Hey Dr. Allen! Thanks for all your great videos! 🙏 I have some questions Do you buy the 1.5% NaOCl or do you make it yourself? Is it ok if we close the perforation with GIC ? I am an associate and my boss says it’s too expensive to buy MTA :/
Sorry for the late reply. It only took a year!! LOL! You can make the 1.5%yourself by diluting the NaClO with water. GIC is not a good substitute as it’s inflammatory. Your Boss should understand the importance of using the right materials.
thank you for a great video!!!! quick Q... if there is a perf would you recommend to first obturate (even of there is bleeding) and then fixing the perf with MTA or even the putty?? I am asking because I am worried about the MTA or whatever material we choose to go into the canal and cleaning it wont be easy thanks!!
That's why we now developed the BC Liner, which is dual cure material that goes over the Putty after perforation repair and can be bonded and allows for the proper sealing of the perforation immediately. You can then proceed with the root canal. Here's the video. ua-cam.com/video/xhFtg-lil_Y/v-deo.html. If BC liner is not available where you are, then place some BC Putty in the hole knowing that most of it will wash out over the course of the procedure, but it will control the bleeding and you can then repair a second time at the end.
This is a long answer. Maybe a video would be best to answer. But basically, they both do the same thing when using conventional sealers; you can get away from using either one if you're using some of the modern sealers (bioceramics).
Hello Dr Allen ,Please I wanna ask you about negative pressure inducing pain during insertion of gutta-percha cone while the patient is not under local anesthesia ?? Or Reasons of pain during insertion of gutta-percha cone not under LA ?? Pain is during insertion and removal of the cone , ...cone is to the full working lenght ,not exceeding not under .All procedures of cleaning,shaping and irrigation is applied ?? Thanks 😊
Mina Moheb sorry for the late reply but I made a video a while ago about pain during obturation. It’s not negative pressure. It’s actually positive pressure but the reason for pain is loss of Pikos’s anesthesia at the last phase of treatment. The difference is between tissue and pulp as anesthesia. Cheers!
Hello dr gud morning...i want to know 1..question..i m having..Rootor META..companys....apex locator..bt it always gives reading lk ...up to..5...6..7...wat does dat mean....mean..i m short of d apex...or dere is problem in my technique..plz suggest me.....thanx alot...or dere is any problem..in my apex locator..
So no rinsing with sterile water or anything like tht after removing the NaOCl pellet? I'd be afraid to leave the bleach in the PDL tissue without removing it. Perhaps some NaOCl does reach the periapical tissues during standard irrigation of canals, but I always believed none of it would actually extrude beyond the Apex when using a proper side vented syringe. Maybe a small amount is OK on the tissue.
NaClO is buffered within 3min of contact with dentin or calcified tissues. It's not a big concern. A bigger concern is if your saline is clean enough. I think anywhere from 1% to 5% NaClO will be safe enough when simply placed under pressure with a cotton pellet. Cheers!
@@AANasseh thanks Sir Sir one more question, Is it necessary to place collagen membrane or something else before placing Putty FS or MTA in perforation?
Thank you 🙏 Doctor,for taking out the time and shared with ours profession. Dr. Nguyen
As usual Dr Nasseh with a top video.
Great video sir. Lovely gesture.
Thank you so much
Dr....Great presentation and Thanks for the view of the dazzling fireworks...,,
This is a great enjoyable video 😍
Great video as always, Doc. Non-endo question for you. What camera and lens do you normally use for your videos?
Thanks for another signature endo video
can this protocol be used for peri-apical surgery as well? appreciate your videos
Thank you Dr. Nasseh. When you get a referred perforation do you clean it mechanically before disinfection? maybe with a curette? thanks!
Здорово!Мне понравилось.Три года назад я видел этот спектакль в Майами.Доктор, расскажите как Вы устраняете кровотечение из канала?
Awesome video and 🎆
Hey Dr. Allen!
