Immediate Dentine Sealing Tutorial Part 1 - PDP173

How and Why to do Immediate Dentine Sealing:
In this first episode, Zahid and Jaz not only explored the fundamental principles of IDS but also offered a practical guide for its smooth implementation in clinical settings.
Every single step of IDS is broken down and made tangible.
Protrusive Dental Pearl: When dental work fails after a long time service, remind the patient that 'it does not owe us anything' and 'What could they buy today that would last X years?'
Highlights of this Episode:
00:00 Introduction
07:13 Zahid Shaikh Introduction
11:39 Immediate Dentin Sealing (IDS)
14:54 History of Immediate Dentin Sealing
18:47 Onlay vs Overlay?
21:33 Occlusal Reduction for Ceramic Onlays
23:28 Caries Removal and Isolation
24:58 Air Abrasion in Adhesive Dentistry
27:36 Clinical Steps in Immediate Dentine Sealing
35:48 Thickness of IDS Layer
40:12 Enamel Refinement
42:02 Preventing Temps from Sticking to Your IDS
51:11 Liquid Dam to Temporise Onlays
52:47 Removing Temporary Onlays
In part 2 of this episode we will explain how to reactivate your IDS layer.
Check out Dr Zahid Sheikh on Instagram! yourdentist...
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If you liked this episode, you will also like Dental Ceramics in 2022 - Which Ceramic Should I Use? protrusive.co.uk/dental-ceramics
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[@thelatenightfoxy]

This so good !!!! What you're doing! I mean it's amazing for us! So much content! I feel like im unable to even keep up!!! Love it!

[@protrusive]

very kind Urvashi - great to have you as part of the community!

[@mhonary3444]

Thank you Jaz! So much useful content. I have been qualified for 10+ yrs and have learned so much in the past few weeks, watching these on my morning commute.
You are very much appreciated

[@HarmeetKaur-gl3yk]

Brilliant, as always! Thank you

[@muhammadhammodah8721]

Thank you for your priceless efforts.

[@protrusive]

Thank you!

[@vassildobreff7777]

Great video yet again!

[@protrusive]

Appreciate that

[@mhonary3444]

Thanks for everything you do

[@protrusive]

thanks for your kindness and appreciation doc! love from Team Protrusive!

[@ayeshaiqbal778]

sooooooooo gooood!!!

[@drjames079]

Loved the tip about preparing space for the temp cement! Also, it's ANAGEL!!! 😂😂😂😂😂😂

[@protrusive]

hehehehehe close shave!

[@kissdiss08]

Chieftain Shaikh 💪

[@jayarajmenon892]

Hi from Malaysia

[@thefarawaycloud]

hello, thanks for the lovely content. About placing the rubber dam, I usually find that while its easy to place the rubber dam at the prep stage because we still have the contacts intact to hold the dam in and floss through, but at the fit stage we have lost the contacts and i find it challenging to place the dam as it wants to roll up the tooth and does not seat, do you have any tips for this?

[@protrusive]

yes! I have a video showing this struggle and how I overcome it. Thanks for inspiring the content.
Essentially you need a stream of air from 3in1 from your assistant - then, you will use a fine instrument to encourage the dam to 'invert' in to the sulcus

[@thefarawaycloud]

Hi Jaz , thank you so much for your tip about the rubber dam. It was so easy to do get the dam to seat once i followed what you suggested. So much less stress, i can't thank you enough for these great tips, takes the stress from dentistry out so much > could you please suggest a good intar oral camera? i have the Kodak one right now but its a pain to get it to focus and by the time its focussed its foggy because it took so long n the mouth..@@protrusive

[@protrusive]

​@thefarawaycloud sorry for the delay - I use a cheap one called FocusDent and its awesome!

[@amit.thedentist6843]

Another great video
Just to add my thoughts
Personally and anecdotally I found IDS to be such a faff and off no benefit to me personally.
A technique I was taught a couple of years ago is after the impression to scrub Gluma in and watch the dentine soak it up and apply the the second bottle - the adhesive of optibond Fl2. This creates a weak bond and your temporary sticks like a dream .
Seems to work for me and get no sensitivity. I don’t think this is a evidence based supported workflow but I’m sure lots or Dentists do it

[@protrusive]

thanks for sharing another way!