am also dentist,and i highly appreciate ur lecture delivery and i am following u..keep uploading
Formacresol in very little quantity in OPEN DRESSING gives 80-85 % success rate in pulp Devitalizing as well as bactericidal effect as the doctor said.
I think Good NaOCl mechanical irrigation alongwith CaOH with iodoform dressing would do the exact same thing and apart from that unnecessary periodontium risk due to formocresol would avoided🤔 any views ??
We should squeeze the cotton ball after dipping it in formocresol and then we can place it
hi sir...i am also a dentist...i have used eugenol solution for numbing the pain...even during the treatment if patient has pain and even as dressing...it has worked very well
Nice explanation sir keep sharing
Thank you so much
Use chlorhexidine mouthwash for Copious irrigation with EDTA. Use reamers + H file for pulpectomy.
Sir kya blood pressure ke patient ko neurokind gold proscribe karsakte hai
well I am not a fan of devitalizing agents specially formocresol. I usually prefer doing a little bit of bmp and a lot of NaOCl irrigation very carefully using mechanical irrigators just after access opening. yes that's true that patient may experience little bit of pain and discomfort but it only last for about 30 sec. as debridement is completed I use intrapulpal LA in each canal after BMP to subside the pain instantly and use CaOH open dressing for 3-4 days. with some good SP analgesics and Antibiotics. Apart from a very few exceptions none of my patients experiences any pain or anything on next sitting where i complete the BMP and obturate it. (open for any suggestions)
All good doc 👍 Giving intrapulpal LA after BMP is good choice to relieve pain
but I am not supportive of open dressings
Right👍
@@DentalJiOfficial k
I don't give open dressing
@@dr.kanhapurohit9475how do you drain minute apical abscess and manage increased intra pulpal pressure post bmp then ? And please share if you have faced any idiopathic flare ups after temp. Restoration. And what are the consequences of open dressings according to you ?
Thank You Sir !
For Your Response 🙂
sir , what about carbolic acid instead of formocresol in a very small amount for pulp devitalization....
I have written below about the Intrapulpal ( forceful,with a pressure)inj.of LA or inj even of normal sterile saline(used for i.v.inj) to anaesthetise the painful pulp in spite of previous block or infiltration LA given to the tooth.
Needless to say that in tight, narrow, small, canal opening the needle goes only a few mm.inside the (unprepared) canal which is filled with most of the intact pulp and we can push only few drops of LA or saline under pressure and most of the inj.liquid tries to escape back into the pulp chamber therefore we should put a tight cotton plug in the pulp chamber around the needle to creat pressure and prevent the jet of inj. liquid spraying into the oral cavity, it pains momentarily, but due to this pressure anaesthesia the pain goes off within few minutes and we get total pain relief to the pt.and start working cleaning the canal within few minutes.
Due to only few drops of inj and pulp remnants in the canal not much inj. of the liquid or infected pulp material is pushed in apical area which is a closed opening before bmp.
One has to push inj.needle tightly into the canal orifice to inject LA or saline.We have to inj.all other painful canals in a similar way and then proceed with rct procedure.
Hope this explanation makes this method clear.dr.latkar b.d.s.09422263064.Nashik road.MH.India.
This the exact way what I think and I am doing this thing all the time.
Side vent needle with pressure do great job in narrow canals..i some times fill chamber with la and slowly proceed using no. 6 file in cases when patient dosent allow to directly give intrapulpal..it takes time sometimes but succeed 100% .
Sir, please RCT me irrigation lekar baliya 1st step to 3rd step tak. Kon solution ke bad kon salution use karna parega? 🙏🙏🙏
hello dr. Sunil,
dr. Karan Thakkar this side. I'm from Surat Gujarat. I never use formocresol or calcium hydroxide. if there is a periapical abscess, I prefer MTA syringe, and I complete BMP during 1st sitting, so in 2nd sitting I don`t have to give local anesthesia and I can easily RCF in 2nd sitting.
Is glutaraldehyde a devitalizing agent too?
