Hot Pulps, Painless Palatals and ID Block Failures [B2B] – PDP084

Do your ID blocks work all the time? How about your management of the dreaded 'hot pulp'? As a part of the Back to Basic series this August, I asked Dr Pynadath George, who practices advanced surgical and implant dentistry, about dental hacks for success with every dimension of local anaesthesia in Dentistry. https://youtu.be/F6l9glsEbuc  Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Give painless local anaesthesia (aside from topical anaesthetic, we know that already!) by massaging the mucosa and the lip with your index finger and thumb. Get just a few drops of LA first and give it a minute to work. Then you can go back in and deliver your anaesthetic much faster and the patient will love you for painless anaesthesia! “If you want good success with the ID blocks, you need to look at and study the anatomy, even if it's on a skull, and then relate that to your patient..” - Dr George In this episode we discussed about: Is Lidocaine/Articaine enough to numb patients as a GDP, or do we need to stock other anaesthetics such a Mepivicaine? (15:09)Avoidance of Articaine for ID block in some countries - if that really necessary? (18:35)Shift of mindset with young dentists practicing defensively (20:38)Tips on achieving successful ID blocks (27:04)Hitting bone during ID blocks - do you HAVE to hit bone? Can that be harmful? (33:38)How to manage the dreaded hot pulp! (36:39)Moderate and advanced local anaesthetic techniques in Dentistry (47:31)Tips on getting painless palatal injections (especially on ultra nervous patients) (51:05) Want to learn more? Check out this Advanced Implant Training by Dr George Pynadath I hope you are enjoying this Back to Basics series of episodes! If you liked this episode, you will also enjoy Basic Implant Occlusion and Work Life Balance – PDP012 with Implant Ninja! Click below for full episode transcript: Opening Snippet: As i gave the intra pulpal, I didn't realize the sound was being recorded but as i gave myself an intra pulpal, as i was reviewing back the videos all i could hear was myself grunting going 'ah because it was that painful I had to keep my mouth open while i'm numbing myself up through the pulp but honestly after that was done it was like magic i could you know i found all four canals, extirpate it, done... Jaz' Introduction: Now to answer these questions I’ve got George. His first name is far too complex from around so we shall call him Dr George, who is a very well known name in the UK. He actually does lots of advanced surgical dentistry, pterygoid implants, zygomatic implants, full arches that kind of stuff. He also does some general dentistry as well but that’s his real niche that he’s known for and along with that he does teach on very advanced local anesthesia techniques like how to give extra oral blocks for example or how to give anesthesia in areas where you’re not really taught at dental school but we’re gonna really bring it back to basics in this episode to go through how to get success from the more basic techniques like what are the the factors involved in getting success in anesthesia and right at the end we even cover the top tips in getting painless anesthesia for palatal, those dreaded palatal injections.  Now it’s interesting when i was in Vietnam on my elective, I was with these dentists who are 25 years qualified and they were celebrating like having a reunion and we’re on this charity project in a village near Da Nang and it was a school. So were at the school. We were about to do restorations extractions and basically any sort of dentistry these children needed and there was a queue of children and before they’d have their treatment like for example a restoration or a tooth out, we would numb them up. I’ll never forget how these children were given id blocks so inferior alveolar nerve blocks before they had their restorations on their lower t...