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! Need to Read it? Check out the Full Episode Transcript below! 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?' Click below for full episode transcript: Jaz's Introduction: Grab your onions Protruserati, because this podcast will change the way you think about a pulpectomy, you will probably do way LESS EXTIRPATIONS and committing to a root canal. Jaz's Introduction:And this episode really challenges our beliefs that we hold in terms of what requires a root canal treatment, ie we were trained that irreversible pulpitis equals pulpectomy, which is a root canal right? Now, that's what I was taught to. But what is happening now in endodontics, is brilliant. And Georg explains it really well, with his lovely German accent, we go over the fact that nowadays, whenever a patient comes to Georg, with irreversible pulpitis , that you know, severe throbbing ache, it does not mean root canal for him anymore, it means a PULPOTOMY OF THE PERMANENT TOOTH, it means a pulpotomy of a vital permanent tooth, which then hopefully, will preserve that radicular pulpal tissue, and therefore,