Different between pulpotic and crisotine plz sir
Thankyou so much for touching this topic
Sodium hypochlorite as pulp devitaliser and calcium hydroxide as canal disinfectant is safer and effective method
Sir LA dene ke bad bhi pain hota hai to hm LA ko direct pulp me push karte hai kya ye thik hai consultrat me good way
Hello Sir, i apply D-pulp and eugenol in cotton pellet and temp.
Is it correct? And sometimes i only pack with eugenol and temp.
Then what is the role of anaesthetic?
Repeat the anaesthesia and use intrapulpal as well. If it is painful then how to give even a ditch in tooth without pain? Be a little patience and proceed with pulp extirpation in first sitting only.
Hi sir Kay ap muze bata sakte ho mera 1st drasing hone vala he Mera re root canal treatment hey muze bahot pain hey and swaling bhe hey kay ye normal hey??
If the block is perfect the patient never experiences pain. if the block is perfect and the patient is still in pain, then don`t go for further treatment, give anti-biotic and the painkiller to the patient and complete your RCT on your next visit.
sir Even if the file is repeatedly dipped in cresol and used, the pulp becomes vital.
I fill use pulp devitalizer and formo open dressing and calcium hydro close dressing...
Superb video sir 👍👍👍👍
Superb Sir keep it up
Is hypo....can we use .... Is it cause tissue necrosis..?
Carbolic acid de sakte hai
Hello Dr. Sunil...This is Bhavna (Product Specialist) From Pharmadent Remedies...Original Manufacturer of Formoa Cresol...I would like to Interact with you in Person...
What's app me on 8005820862
Thankyou guruji
Hello ... Which medicament we hav to use in between appointment of RCT ..or we can leave without medicament
pulpotec k baray main ap kya kehte hain ?
For how many days maximum can i place formocresol dressing . As i called my patient after 3 days of placing formocresol and he didn't return back .
Sir even I have RCT in first appointment they opened it and said to come in another day in 2 day there was a severe pain when they put file inside it they putted cotton and closed it what will be the furter process
Plz make video on hypochloride nd complications.
Should we used hypo in periapical abscess
thank you sir
Can u write pls about which drug u told at first to correct formocresol toxicity? I understood topical steriods, analgesics, anti histamine, multi vitamin.
betadine gargles
Sir please discuss a topic about allergic reaction of the patient after take prescribed medication. Such as, Antibiotics/Analgesic🙏 How we can prevent them.
my teacher told me that if you hav remove pulp properly then no need to use these type of medecation
yeah that's true but its next to impossible to achieve a 100% pulpectomy without use of endomotor, mechanical irrigators and a lot of skills. and what about pulpal tissues in accessary canals ?? because without intracanal medicaments those little accessary canals might fail your RCT. trust me we should never be a hero while we are doing our RCTs. use medicaments and avoid unnecessary risks. 😊😊😊
Divit s k Bary min kia khial hy
eugenol bhi de sakte hai na ????
D pulp used kojiye
sir kayi log carboxylic acid use kartay hai pulp devitaliser k liye
btaaye kya yey sahi hai
No
Noooo broo
Noooo broo
Thank you so much sir 🙏 ☺ you provide very honest &very useful information ,ur all videos helps me a lot in my clinic 🙏 I read all the articles u mentioned in description 😀 I wish u will be one of best dentist...🦷
Sir clinic kha h apki
❤❤
Pulp devitalizer ke bare m bty
Generalized Sensitivity ka proper treatment according to you Coz hr tooth me rct is not possible n most of time Sensitivity toothpaste se ya kuch aur temporary treatment se nhi jati sensitivity,,, mere paas bhut se pt.aate hai sensitivity k
1st remove the cause
Agar sensitivity attrition ya abrasion ki wjha se he to RCT krni pdegi
Only abrasion he to cervical filling se bhi shi ho jayegi sensitivity.
Agar gingival recession he to Gum paint and desensitizing tooth paste se theek ho jayegi
Kuch condition me desesitizing primer (like Gluma) bhi use kr skte he accha result he uska bhi.
