Hello doctor, can you please leave the link of the video with the differential diagnosis of pain in the reply section? Because I can't find it. Thank you.
All the DM videos are in the library of DentistryMasterClasses.com, along with many complete comprehensive cases not seen in DM videos. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Definitely. It works exactly the same way but is inexpensive and easy. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Ethyl chloride is good for cold testing if sprayed on a cotton ball and placed on the teeth. The ice method of testing may be easier. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Interesting. I like techniques simple and inexpensive if the method works well. The technique I teach is something anyone in any country can use without having to purchase anything. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Old testing methods, now the they use a stick and a spray. The surgeon hold the stick the assistant spray something on the tip then the surgeon test it on the problem tooth. He told before the test to tell when and where you felt the cold.
Spraying a cotton tipped applicator with ethyl chloride is another good method of testing cold if you practice in a country that has ethyl chloride. I am trying to teach methods that are as simple and basic as possible so any dentist can use it. I prefer to teach concepts, then you can apply the concepts as is appropriate for your circumstances.
Nice idea. Question, are these are patient used anesthetic carpules that were saved for this purpose? if so, how are they cleaned and sterilized before you make the ice stick?
Take new anesthetic carpules, squirt out the anesthesia, suck up the water into the empty carpules, put the waxed dental floss into the water in the carps, put them in the freezer and you are in business.
your video is so nice. Pls, I have a question: is there any possibility that the cold water from the melt ice stick may affects also on the adjacent teeth and causes some interference in defining the problem tooth. Thank you
Not really. The ice stick comes directly from the freezer, so there is very little melt. Plus you are not leaving the ice on the tooth very long - only about 1 second of tooth contact or it would be too painful if there was recession and the tooth were hyperemic.
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Terrific. Glad the video was helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
So if you feel pain on a tooth when is touched by the ice, it means it needs a root canal?? I had a test done and the dr said the opposite!! I didnt feel anything at all at my tooth and she said it was because i needed a root canal and i had it done right away. Please advise!!
Both can be correct. If a tooth is hypersensitive to cold, that means the pulp is inflammed (hyperemic) and often those hypersensitive teeth require endodontics to stop the pain. A hyperemic tooth is not abscessed. Some teeth that are just somewhat sensitive to cold have reversible hyperemia, and those teeth can often be treated with desensitizers, bonded composite or fluoride toothpastes and get better. If a tooth is really sensitive to cold, that is often irreversible hyperemia and endodontics is indicated to stop the pain so the patient can enjoy eating and drinking hot and cold things. If a tooth is totally nonsensitive to cold, those teeth normally have a dead (necrotic) nerve and endodontics is indicated.
When a patient complains of teeth sensitivity to temperature or pain to biting pressure, ice testing, percussion with the handle of a mouth mirror and/or having the patient bite on a cotton tipped applicator are my "go to" testing methods. Pain to biting normally means something is cracked, either a tooth or a filling. Cold temperature sensitivity often means gum recession and root exposure or abfraction from teeth clinching. If the sensitivity is short lived and minor, this can be treated either with a dentin sealer like SuperSeal or 15 second etching with Phosphoric Acid followed by placement of dentin primer/unfilled resin (adhesive), blow off the excess primer/adhesive, and curing for 10-20 seconds. When etching, primer/adhesive is placed, the sensitive tooth will probably require local anesthesia prior to the procedure. Almost anytime there is cold sensitivity, I suspect teeth grinding/clinching to be a major contributing factor and the patient gets a night guard (See DM night guard video). This is especially true if the patient says "all my teeth are sensitive." If the tooth is sensitive to hot, and the pain is a throbbing pain lasting for many seconds or even minutes and the pain is relieved with cold, this is probably an abscessed tooth. Bottom line, the patient wants to be comfortable and be able to eat and drink cold/hot things without discomfort. If we try the desensitizing methods and several months later the tooth is still very sensitive, I will discuss endodontics with the patient as an option. They may want to continue with the desensitizing methods and see if the discomfort is resolved or they may be sick of the pain and want to take more definitive action. i always discuss endodontics with the patient as an option from the get go just so they know endo. can always be done to stop the discomfort if they become sick of the pain. If you do not discuss it as an option, the patient may go somewhere else for treatment because they may feel you do not have a remedy for their problem.
Why can't we just use Endo Ice? Doesn't it serve the same purpose? Why is it better this way (since it is more time consuming than just using Endo Ice). Thank you Dr!
Using ice made in an empty anesthetic carpule is the way I was taught 40 years ago. It is simple, my assistants have 10 or so in our freezer all the time, and works perfectly, so I have never seen the need to change methods. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
im curious about the opaque structure between upper left molars and lower right molars , what was it :D
I'll try this! thank you doctor so much, I love your videos!!
Thank you! Subscribe to DentistryMasterClasses.com for only $15/month if you want the complete comprehensive cases and the library of procedures.
Dr. We need a video about how to evalute restorability the tooth
Will do. Subscribe to DentistryMasterClasses.com. The best videos and I do a lot of diagnosis in those cases.
Very nice video sir, thanks for the information
Thank you.
Hello doctor, can you please leave the link of the video with the differential diagnosis of pain in the reply section? Because I can't find it. Thank you.
All the DM videos are in the library of DentistryMasterClasses.com, along with many complete comprehensive cases not seen in DM videos.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Can this method replace endo ice?
