Love that you kept your fingers around the tooth to protect the patient and stabilize your access.
@jeffreylukpat32533 ай бұрын
After viewing this video,I became more confident in my extractions and my fear of sectioning went out the door. Life is so much better with no more second guessing myself and no anxiety 😅
@protrusive3 ай бұрын
yay! 100% doc thank you!!
@terongkrispi19 күн бұрын
Hello from Indonesia doc, this video is amazing especially for new general practioner dentist like me to be more confident in sectioning upper molar, very clear video very clear explanation. Thank you so much doc, may God bless you😊😊😊😊
@christabelkelly23407 ай бұрын
Dude your videos are the best. As a new grad, I can't thank you enough!!!
@rahulbinnybansal35626 күн бұрын
6 s rule is really good
@marufboyo4 ай бұрын
hi its dr.maruf here ,,, sir i liked to thank you a lot i tried u instruction and seriously it helped me a lot...... thanks for you precious tips.....
@protrusive18 күн бұрын
Happy to read it helped!
@arash_LA7 ай бұрын
4th year dental student in the US. Great video! Thank you!
@protrusive7 ай бұрын
thanks Arash! Stay stuned on the podcast- a cool (free) resource for Students is out soon!
@rahulbinnybansal35626 күн бұрын
Anyway great job done
@jimmyharrix79906 ай бұрын
I don't know how i got the chance to see this youtube channel, but thank you, Dr. Gulati, i'm new degreed doctor and assistant in Oral and Maxillofacial surgery, still learning those things... The information was really helpful, i'm gonna use it :)
@protrusive6 ай бұрын
thanks doc!
@blumouseyАй бұрын
Hey doc, great video and beautiful work. Myself, I suture virtually everything unless there is no exposed bone. I just get way fewer healing complications. A cross mattress in a socket like that keeps food out and keeps the sponges in. I personally would also add a little sponge pad on top of the furcal bone. I also advise no rinsing. I think it agitates the wound surface too much and patients are generally bad at it. So I just tell them not to do it and again, way fewer dry sockets!
@protrusiveАй бұрын
this is golden advice - thank you! please do join our community of nice and geeky dentists as I think you'd have a lot to share :) www.protrusive.app
@adityasharma2k7 ай бұрын
Awesome video thanks 🙏 One thing I'd add is while sectioning mb from db I like to retract the gingiva and feel/see the the furcation area between the two from the buccal aspect,therefore deciding the section.
@protrusive7 ай бұрын
thanks for this addition!
@queenprincess2902Ай бұрын
Salute 🎉
@tamannabanu97226 ай бұрын
Is there any new videos on sectioning and surgical extraction? Want more videos. This one was awesome. Learned a lot. Thank you.
@protrusive6 ай бұрын
hiya doc - yes 4 new cases just like this are on Sectioning School- total of 10 to be added by next month www.protrusive.co.uk/ultimate
@xevora93107 ай бұрын
Clear and well presented video. Idea: prepare an access cavity into the pulp chamber before sectioning. With a coarse diamond bur it takes maybe 10 seconds. Then you'll know exactly where the furcation is, zero guessing.
@DensLeonis17 ай бұрын
That's a great idea !
@protrusive7 ай бұрын
absolutely valid way - I show this in some of the later cases. Thanks for sharing doc!
@storm12341007 ай бұрын
Amazing video, very informative Jaz! Thank you very much. Keep up the fantastic work you do!
@elenasimona66535 ай бұрын
Why not doing an endodontic retreatment?
@joshstutman7467 ай бұрын
Thank you for such an informative video! Do you plan on making a similar instructional video for mandibular molars? And I am also curious about your approach for more badly decayed, less predictable endo-treated posteriors (a tooth you know that will be mush through and through)
@protrusive7 ай бұрын
Hi Dr - yes - 3 cases have already been uploaded to Sectioning School and 7 more to follow including a couple of mushy ones :)
@tamannabanu97226 ай бұрын
Is it on youtube?
@drshaktidentalblog63882 ай бұрын
Thank you
@protrusive18 күн бұрын
Most welcome!
@fatwhitetuna66596 ай бұрын
Nice surgery!!! endodontically treated tooth is much more difficult due to its brittleness.; I used peristomes to loosen PDL and bone expansion, no bone removal
@pauldeverteuil89377 ай бұрын
Thanks... Learnt a lot
@bhashagurung25156 ай бұрын
Thank you Doc for the video m gonna try this technique very soon this week 🙏
@Olibelus6 ай бұрын
Great video, thanks for sharing!! Much appreciated.
@hina5243ableАй бұрын
What was the reason for extraction? Why not dissecting apical root or second endo?
@causg71947 ай бұрын
Thank you so much for another awesome video you are doing great!! also like going all around before sectioning just like colleague mentioned.. Never forget to check the sinus.. Best regards
@protrusive7 ай бұрын
thanks for commenting!
@mpopa56736 ай бұрын
Thank you!
@mda99das7 ай бұрын
I personally like to do pre luxation before sectioning going all the way round. Gives time for bone to expand while you are doing the rest.
@protrusive7 ай бұрын
great tip - induces PDL trauma which causes bleeding and 'self severing' effect of PDL. I sometimes add rotational forces with forceps to induce PDL trauma
@diesel94426 ай бұрын
Is there any special consideration when it comes to using handpieces? To prevent post OP surgical complications? or a fast handpiece can be used when doing the bone removal?
