Hot tooth - Differentiate and Treat

This is a video in which I explained the way to get good anesthesia in mandibular molar which is suspected as hot tooth.

[@user-xx7ed7ti1z]

I find that most of the time, when I have a hard time w/ IANB, asking the pt to open and close their mouth helps. This bc I noticed too that difficult IANB at the beginning of the procedure were completely numb by the time I finished. I find that it has more to do with them keeping their mouth open. Also waiting, but more bc of keeping mouth open Thank you for the video

[@hama4291]

yes regarding delayed onset i agree , smokers and alcoholics usually take longer time for anesthesia onset

[@Endocrisps]

🙏🙏

[@drrajkumarsinghrajpurohit2663]

Very deep and useful information

[@Endocrisps]

Thankyou🙏🙏

[@pavankumar-dm7kb]

Sir please upload vedio on how to know about perforation of tooth during RCT

[@mmtrivedi9348]

Thank you.cleared my all doubts.

[@Endocrisps]

🙏🙏🙏

[@raednoureddine122]

I think we are mixing and miss understanding this symptom, most of the time it's the inferior molar, why it's almost not found in the other teeth, that because the anesthesia is not adequate

[@Endocrisps]

Correct 👌

[@dr.deepthi_blossomdentalclinic]

Thank you sir..very well explained👍

[@Endocrisps]

🙏🙏

[@shriananddentalclinic9181]

Which apex locator is good in today's time to buy other than j morita and coltene

[@vandnabhatia6006]

Thank u so much sir

[@DrDeepikaJainMandot]

Very informative video

[@Endocrisps]

🙏🙏

[@YOu-jl2bn]

amazing

[@Endocrisps]

Thankyou 🙏🙏

[@podilivijayakumar4800]

Very useful information thank you sir

[@Endocrisps]

🙏🙏🙏

[@vinaykumarsinghyadav1630]

Thank u so much sir, your video is more informative 🙏

[@vinaykumarsinghyadav1630]

Sir it's necessary to do RCT for crown preparation..

[@Endocrisps]

RCT is not necessary in every case

[@vinaykumarsinghyadav1630]

@@Endocrisps ok sir🙏

[@vinaykumarsinghyadav1630]

Sir please one lecture on crown preparation 🙏

[@Endocrisps]

@@vinaykumarsinghyadav1630 ok brother🙏🙏

[@dranand_endo]

Swelling after RCO sometimes...plz make a video thanku

[@Endocrisps]

🙏🙏

[@vijyantmehrotra8119]

Very nicely explained dear

[@Endocrisps]

🙏🙏

[@Keshuashi]

Thank u sir Sir What to do for hypersensitive tooth during crown cutting if not RCT treatd?

[@Endocrisps]

Do crown preparation under local anaesthesia but be careful. Give temporary crown always in such cases🙏🙏

[@xCmOn3yx777]

it is easily the most painful experience i have ever had... the only thing that helped was ice cold water and for seconds at a time

[@xCmOn3yx777]

the dentist had to give a shot directly into the nerve which was very panful, but after that it was immediate relief

[@pradnyeshsuke7640]

Sir can we place D PULP for 3-5 days and then start RCT?

[@Endocrisps]

Yes and for that you have to reach pulp otherwise D pulp will not work🙏🙏

[@Abhi-cl8ye]

I am little confused ..this case come under syptomatic irreversible pulpitis or necrosis ...Read somewhere that pulp necrosis also produce heat gases..Do both hot tooth and pulp necrosis both have hot sensitivity or produce heat gases or only hot tooth has hot sensitivity ??Thanx

[@Endocrisps]

Hot pulp is mostly highly inflamed vital tissue

[@Abhi-cl8ye]

Thanx sir..Do in some cases of pulp necrosis produce gases ( heat) on taking anything hot.??.Thanx

[@Endocrisps]

Yes👍

[@Abhi-cl8ye]

Thanx a lot sir👍😊

[@KrishnaGupta-yc3jd]

Sir my pulp has died due to the use of depulp but the pain is still there...what should I do sir? Dentist is saying there isn't a missing canal in my molar as she found 3 canals...And I don't even feel pain when she insert every length of k files in my canal...what should I do sir?

[@abhisheksolanki7923]

Thanks for this nice video sir. Can we buffer the LA by sod. bicarbonate in these cases or by use of bupivacaine can we achieve desired anaesthesia?

[@Endocrisps]

Hi Bupivacaine is long lasting. But in hot tooth, we need an early onset rather than long duration. No idea about effect of buffering the LA. Regards

[@nobelchinmay]

Usually NaHCO3 (being alkaline,pH=8.5) is added to buffer with abscess(being acidic,ph>=6) This property of sod.bicarbonate can be barely effective in hot tooth cases.