Definitely. It works exactly the same way but is inexpensive and easy.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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membership.dentistrymasterclasses.com/purchase/?plan=513
What about this etyl spray? Is it worse than ice?
Ethyl chloride is good for cold testing if sprayed on a cotton ball and placed on the teeth. The ice method of testing may be easier.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
I had a similar method to this with frozen water, however I am more used to endo ice. The ice melts too fast in the mouth for me
Interesting. I like techniques simple and inexpensive if the method works well. The technique I teach is something anyone in any country can use without having to purchase anything.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Old testing methods, now the they use a stick and a spray. The surgeon hold the stick the assistant spray something on the tip then the surgeon test it on the problem tooth. He told before the test to tell when and where you felt the cold.
Spraying a cotton tipped applicator with ethyl chloride is another good method of testing cold if you practice in a country that has ethyl chloride. I am trying to teach methods that are as simple and basic as possible so any dentist can use it. I prefer to teach concepts, then you can apply the concepts as is appropriate for your circumstances.
That's AWSOME why! My dentist used some spray he put on a metal tool and omg it hurt so bad when the tooth that needed root canal was touched
Sorry. This test works great and is so easy.
Nice idea. Question, are these are patient used anesthetic carpules that were saved for this purpose? if so, how are they cleaned and sterilized before you make the ice stick?
Take new anesthetic carpules, squirt out the anesthesia, suck up the water into the empty carpules, put the waxed dental floss into the water in the carps, put them in the freezer and you are in business.
@@centerforard does it matter what kind of anesthetic it is? Just kidding. Thanks for your reply, nice tip.
your video is so nice. Pls, I have a question: is there any possibility that the cold water from the melt ice stick may affects also on the adjacent teeth and causes some interference in defining the problem tooth. Thank you
Not really. The ice stick comes directly from the freezer, so there is very little melt. Plus you are not leaving the ice on the tooth very long - only about 1 second of tooth contact or it would be too painful if there was recession and the tooth were hyperemic.
@@centerforard thank you vr much for yr prompt response
Imma gonna try next time.
Thank you from Russia!
Glad the videos are helpful.
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membership.dentistrymasterclasses.com/purchase/?plan=513
Love video
Terrific. Glad the video was helpful.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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So if you feel pain on a tooth when is touched by the ice, it means it needs a root canal?? I had a test done and the dr said the opposite!! I didnt feel anything at all at my tooth and she said it was because i needed a root canal and i had it done right away. Please advise!!
Both can be correct. If a tooth is hypersensitive to cold, that means the pulp is inflammed (hyperemic) and often those hypersensitive teeth require endodontics to stop the pain. A hyperemic tooth is not abscessed. Some teeth that are just somewhat sensitive to cold have reversible hyperemia, and those teeth can often be treated with desensitizers, bonded composite or fluoride toothpastes and get better. If a tooth is really sensitive to cold, that is often irreversible hyperemia and endodontics is indicated to stop the pain so the patient can enjoy eating and drinking hot and cold things. If a tooth is totally nonsensitive to cold, those teeth normally have a dead (necrotic) nerve and endodontics is indicated.
I had a question and asked in your dentistry master classes site,part contact us.please reply it.
Thanks
Very good. Please see above reply to your previous question.
I wish i could have your dental knowledge from your brain... what did you end up diagnosing/tx the patient with? thanks again
When a patient complains of teeth sensitivity to temperature or pain to biting pressure, ice testing, percussion with the handle of a mouth mirror and/or having the patient bite on a cotton tipped applicator are my "go to" testing methods. Pain to biting normally means something is cracked, either a tooth or a filling. Cold temperature sensitivity often means gum recession and root exposure or abfraction from teeth clinching. If the sensitivity is short lived and minor, this can be treated either with a dentin sealer like SuperSeal or 15 second etching with Phosphoric Acid followed by placement of dentin primer/unfilled resin (adhesive), blow off the excess primer/adhesive, and curing for 10-20 seconds. When etching, primer/adhesive is placed, the sensitive tooth will probably require local anesthesia prior to the procedure. Almost anytime there is cold sensitivity, I suspect teeth grinding/clinching to be a major contributing factor and the patient gets a night guard (See DM night guard video). This is especially true if the patient says "all my teeth are sensitive." If the tooth is sensitive to hot, and the pain is a throbbing pain lasting for many seconds or even minutes and the pain is relieved with cold, this is probably an abscessed tooth.
Bottom line, the patient wants to be comfortable and be able to eat and drink cold/hot things without discomfort. If we try the desensitizing methods and several months later the tooth is still very sensitive, I will discuss endodontics with the patient as an option. They may want to continue with the desensitizing methods and see if the discomfort is resolved or they may be sick of the pain and want to take more definitive action. i always discuss endodontics with the patient as an option from the get go just so they know endo. can always be done to stop the discomfort if they become sick of the pain. If you do not discuss it as an option, the patient may go somewhere else for treatment because they may feel you do not have a remedy for their problem.
Why can't we just use Endo Ice? Doesn't it serve the same purpose? Why is it better this way (since it is more time consuming than just using Endo Ice). Thank you Dr!
Using ice made in an empty anesthetic carpule is the way I was taught 40 years ago. It is simple, my assistants have 10 or so in our freezer all the time, and works perfectly, so I have never seen the need to change methods. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Great video - thanks! (I'd kill the intro music though.)
Thanks!
That's à very good idea
It is a good idea. I like methods that are simple and effective.
Perfect man
Thank you! These techniques work and they work every time!