{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"Mastering Pediatric Dentistry: Pulpotomy and Crown Techniques – PDP274","html":"","width":"100%","height":180,"duration":3402,"description":"Filling, stainless steel crown, pulpotomy or extraction — how do you actually decide on a deciduous tooth?\nWhy is the lower first primary molar the one that always seems to flare up?\nWhen should you reach for silver diamine fluoride instead of the drill — and when is a child’s cooperation telling you to change the plan entirely?\nAnd how do you actually do a pulpotomy, step by step, without it blowing up under the crown?\nThis is a paediatric dentistry masterclass with Dr Nidhi Kotak — “The Baby Tooth Dentist,”. It’s built for the general dentist who treats children and wants clearer rules: when to fill versus crown, how to read the radiograph, silver diamine fluoride, local anaesthetic and behaviour guidance, isolation, and a full pulpotomy and stainless steel crown technique. The through-line is simple — in children you decide fast, protect the airway, and treat for predictability rather than heroics.\n\n\nhttps://youtu.be/3OscfwF7SIQ\nWatch PDP274 on YouTube\nProtrusive Dental Pearl: Strategic Flexibility\nYou cannot be rigid when treating children. The mindset shift is to stop asking “what should be done for this child?” and start asking “what can be done for this child?” With children you have to be fast and efficient, and curveballs are constant — sometimes the parent is harder to manage than the child. So the plan has to bend.\nThe worked example: you planned a conventional prepped stainless steel crown, but cooperation drops mid-appointment. Rather than abandon the visit, switch to a no-prep whole-crown approach and protect the tooth anyway. It stays in the child’s best interest — and it’s far kinder to your own mental health. It’s a mindset worth carrying into all of dentistry, not just children’s.\nWhat You’ll Take From This Episode\n\nWhen to fill vs crown — the surface rule for baby molars, why crowns are so predictable in children, and where composites still work.\nThe “D” devil tooth — why the lower first primary molar flares up, and why mesial caries on a D is...","thumbnail_url":"https://img.transistorcdn.com/hLSIeRiYSp0oTfIk0BzEukFutShD18hH3f6fq4QHsWw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZmM0/ZTNjYzdiZDJhNGFj/MzBiYmU2NTUwNmM2/NzQ2My5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}