How to Anesthetize hot tooth

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In this video, I have explained six strategies which are easy to understand, which will help anesthetize the hot tooth which were impossible to anesthetize by other means
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Inconceivable pain and it did not stop even after repeated intrapulpal injection 14 times. My dentist took multiple days to process the RCT and I was in a lot of pain every appointment.
The dentist told me that I am super sensitive to pain. For information, I had a broken arm to 45° once in my childhood and I recently went through a colonoscopy without any anesthesia and apart from this add to the list of sufferings in pain four times sprained ankle over time - nothing was as painful as this hot tooth during RCT.

atanumajiunofficial
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Had a REALLY hot wisdom tooth a couple years ago, and ended up getting an intra-pulpal anesthesia. Yeah, it's painful... for about a couple of seconds. But not worse than the pain that you get from the hot tooth in the first place.

siniorgolazo
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Beautiful explanation with practical techniques. Thank you very much for sharing, sir.

rajitharanvijayasekaram
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Omg sir where you were in so long.
I always check out your channel for updates but it has been long scince you posted.
Today i feel happy you are back again. No one beats your presentation whether its stepback or cavity preparation or on composite (That was really a masterpiece)
I request you sir plz don't stop uploading video's and give us more clinical based knowledge of endodontics

abhinavadvani
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Super interesting video. as a well read amateur dentist LOL (real M.D.) I can confirm mandibular molar and premolar RCT worse than other more anterior teeth. What about intraosseous injection?? for intractable pain???

s
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Doctor Benin I have problem with alcoholic patients, , 28 yo patient ex-smoker and alcoholic, with a class 2 caries on lower 6 not endodontically involved, so he doesn't even have hot tooth, , I did 2 blocks with second block at higher level, buccal lingual infiltrations, pdl injections twice all around the tooth at 4 corners, mid-buccal and mid-lingual, everything is anesthetized except the tooth, and was about only 2.5 mm deep in the cavity occlusally, so I left some caries behind and put ZOE temp. for couple weeks, hopefully get better result next time, maybe it will not help, , what's your opinion pls

hama
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Sir, 5th is good suggestion. Thanks.
Does cool anaesthetic agent for intra pulpal anaesthesia better?

pratimambekar
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Thanks for the video, sir. Last week a patient have come with pain in lower molar. But the tooth had opened before me and then i had problem even when i determined the working length. I used every possible anaesthesia plus intrapulpal but without success. What do you recommend?

hdukitv
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Sometimes i use nerve to mylohyoid anesthesia for hot pulp in lower molars

yadalam
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Why wasn't intraossious injection mentioned here? I had an intrapulpal injection during a root canal of a mandibular lateral incisor which was absolutely the worst pain I've ever felt. In reading since then I have found multiple sources (all from dental professionals or professional associations) stating that intrapulpal injection should be an absolute last resort, as well as a number of similar sources indicating that the intraossious injection is significantly less painful while being up to 90% effective. Is this not correct?

StephenSkacall-wdni
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Hi. Thank you for
such a informative video. I have been practicing for almost 12 years. One thing i have come across is that incidence of low anaesthetic effect is more in patients with pulp stones compared to patients without pulp stones.is there any relevant study for this?

drmehulshah
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use articaine it's also helpful i used only septodent

travelwithbaljeet
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The intra-pulpal injection is very painful. Would sedation dentistry where the patient is asleep work instead?

Floodland-bnol
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Today I had hottest 36 of my 12 year old practice. After access opening pain was not there but after completing pre-Endo build up, patient started getting pain in medial canals only. I repeated IANB again but not help. Access opening was made so pulpal anaesthesia was not a successful option. Had to reappoint the patient with anti inflammatory and antibiotic medication. 😢😢

drganeshshinde
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Now i understand what is happening to me today . In the process of root canal i feel pain

gameraj
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Very late ...but if someone could give some advice --lower 1st molar 2 nerve blocks, intraligamentary, infil, even intrapuplal was given ...by me as well as my professor but the said Hot tooth was still "hot" what can else could have been done for the patient??

kiso..
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Watched all three videos about rct.very much educative & helpful. Thank you for making such wonderful videos sir.

kalpanavijay
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well, in Russia we can use paraformaldehyde devitalisation . I know it is banned in Europe, but it really helps with these cases. Sometimes Articaine doesn’t work, not intrapulpal, not intraseptal

MaximArkhipychev-du
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Today i had a very hard time dealing with hot tooth.. I tried nerve block and infiltrations.. It didn't work..

arshu
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I have gone through the intra pulpal process but still its not working.plz share something’s else 😢

SajjadHussain-cnzp