Director and Dentist at Wasino Dental Clinic (Nagoya, Aichi, Japan)

Takashi Washino

We plan to make it available free of charge until October 31, 2026. From November 1 onward, it will be offered for $20. This presentation by Dr. Takashi Washino, a general dentist in Nagoya, Japan, focuses on vital pulp therapy (VPT) and the critical decision-making process when pulp exposure occurs. He explains that pulp exposure itself does not necessarily lead to infection or necrosis, referencing the classic 1965 Kakehashi study, which demonstrated that bacteria—not exposure—cause pulp necrosis. Through trauma and caries cases, he illustrates that if infection is controlled and the pulp remains uninfected, healing is possible. Dr. Washino challenges the traditional belief that exposed pulp always requires root canal treatment, emphasizing that pulp necrosis progresses locally where infection exists. Using clinical cases and microscopic observations, he highlights the importance of identifying infected versus non-infected pulp, particularly noting that pulp detachment from dentin may indicate irreversible damage. He introduces his “staged approach for VPT,” which allows clinicians to delay final decisions when diagnosis is uncertain. By removing infected tissue, sealing the tooth, and reassessing pulp vitality at a later visit using tools like EPT and percussion tests, clinicians can make more accurate judgments. Multiple case examples demonstrate how this approach can preserve pulp, avoid unnecessary root canal treatment, and improve diagnostic skills over time. Ultimately, Dr. Washino emphasizes that this method not only increases the chance of saving the pulp but also helps clinicians develop better judgment. He encourages especially less experienced dentists to adopt this approach when faced with uncertainty in VPT cases.

This presentation by Dr. Takashi Washino, a general dentist in Nagoya, Japan, focuses on vital pulp therapy (VPT) and the critical decision-making process when pulp exposure occurs. He explains that pulp exposure itself does not necessarily lead to infection or necrosis, referencing the classic 1965 Kakehashi study, which demonstrated that bacteria—not exposure—cause pulp necrosis. Through trauma and caries cases, he illustrates that if infection is controlled and the pulp remains uninfected, healing is possible.

Dr. Washino challenges the traditional belief that exposed pulp always requires root canal treatment, emphasizing that pulp necrosis progresses locally where infection exists. Using clinical cases and microscopic observations, he highlights the importance of identifying infected versus non-infected pulp, particularly noting that pulp detachment from dentin may indicate irreversible damage.

He introduces his “staged approach for VPT,” which allows clinicians to delay final decisions when diagnosis is uncertain. By removing infected tissue, sealing the tooth, and reassessing pulp vitality at a later visit using tools like EPT and percussion tests, clinicians can make more accurate judgments. Multiple case examples demonstrate how this approach can preserve pulp, avoid unnecessary root canal treatment, and improve diagnostic skills over time.

Ultimately, Dr. Washino emphasizes that this method not only increases the chance of saving the pulp but also helps clinicians develop better judgment. He encourages especially less experienced dentists to adopt this approach when faced with uncertainty in VPT cases.

Staged Approach for Vital Pulp Therapy

Explore sample movies from the educational video "Adhesion in Focus: Strategies for Direct and Indirect Dental Restoration", presented by Dr. Washino. <a style="color:#58b5cf" href="https://doctorbookacademy.com/contents/washino_course1/" target="_blank" rel="noopener noreferrer">https://doctorbookacademy.com/contents/washino_course1/</a> In this session, we will focus on the essential adhesive processes involved in direct composite resin (CR) restoration and during the setting of indirect restorations. We will explore in detail the practical aspects of the adhesive process that are crucial to the success of the treatment, incorporating clinical cases to illustrate evidence-based approaches. Furthermore, we will delve into the decision-making moments in clinical practice with the question, "What would you do if the patient in front of you were a member of your family?" Based on this perspective, we will examine the criteria for making the best treatment choices for each patient, and discuss the judgment materials needed for such decisions.

In this session, we will focus on the essential adhesive processes involved in direct composite resin (CR) restoration and during the setting of indirect restorations. We will explore in detail the practical aspects of the adhesive process that are crucial to the success of the treatment, incorporating clinical cases to illustrate evidence-based approaches. Furthermore, we will delve into the decision-making moments in clinical practice with the question, "What would you do if the patient in front of you were a member of your family?" Based on this perspective, we will examine the criteria for making the best treatment choices for each patient, and discuss the judgment materials needed for such decisions.

00:00〜　Self-introduction
01:00〜　Lecture content
01:32〜　Moisture control.
04:10〜　Rubber dam
04:39〜　Selective phosphoric acid etching on the enamel.
10:33〜　Follow the manufacturer's instructions when applying the adhesive.
13:39〜　Follow the manufacturer's instructions when air-lolewing the adhesive.
16:16〜　Shape it to achieve anatomically harmonious morphology.
21:42〜　【Case】Caries treatment by direct restoration
26:47〜　Indirect restoration in practice.
27:16〜　Clean surface ot Inlaya.
28:00〜　Moisture control
28:06〜　Poster presentation at the 2019 Japan Society for Adhesive Dentistry
29:56〜　Moisture control methods other than rubber dam
31:31〜　Cavity cleaning
33:48〜　Selective acid etching
35:57〜　Apply primer or adhesive.
37:53〜　Apply resin cement
39:18〜　Light curing
41:20〜　Supplemental Explanation of Indirect Restoration
46:14〜　The difference between glass ceramics and zirconia ceramics
50:19〜　How do we think about cases where judgment is uncertain?
54:46〜　Book introduction

Adhesion in Focus: Strategies for Direct and Indirect Dental Restoration

Explore sample movies from the educational video "Adhesion in Focus: Strategies for Direct and Indirect Dental Restoration", presented by Dr. Washino.



Please click here to view the full video↓.

https://doctorbookacademy.com/contents/washino_course1/



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In this session, we will focus on the essential adhesive processes involved in direct composite resin (CR) restoration and during the setting of indirect restorations. We will explore in detail the practical aspects of the adhesive process that are crucial to the success of the treatment, incorporating clinical cases to illustrate evidence-based approaches.



Furthermore, we will delve into the decision-making moments in clinical practice with the question, "What would you do if the patient in front of you were a member of your family?" Based on this perspective, we will examine the criteria for making the best treatment choices for each patient, and discuss the judgment materials needed for such decisions.

【Free to Watch】Adhesion in Focus:Strategies for Direct and Indirect Dental Restoration

In this session, we will focus on the essential adhesive processes involved in direct composite resin (CR) restoration and during the setting of indirect restorations. We will explore in detail the practical aspects of the adhesive process that are crucial to the success of the treatment, incorporating clinical cases to illustrate evidence-based approaches. Furthermore, we will delve into the decision-making moments in clinical practice with the question, "What would you do if the patient in front of you were a member of your family?" Based on this perspective, we will examine the criteria for making the best treatment choices for each patient, and discuss the judgment materials needed for such decisions.

In this session, we will focus on the essential adhesive processes involved in direct composite resin (CR) restoration and during the setting of indirect restorations. We will explore in detail the practical aspects of the adhesive process that are crucial to the success of the treatment, incorporating clinical cases to illustrate evidence-based approaches. Furthermore, we will delve into the decision-making moments in clinical practice with the question, "What would you do if the patient in front of you were a member of your family?" Based on this perspective, we will examine the criteria for making the best treatment choices for each patient, and discuss the judgment materials needed for such decisions.

Takashi Washino

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