Why No Pulp capping in Primary teeth ? | Dr Suresh Shenvi

This video by Aspire32 is a part of an ongoing series on Pulp capping. It tried to explain the various reasons for the failure of Calcium hydroxide pulp capping in Primary teeth. The reasons are evidence-based and are usually not covered in the book in this simpler way. Pulp capping is one of the important topics for dental students. Easy dentistry at Aspire32 helps grasp such topics of Dentistry in the simplest possible way for dental students and dentists
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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[@shayanazharkhan2585]

One of the BEST dentistry channels on entire RUclips! Cleared the concepts 👍👍👍 Very well done,Sir.

[@Aspire32]

So glad.to.hear that you feel that way :)

[@shayanazharkhan2585]

@@Aspire32 Keep the good work up! 😊

[@lisapizza121997]

Thank you for the video sir, it is now very easy to understand!

[@Aspire32]

Welcome :)

[@bhargavi368]

Thank u so much sir, we very important note 📝on pulp capping from clinical standpoint 👍👍

[@Aspire32]

Most welcome :)

[@sunshinesantibanez]

How about using nonsetting calcium hydroxide in canals of deciduous teeth?

[@Aspire32]

Yes. In that case its pulpectomy.. there is nos issues with caoh since you are removing pulp.

[@charvishaagrawal3996]

Sir why there is necrotic layer in CaOH and not in biodentin

[@Aspire32]

The beneficial effect of calcium hydroxide is regarded as the result of the chemical injury caused by the hydroxyl ions, limited by a zone of firm necrosis against the vital tissue, and the toleration of calcium ions by the tissue.

[@Aspire32]

This is a great question. I will try to find the answer soon

[@drajaypraveen]

Very nicely explained sir...

[@Aspire32]

Thank you :)

[@anuvashisht7235]

so well explained sir!!

[@Aspire32]

Welcome. Do subscribe to the channel. Also there are many videos which are helpful. Do check :)

[@watcher8516]

Execellent Explanation

[@Aspire32]

Thank you. Do visit the playlist.section page kn Aspire32 Channel. You will find many such interesting videos :)

[@watcher8516]

@@Aspire32 Yes Sir! I do check your playlists

[@soorajkumar9655]

THANK YOU SIR

[@Aspire32]

Most welcome :) do subscribe

[@ronyalshiky3872]

Thank you for your great effort but I have aquestion 🙋🏻‍♀️if CaOH activating odontoclast is this happen in both primary and permanent !! I mean why we don’t take in our consideration in primary teeth about the main function of calcium hydroxide that stimulate undifferentiated cell to become odontoblast and produce dentin

[@Aspire32]

I have already explained why it happens more in primary teeth than permanent teeth.

[@Aspire32]

May be initially they did use it in evey case. But may be more cases started having resorption. So they may have stopped it

[@Onlineshoppingstore814]

Pls make a video on x ray diagnosis and treatment plan

[@Aspire32]

I have already done one in pulpal disease and preapical disease here js the link.
ruclips.net/video/4W5qhR-GQH8/видео.html

[@anbarasang8124]

Convertion of preosteoblast to osteoclst done in primary tooth andcauseinternal resorbsion when caoh were used... But why these process can't be in permanent?

[@Aspire32]

Because the body itelse has the tendency to form clasts during shedding. But in permanent teeth its less as they do not undergo shedding

[@Amjthoughts330]

Thank u sir❤❤👍

[@Aspire32]

Thank you :)

[@jlalpekhlua9754]

Sir can we do idpc in primary teeth? I think that only dpc is contrqindicated in primary teeth.

[@Aspire32]

Yes. It was about direct pulp capping

[@jlalpekhlua9754]

@@Aspire32 Sir what is main difference prodecure for idpc and dpc? in both we use calcium hydroxide?

[@Aspire32]

Pls watch this video completely and understand pulp capping :)
ruclips.net/video/2cB9qpX9fwU/видео.html

[@nidhitiwari1541]

Thanks sir 😊👏

[@Aspire32]

Most welcome : )

[@pavankanvas8154]

Thanks you sir

[@Aspire32]

Welcome

[@tejaswinikalaskar9761]

is there any supporting article for this

[@cricketpakistan5877]

Hi, hope you're doing great. I have seen a video where they obdurate primary tooth canals with metapex paste after pulpectomy,, why it's so?

[@Aspire32]

Because if u obturate with guttapercha then it won't resorb.

[@batiyahyisrael]

So, what is a better alternative to this? Pulpotomy with no cap?

[@Aspire32]

Formocresol pulpotomy followed by cap is followed in India.

[@batiyahyisrael]

@@Aspire32 Thank you for your video.

[@Aspire32]

Welcome..There are many videos on this channel, which you may find helpful. Hope you will check it out :)

[@hama4291]

sir do you have a webinar about pulpotomy pulpectomy ?

[@Aspire32]

No..not made yet

[@kartavyagupta7514]

Sir in case of mechanical exposure in primary teeth if we can't do DPC then what is the other option? What should we do then??

[@Aspire32]

Pulpotomy with formocresol or gluteradehyde and other materials

[@kartavyagupta7514]

Sir in grossman, indication of DPC include a point i.e., dentin blushing... What's that mean?? I couldn't get that??

[@Aspire32]

The pulp becomes hyperamic, that is increased vascularity or hyperemic due to inflammation and this makes the dentin appear red. Thays blushing

[@kartavyagupta7514]

@@Aspire32 so sir in this case there is not a direct exposure of pulp only dentin appears red ?? Am I right??
And if it's not a direct exposure and we apply biocompatible material then this process should be IPC and not DPC??

[@KavitaPatil-gn3jh]

Why pulpal irritation in gic filling in deep cavity sir?

[@Aspire32]

If there is still caries ans its involving pulp

[@Aspire32]

Gic is also acidic

[@KavitaPatil-gn3jh]

@@Aspire32 thank u sir

[@nisa-vf6nk]

Can we use metapex during pulpectomy

[@Aspire32]

Yes. You can. Its calcium hydroxide idoform. Can be surly used for obturation of primary teeth

[@nisa-vf6nk]

@@Aspire32 thank you sir

[@nisa-vf6nk]

@@Aspire32 sir can I do indirect pulp capping in primary teeth,with caoh base

[@nidhitiwari1541]

Sir but in dental pulse says direct pulp capping is contraindicated in primary teeth but indirect pulp capping can be done in vital deep caries

[@Aspire32]

Yes. This video is about direct pulp capping

[@Aspire32]

In indirect pulp capping calcium hydroxide is not in contact with pulp

[@nidhitiwari1541]

Ok ok thanks sir 😊

[@Aspire32]

Pls watch this video too
ruclips.net/video/2cB9qpX9fwU/видео.html

[@nidhitiwari1541]

Ok sir thankyou sir