Pulpotomies for Irreversible Pulpitis? The Rise of Vital Pulp Therapy – PDP133

This podcast will change the way you think about pulpotomies and endodontics in general.  Georg Benjamin explains that severe throbbing pain (or classic signs of IRREVERSIBLE PULPITIS) does not necessarily mean a pulpectomy is needed. Instead, we can consider a pulpotomy for permanent teeth to preserve radicular pulp tissue and maintaining a vital tooth! Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE answering a few questions + EXCLUSIVE content: https://youtu.be/PoWDRz714uQ Check out this full episode on YouTube Protrusive Dental Pearl: Check if your anesthetic is successful by carrying out an objective test by placing EndoFrost (-50 C) on the tooth (about 10 secs) and checking for a cold response. If the patient is not fully numb yet, they will still feel something. If they are sufficiently numb, this test gives you (and some nervous patients!) confidence. I like this before placing rubber dam as I hate ever removing the dam to top up LA! Highlights of this episode: 2:02 Protrusive Dental Pearl 4:47 Georg Benjamin’s Dental Podcast Journey 7:10 Georg’s Endodontic Journey 11:46 Case Discussion: Pulpal Diagnosis 16:17 Pulpotomy 19:37 Direct Pulp capping  22:26 Indirect Pulp Cap 23:58 Pulpotomy Protocol 26:59 Classifications of Pulpotomy  30:52 Bleeding Time Protocol 33:31  Patient Communication  35:34 Treatment Decision-Making 38:57 Success rate of pulpotomy 41:10 Early and Late failures 42:30 Long-term treatment 45:14 Unhealthy pulp 48:08 Materials and Products for Pulpotomy 50:54 Leaving carious dentine as base For our German Protruserati, check out Georg’s Dental Podcast If you enjoyed this, you might also like this episode with  Dr Ammar Al-Hourani ‘Is Single Point Obturation Acceptable?’