Oct 16 2022 34 mins 11
When you Extirpate a Hot Pulp - do you need to find ALL the canals? Do you need to file to the apex? Which is the sedative of choice?
In this episode, we've got specialist Endodontist Dr Sanj Bhanderi to talk us through the CORRECT way to extirpate teeth in acute pain WITHOUT wasting time or making things worse for future treatment. It's packed full of gems for pain relief, diagnosis and isolation.
So, what is your protocol for extirpation? This episode is all about how to get the job done right and minimize discomfort for your patient.
https://youtu.be/SjYWxr1sSDc
Click Here to watch this episode on YouTube. For the full notes check out the Protrusive App on iOS and Android.
“I call it Ninja endodontics - get in and GET OUT - Stealth!” Dr. Sanj Bhanderi
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
2:38 Dr. Sanj’s journey to Endodontics6:30 Emergency extirpations8:42 Diagnosis Protocol Irreversible Pulpitis11:57 Anaesthetic for Hot Pulps15:33 Caries and Restoration Removal Before Extirpating?19:16 Vital pulp therapy21:19 Isolation Protocol25:30 Sedative Dressing for Acute Pain28:42 Temporary restoration of choice31:39 Post Op Medicaments
Tune in for the Part 2 of this episode - next week we cover post-operative pain after endodontic treatment.
If you enjoyed this, you might also like my episode with another talented Endodontist, Ammar Al-Hourani, on Is Single Point Obturation Acceptable?
Click below for full episode transcript:
Opening Snippet: /Jaz/ In ideal world, we'd love to remove the entire restoration. Remove any caries, access cracks but when I have 20 minutes we need to get in go for the kill. Is that okay? Can you forgive us? /Sanj/ At the end of this. This is about patient, this is about getting the patient out of pain. Okay, and you just need to get in there. I used to call it ninja endo get in there, get the job done. Get out before patient realizing it. That's my principal in endo whether it's emergency or Endo. You want to- /Jaz/ Stealthy. /Sanj/ STEALTH. Stealth. Okay?
Jaz's Introduction:What is your current protocol for EXTIRPATION? So let's say you made a diagnosis of irreversible pulpitis. Your patient is in raging pain. And you have to squeeze in this pain relieving treatment, a extirpation probably of a lower molar or something in five minutes. What are you going to do? Well, some of you will listen to this and it will be validation and revision. And you'll be thinking wow, I've been doing it right all this time, even though I thought maybe I was taking shortcuts but actually I've been doing it right all this time and others will be like whoa, this is so much easier compared to what I'm doing at the moment because the big hint I can give you is that you don't even need a K file for your molar extirpation anymore after today, because I've got Dr. Sanj Bhanderi, specialist endodontist to talk us through what is the right way, the proper way to do an extirpation of your patient who is in pain. And there are just so many gems from pain relief, diagnosis, isolation, and what I love about Sanj in this episode, is that he's not dogmatic. Yes, he's a specialist endodontist and so easy for him or anyone say you must always use rubberdam. But yes, he does discuss a scenario that okay, if for whatever reason, you had to do it without rubberdam, how can you optimize the isolation? How can you reduce the saliva getting inside the tooth, so I really appreciated that about this episode. I'm sure it hope you will as well. It's very much in tune with the real world. And lastly, we do cover his step by step what is the right and proper way to do an extirpation without wasting time and without actually making things worse for future treatment.
Main Episode:So hope you enjoy this episode. And I'll catch you in the outro. Dr. Sanj Bhanderi. Welcome to the Protrusive Dental Podcast. How are you my friend?
[Sanj]Very well. Thank you,
In this episode, we've got specialist Endodontist Dr Sanj Bhanderi to talk us through the CORRECT way to extirpate teeth in acute pain WITHOUT wasting time or making things worse for future treatment. It's packed full of gems for pain relief, diagnosis and isolation.
So, what is your protocol for extirpation? This episode is all about how to get the job done right and minimize discomfort for your patient.
https://youtu.be/SjYWxr1sSDc
Click Here to watch this episode on YouTube. For the full notes check out the Protrusive App on iOS and Android.
“I call it Ninja endodontics - get in and GET OUT - Stealth!” Dr. Sanj Bhanderi
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
2:38 Dr. Sanj’s journey to Endodontics6:30 Emergency extirpations8:42 Diagnosis Protocol Irreversible Pulpitis11:57 Anaesthetic for Hot Pulps15:33 Caries and Restoration Removal Before Extirpating?19:16 Vital pulp therapy21:19 Isolation Protocol25:30 Sedative Dressing for Acute Pain28:42 Temporary restoration of choice31:39 Post Op Medicaments
Tune in for the Part 2 of this episode - next week we cover post-operative pain after endodontic treatment.
If you enjoyed this, you might also like my episode with another talented Endodontist, Ammar Al-Hourani, on Is Single Point Obturation Acceptable?
Click below for full episode transcript:
Opening Snippet: /Jaz/ In ideal world, we'd love to remove the entire restoration. Remove any caries, access cracks but when I have 20 minutes we need to get in go for the kill. Is that okay? Can you forgive us? /Sanj/ At the end of this. This is about patient, this is about getting the patient out of pain. Okay, and you just need to get in there. I used to call it ninja endo get in there, get the job done. Get out before patient realizing it. That's my principal in endo whether it's emergency or Endo. You want to- /Jaz/ Stealthy. /Sanj/ STEALTH. Stealth. Okay?
Jaz's Introduction:What is your current protocol for EXTIRPATION? So let's say you made a diagnosis of irreversible pulpitis. Your patient is in raging pain. And you have to squeeze in this pain relieving treatment, a extirpation probably of a lower molar or something in five minutes. What are you going to do? Well, some of you will listen to this and it will be validation and revision. And you'll be thinking wow, I've been doing it right all this time, even though I thought maybe I was taking shortcuts but actually I've been doing it right all this time and others will be like whoa, this is so much easier compared to what I'm doing at the moment because the big hint I can give you is that you don't even need a K file for your molar extirpation anymore after today, because I've got Dr. Sanj Bhanderi, specialist endodontist to talk us through what is the right way, the proper way to do an extirpation of your patient who is in pain. And there are just so many gems from pain relief, diagnosis, isolation, and what I love about Sanj in this episode, is that he's not dogmatic. Yes, he's a specialist endodontist and so easy for him or anyone say you must always use rubberdam. But yes, he does discuss a scenario that okay, if for whatever reason, you had to do it without rubberdam, how can you optimize the isolation? How can you reduce the saliva getting inside the tooth, so I really appreciated that about this episode. I'm sure it hope you will as well. It's very much in tune with the real world. And lastly, we do cover his step by step what is the right and proper way to do an extirpation without wasting time and without actually making things worse for future treatment.
Main Episode:So hope you enjoy this episode. And I'll catch you in the outro. Dr. Sanj Bhanderi. Welcome to the Protrusive Dental Podcast. How are you my friend?
[Sanj]Very well. Thank you,
