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When you Extirpate a Hot Pulp – do you need to find ALL the canals? Do you need to file to the apex? Which is the sedative of choice?
In this episode, we’ve got specialist Endodontist Dr Sanj Bhanderi to talk us through the CORRECT way to extirpate teeth in acute pain WITHOUT wasting time or making things worse for future treatment. It’s packed full of gems for pain relief, diagnosis and isolation.
So, what is your protocol for extirpation? This episode is all about how to get the job done right and minimize discomfort for your patient.
“I call it Ninja endodontics – get in and GET OUT – Stealth!” Dr. Sanj Bhanderi
Highlights of this episode:
- 2:38 Dr. Sanj’s journey to Endodontics
- 6:30 Emergency extirpations
- 8:42 Diagnosis Protocol Irreversible Pulpitis
- 11:57 Anaesthetic for Hot Pulps
- 15:33 Caries and Restoration Removal Before Extirpating?
- 19:16 Vital pulp therapy
- 21:19 Isolation Protocol
- 25:30 Sedative Dressing for Acute Pain
- 28:42 Temporary restoration of choice
- 31:39 Post Op Medicaments
Tune in for the Part 2 of this episode – next week we cover post-operative pain after endodontic treatment.
If you enjoyed this, you might also like my episode with another talented Endodontist, Ammar Al-Hourani, on Is Single Point Obturation Acceptable?

[…] the previous episode with Sanj Bhanderi on ‘how to extirpate properly and efficiently‘, we briefly touched on postoperative pain control. In this episode, we’re focusing […]