Thanks for all your great videos! 🙏
I have some questions
Do you buy the 1.5% NaOCl or do you make it yourself?
Is it ok if we close the perforation with GIC ? I am an associate and my boss says it’s too expensive to buy MTA :/
Sorry for the late reply. It only took a year!! LOL!
You can make the 1.5%yourself by diluting the NaClO with water. GIC is not a good substitute as it’s inflammatory. Your Boss should understand the importance of using the right materials.
thank you for a great video!!!! quick Q... if there is a perf would you recommend to first obturate (even of there is bleeding) and then fixing the perf with MTA or even the putty?? I am asking because I am worried about the MTA or whatever material we choose to go into the canal and cleaning it wont be easy
thanks!!
That's why we now developed the BC Liner, which is dual cure material that goes over the Putty after perforation repair and can be bonded and allows for the proper sealing of the perforation immediately. You can then proceed with the root canal. Here's the video. ua-cam.com/video/xhFtg-lil_Y/v-deo.html. If BC liner is not available where you are, then place some BC Putty in the hole knowing that most of it will wash out over the course of the procedure, but it will control the bleeding and you can then repair a second time at the end.
may I get your opinion on warm vertical vs cold lateral condensation? pros and cons etc.?
This is a long answer. Maybe a video would be best to answer. But basically, they both do the same thing when using conventional sealers; you can get away from using either one if you're using some of the modern sealers (bioceramics).
Hello Dr Allen ,Please I wanna ask you about negative pressure inducing pain during insertion of gutta-percha cone while the patient is not under local anesthesia ?? Or Reasons of pain during insertion of gutta-percha cone not under LA ?? Pain is during insertion and removal of the cone , ...cone is to the full working lenght ,not exceeding not under .All procedures of cleaning,shaping and irrigation is applied ?? Thanks 😊
Mina Moheb sorry for the late reply but I made a video a while ago about pain during obturation. It’s not negative pressure. It’s actually positive pressure but the reason for pain is loss of Pikos’s anesthesia at the last phase of treatment. The difference is between tissue and pulp as anesthesia. Cheers!
The bioceramics are highly soluble although easy to work with.MTA is still the material of choice.
what about calcium hydroxide to control bleeding dr
Hello dr gud morning...i want to know 1..question..i m having..Rootor META..companys....apex locator..bt it always gives reading lk ...up to..5...6..7...wat does dat mean....mean..i m short of d apex...or dere is problem in my technique..plz suggest me.....thanx alot...or dere is any problem..in my apex locator..
@realworldendo Hi Dr. Hope you are well. Can you plz make a video on how to repair a perforation?
It was my last video on Halloween.
Yes I saw it yesterday and it was very well explained but It would be even better if you could demonstrate it as well.
So no rinsing with sterile water or anything like tht after removing the NaOCl pellet? I'd be afraid to leave the bleach in the PDL tissue without removing it. Perhaps some NaOCl does reach the periapical tissues during standard irrigation of canals, but I always believed none of it would actually extrude beyond the Apex when using a proper side vented syringe. Maybe a small amount is OK on the tissue.
NaClO is buffered within 3min of contact with dentin or calcified tissues. It's not a big concern. A bigger concern is if your saline is clean enough. I think anywhere from 1% to 5% NaClO will be safe enough when simply placed under pressure with a cotton pellet. Cheers!
@@AANasseh thank you so much for such a quick answer! The procedure is today and I wasn't planning to hear back so quick. That's awesome
Доктор Али,Вы знаете как хороши закаты в Ки Вест!
Sir please suggest fast setting putty for perforation .
Can we use MTA as putty material in perforation?
Yes, Putty FS is the best option for perforation repair. And yes, MTA can be used too.
@@AANasseh thanks Sir
Sir one more question, Is it necessary to place collagen membrane or something else before placing Putty FS or MTA in perforation?
Come to India on Diwali ... for Great massive fireworks Doc