@protrusive6 ай бұрын
yes there are - we covered this on the webinar which can be found in Sectioning School. You can try a 1 week free trial of the Ultimate Education Plan to access this instantly: protrusive.co.uk/ultimate In a nutshell - we must be careful to not create an air embolism/surgical emphysema. We talked about the gold standard (separate surgical motor with saline), silver standard (electric handpiece) and bronze to the regular fast handpiece - if using the bronze option, we must be careful not to displace tissues or raise flaps. There are also fast hanpieces that are rear venting which can prevent this rare but serious complication.
@drarjan64227 ай бұрын
As always an awesome video Jaz! Which speed increasing handpiece are you using/ do you receommend?
@protrusive7 ай бұрын
Thanks! I use the Z45L NSK for when I need the angulation help- Z85L NSK is the other one I have :) I know Incidental in the UK do some electric handpieces too 🫡
@Chinnyyip7 ай бұрын
Nice extraction on a tough tooth. Was there any sign of vertical root fracture on the MB root?
@protrusive7 ай бұрын
a very feint one, yes!
@mohammadebrahim44746 ай бұрын
Jaz do you have an electric motor and handpiece you can recommend we can get for our practice?
@cameronramsay68677 ай бұрын
Great video thank you, can you use a electric handpiece for bone removal for a surgical extraction or does it need to be a slecial surgical motor and bur?
@protrusive7 ай бұрын
yes you can - electric without air, water only
@cameronramsay68676 ай бұрын
Thanks a lot Jaz. Appreciate your response 😊
@sukhsingh69976 ай бұрын
You mentioned risk of breaking tuberosity, how can you break that when it’s distal to 2nd molar?
@protrusive6 ай бұрын
a general statement to advocate sectioning - the further back you get, the more the risk is increased. However, once you see the image of the broken tuberosity with all 3 molars attached to the tuberosity, you cannot unsee that! But you're right, the risk is low in this case as it's the first molar
@bullwhite96956 ай бұрын
Dr i have horizontal impaction in lower jaw is their any danger of lingual nerve damage if i go for operataion my age is 30
@protrusive6 ай бұрын
1) Thanks for commenting 2) This channel is for Dental education for Dentists and as a policy I cannot support all patient queries - mostly because otherwise I would have no time to spend with my family 😅 3) The most common answer to any and all patient queries on KZbin is usually: Speak to your Dentist, they are best positioned to help you 4) Good luck
@c-137torres86 ай бұрын
Good day, how do you document your cases. Thanks!
@protrusive6 ай бұрын
kzbin.info/www/bejne/iWGqYWCqYsl7hdU
@c-137torres86 ай бұрын
@@protrusive Thanks! Do you think Go Pro can be used as an alternative?
@protrusive6 ай бұрын
@@c-137torres8 not with ease or quality: kzbin.info/www/bejne/iWGqYWCqYsl7hdU&ab_channel=JazGulati-ProtrusiveDentalPodcast
@georgesotiriou70517 ай бұрын
Thanks for sharing Jaz. May I ask which root forceps did you use?
@protrusive7 ай бұрын
Can.I be super super honest? 'Zoe - get me some root forceps' - I genuinely don't know, so sorry!
@georgesotiriou70517 ай бұрын
@@protrusive Perfectly acceptable answer
@safwankabeer32767 ай бұрын
Fantastic video, you really amalgamated a lot of golden tips from different surgeons! Great job :)
@protrusive7 ай бұрын
thanks for your kindness
@philtastic17 ай бұрын
Great instructional video. I wish dental instructors were like you
@rahulbinnybansal35626 күн бұрын
Can we remove db root before palatal in this case
@protrusive6 күн бұрын
yes no hard and fast rules 😊
@cwtag7 ай бұрын
I'm sharing your channel with all of my dentists in my community health center. Your content is top notch, best on KZbin. Thank you! Cheers from the Pacific Northwest USA
@protrusive7 ай бұрын
thank you so much! means a lot :)
@rahireza91247 ай бұрын
Divide and rule ... Thats the technique to remove grossly decayed teeth especially upper molars with three roots 😅😅
@drjayarajsr75496 ай бұрын
Nicely done and presented😊
@operman8285 ай бұрын
All done nice❤may be you could do the Valsava test to be sure the sinus membrane is not perforated…no sutures is the correct answer to this kind of extactions👌
@protrusive5 ай бұрын
thanks doc! You know I was once taught my oral Surgeons to try and avoid the valsalva test as it may make things worse. I see the rationale but it's not something I routinely do after extractions. Thanks for raising it!
@operman8285 ай бұрын
@@protrusive totally agree with you but when doing this test pacient should not blow like crazy 🤪 just a little obstruction so you could be sure that it will be safe and avoid unnecessary complications 🫣🤝All the best😊
@kipetreal6 ай бұрын
Are you not suppose to use the bur with air when you drill in to the bone?
@protrusive6 ай бұрын
I'm using an electric handpiece with water only, no air
@kipetreal6 ай бұрын
@@protrusive aight thnx 4 the comment
@amit.thedentist68437 ай бұрын
Is there a bur which is great for sectioning and a bur great for bone removal for my fast speed
@protrusive7 ай бұрын
lindemann burs are supposedly the best - I bought some and waiting to test :)
@ew30752 ай бұрын
@@protrusive Thank you so much for the very helpful video. may I know what burs you were using for the sectioning n bone removal please. thank you
@protrusive2 ай бұрын
@@ew3075 Thanks - honestly I just used a crown prep shoulder diamond bur (coarse) - nowadays I use Lindemann burs which are great for sectioning but very aggressive so take care doc
@itsaaronlolz7 ай бұрын
You can’t save that tooth? 😭
@ankursnd7 ай бұрын
Do you prescribe antibiotics if sectioning tooth/inter buccal bone?
@protrusive7 ай бұрын
Nope, trust the body to heal :) remember that I do this flapless too