[@mdabdullahalhelal4491]

As we know pain killer is not much effective in pulpits . Why you recommend pain killer ? Can you pls explain ?

[@Endocrisps]

Painkillers are quite effective in pulpitis. Premedication is always an aid to local anesthesia 🙏

[@kukusharma1191]

Tysm Sir

[@Endocrisps]

🙏🙏

[@amitbajaj2559]

Helpful.👍

[@Endocrisps]

🙏🙏

[@sayalipatil4232]

Can we use articain in diabetic patients?

[@Endocrisps]

Yes why not

[@DeepalJshah]

Any contraindications for 4% Articaine? Is it neurotoxic in the long term??

[@Endocrisps]

I don't think so. It is absolutely safe👍

[@DeepalJshah]

@@Endocrisps thanku so much for a prompt reply Dr

[@navneetkaur-co5jv]

Reference?

[@Endocrisps]

I made channel for the concepts which comes with experience not by literature mostly🙏

[@surabhinaveen2259]

Thankuu sir information is amazing...

[@Endocrisps]

🙏🙏

[@vabshrivastava]

Sir can u elaborate technique for intrapulpal and intraligamentry injection.thanks

[@Endocrisps]

Sure👌

[@Endocrisps]

I will make a video on that

[@vabshrivastava]

@@Endocrisps ok sir..

[@dentalking7859]

Sir what gauge of syriyge is used in block ????

[@Endocrisps]

I generally use 23 gauge needle. 🙏🙏

[@dentalking7859]

@@Endocrisps tnks sir .plz make a vedio on how to give painless nerve block specially in palatal block........

[@Endocrisps]

Ok sure 🙏🙏

[@kuldeep___meena_45]

Sir my teeth is paining too much on eating hot stuffs i have undergone RCT treatment on same teeth 3-4 month ago and I guess at that time I have hot tooth as when my dentist given anesthesia it was still paining after 2 blocks and he started treatment while I am in pain i have suffered a lot . So please tell me what should I do now is there any treatment for hot sensitivity should I go for retreatment or extraction

[@Endocrisps]

I need to check your xrays🙏 Send them on my mail👍

[@kuldeep___meena_45]

@@Endocrisps sure sir I will send asap

[@kuldeep___meena_45]

Sir Please provide me your email id

[@drabdulnandi5573]

If give 3 day medicine before treatment

[@Endocrisps]

Patient with Hot tooth is in such pain that he/she can't bear it for 3 days

[@drabdulnandi5573]

@@Endocrisps for extraction access open and give interapupal with pressure is effective or not

[@Endocrisps]

Access opening is not needed🙏🙏

[@drabdulnandi5573]

@@Endocrisps ok sir my block is not effective need a practice

[@user-rs9pv5zd5t]

RCT filling k baad bhi pain ho rha hai what should I do..?

[@Endocrisps]

A little pain is expected for 2-3 days after RCT sometimes. If pain is severe or persists for long time, then we need to check xrays

[@user-rs9pv5zd5t]

@@Endocrisps GP point ko nikal skte hai kya..?

[@Endocrisps]

Yes 👍

[@narindervermadental4694]

Sir apka pb 15 aboher me koi dr jnta hai mujhe job chiya do sal ka experience hai mera me BDS nhi hu kuch or sik lu fir kroga

[@Endocrisps]

Bhai bina degree k kaam krna illegal. Agar aapko interest h to phle degree kro. Mere videos dental students ya dentists k liye hai.

[@narindervermadental4694]

Sir me hignst kroga naxt sal

[@sandeepsachchade3188]

🦷🙏

[@Endocrisps]

🙏🙏

[@drabdulnandi5573]

Idea about hot tooth before giving l A

[@drabdulnandi5573]

If patient want extraction and present hot tooth . Then mangement

[@Endocrisps]

Patient giving symptoms of hot sensitivity relieved by Ice pack is indication of hot tooth. Only issue with pulp, rest will get anaesthetized. So, no issues with extraction 🙏🙏

[@drabdulnandi5573]

@@Endocrisps 🙏🙏🙏

[@fksmaker5067]

Sir ji hindi me banaya kro video

[@Endocrisps]

Kuch videos hindi ne bhi banata hoo🙏🙏

[@aishwaryamishra2974]

Anthesis pain horrible

[@Endocrisps]

Anthesis?

[@Endocrisps]

Anthesis?

[@aishwaryamishra2974]

@@Endocrisps sorry typing mistake..that is anesthesia

[@Endocrisps]

Okay. These days anesthesia is painless most of times 🙏