Sb case pr depend krta he.
@@DentalJiOfficial thank you for your reply😊😊😊 but mere paas bhut se young pt. Hai jinko inme se koi problem nhi hai but generalized Sensitivity hai jiska ek proper treatment smj nhi aata k kya hona chaiye 😐😐😐temp.tt to bonding agent lga k ho jata hai lekin parmanent kya😐😐😐
Prevest shield active aata h ek product vo use krke dekhe
@@anilkumar-vm6do thank you batane k liye 😊 , easily available hai kya??
Sir i have seen a very renowned dentist giving eugenol dipped in very small cotton before closing the dressing with temporary filling.
What's ur opinion about it?
Also with todays video i m really confused whether to use or not formacresol in pulpotomy on pulp stumps or directly give calcium dressing and gic?
But i must say u make good and simple videos.Thanx to be on u tube:)
You can use formocresol in some vital cases as a devitalizer but with caution
Yes Eugenol is a Desi Indian jugad to relieve pulpitis pain but it is just relieve the pain not cure the cause
So some time when dentist is in hurry due to huge crowd in reception, they use eugenol to relieve the pain by putting cotton dipped in eugenol in the pulp chamber for sometime and recall the patient accordingly.
What if we give open dressing with formocresol, will it harm patient???
Sir aap kha se ho
Ajmer
Sir article kha se or kese search krke pdhne hai thoda guide kriye
Google pr search Kreye dental articles, khub sare aa jayenge
U can put formocresol alongwith paper point
that's a brilliant approach but could you please share some more data regarding this technique ??? may be i am wrong but i think leaving paper points soaked with formocresol might disrupt periodontal harmony through its seepage from apical foramen.
I'll tell you what I do, i use formocresol, but i wind some cotton clockwise on a smaller file, take very Lil amount of formo on the apical end of the cotton wound file, and insert is in the canal. The formocresol acts up only when it comes in contact with the mucosa. I've been placing formocresol like this instead of cotton ball and I've not seen any complications in 3 years. But i don't have any article regarding a placement like this. But i hope it helps. Try it
sir 1st visit me access opening and bmp k bad aap k according open dressing dena chahiye ya close??
i think 1st visit me close dressing k bad kabhi kabhi severe pain ho jata hai.please reply
Mere according humesha close dressing hi Deni chaeye
Or jo severe pain he vo vital pulp ke upar formo ya pulp devitalizer ki dressing Dene se hota he.
Agar 1st sitting me hi pulp remove Kara jaye to pain nhi hoga
@@DentalJiOfficial yes agree 👍
Pls make a video on triple antibiotic therapy in dentistry, it is working or not
Ok
sir triple antibiotics therapy k upar vedio bnaaye kaisay use kartay hai patient mai
Sar mai akkal dat nikalwaya hai aur 5din bad dard horaha tha to doctor ko bola to wo sirf dawa diye aur bole 14 din me shi ho jayega az10 din ho gya dard abhi bhi hai kya karu
Susum paani me namak daal ke kulla kijiye aur exercise kijiye
Nice sir
Sir 24 Ka Matlab Hota Hai.
Kripaya Bataaein.
Upper left first premolar tooth
Sir, please put IN HINDI for video titlw. OR SIMPLY TALK IN ENGLISH
Can you tell in English also
🎉
Hemangioma ke bare me video banaye sir please
Ok
@@DentalJiOfficial hemangioma ke bare me video kab video banaye sir
Sir rct karne ke bad bhi dard ho raha hai kya karu
X ray bejho
Nice vdo
Idk if it right or not but I keep two layers of cotton one with formocresol palette and one normal so that it won't get overflow and after it I place temp. 😅 I used eugenol as devitalizer also and good irrigation with NaOCl and saline also useful
I also use eugenol 😅 .. So satisfying result
Nic
Where is your clinic i will come
Dental care world, Ajmer, Rajasthan
Contact - 8005820862
Ea sab bolke confusion bara rahe ho sir...
Arrey baba first start using rubber dam properly, problem solved
Okay 👌