In This video We have used the all new NT PEDO GOLD from NINETEN DENTAL.These are exclusively pediatric rotary files made in EUROPE. The length of files is 18 mm. There are 3 sets of files #15/06 #20/04 #25/04 For more Details pls visit the following ntendo.net/nt-pedo-gold-files/
Great work but I wanna know the difference between metapex and metapaste ..also Im wondering ..as we know caoh is contraindicated in primary teeth isn't ?
Thanks Dr Yes Dr Metapste is calcium hydroxide paste and it also contains barium sulphate which basically enhances its radio opacity can be used as intermittent dressing in long standing infections Metapex is also calcium hydroxide paste but it also contains iodoform which is an antiseptic paste to further enhance its antibacterial properties No Calcium hydroxide is not contraindicated in primary teeth as it has good success rate however yes there is a point that it has a resorption rate greater than root resorption and hence after some time it gets resorbed completely and we may need to redo the root canal procedure again especially if we obturation in younger children of 3-6 yrs age group Hope you got my point doctor
Thanks for your appreciation doctor Pulp canal in primary molars are highly complex and variations are enormous So It’s always better to focus on PULP EXTIRPATION as much as possible and use of variably variable files
Hello Dr.. at first let me say what a splendid job you did right there .. I just wanna ask you about something .. why did you use the rotary files .. according to what I know we used 10-20 k files only and obturate why did you go for the larger file .. and again great great work ❤
Thanks for your appreciation doctor Yes Doctor This is NT GOLD FILE SYSTEM which are exclusive pediatric rotary file for canal preparation So sequential use of #15 k file for initial Negotiations is done and thereafter these rot arry files are used This is current concept of pulpectomy procedure
i never learned that caoh can be used for obturaiton material. i learned that it can be used for intracanal medication in between visits, if there wasn't enough time to complete the RCT. can you explain the difference between metaplex and metapaste, and when is it indicated to use it?
Metapex Is basically calcium hydroxide plus Iodoform paste Calcium hydroxide plus Iodoform paste is a resorbable material and and it’s resorption rate is almost equal to or faster than root resorption and with higher succcess rate so with primary teeth PULP CANAL TREATMENT it is the MATERIAL OF CHOICE as an OBTURATION MATERIAL
Thanx alot for your supporting videos and we hope to do videos about diffrent clincal cases like (how to read x ray ,Operative cases , How to deal with class2 caries,deep caries , pedo restorative materials.......)
Hi sir... Thank you for the wonderful video... Sir can u please tell me what are the handfiles to be used and the order in which they are used, if not using rotary files....
Thank you for the great video doc. May i ask you about the removing caries process. Are you doing it under or without local anasthesia?. And if the caries is not expand to the other pulp chamber, can i just doing the procedure in 1 root canal? Thanks before, i really appreciate that
Thankyou Doctor Yes Dr I used calcium hydroxide plus iodoform paste from iodotin I preferred this due to its consistency and uniform flow Before obturation with either met apex or any syringe based obturation we need to have uniform flow and consistency in order to obtain the desired results. Hope you got my point Doctors
Thanks for your appreciation Doctor Yes the moist cotton pledget during obturation is used to condense the calcium hydroxide plus Iodoform paste which is Basically Oil base and hence water replling so moisture will easily push the material away and condense with twisting pressure Hope you got my point Doctor
But i've got questoin dr.. you measure the w.l but you fill the canal with paste that may get over or under the obtained w.l depending on force of pressure on Iodotin syringe ....why do not use gutta percha file it give more accuracy in entrance to the obtained w.l .....please could explain ??
Yes Dr The roots of deciduous teeth resorb slowly over a period of time so we need to fill with material that also resorbs over period of time so we use calcium hydroxide paste resobable Gutta percha is non resorbable
Hi Dr Thanks for your appreciation. Yes Dr .. whenever we place the syringe tip into canal orifice we gently push the plunger and wait and simultaneously start to withdraw the syringe as an when the material oozes out of canal and thereby we squeeze up the material with the cotton pledget to retain into the canal without sticking it back to the top of the syringe as I have shown in the video..This will work for you too.. Pls try and let me know
@@AtoZKidsdental thanks for your answer dr , This is about not going Calcium hydroxide out coronally I want to know about pushing apically without going out the apical foramen? Sorry to bother you
Yes Dr By this technique and your Working Length up to which you had done your instrumentation limits the material up to that extent... so if you want to control your material then it’s your instrumentation for Working Length
Yes Dr ideally keep your working length 2mm short of apex and then do CMP and finally when you obturate through this technique you would be safe and nothing will go beyond apex
Thanks for your appreciation doctor Yes Dr The material should be resorbable and as per studies calcium hydroxide paste with iodoform has more success rate than ZOE alone for obturation in primary root canals
When to opturate if there is abscess and small gingval polyp .. If 2 visit did you prescribe antibiotics in-between or put any intercanal medicament or just cotton and temporal filling ?
Nice work Dr. I really don't know why some people are asking about use of gutta percha in primary tooth. Is it that way in some parts of the world or I studied wrong?
Thanks for your appreciation doctor Yes doctor this is because PEDIATRIC DENTISTRY was not taught in this way and was neglected It has been recognised as speciality very late so anything related to primary teeth was looked alike permanent teeth and were taught and treated in the same way Pediatric Dentistry is now more Revolutionized and Especially Modern Pediatric dentistry
Thanks for your appreciation doctor Yes Doctor you can use ZOE however there are various ways 1) using lentulospiral 2)using endodontic pressure syringe 3) using plugger
Splendid job ....keep going ...but i want you to maximize the size of the writing that appear while filming ....could you please make video about pulpotomy ...& how can i find canals in permanent upper1st molar if only 2 canals appear what kind of burs or files or technic can i use to find other canals ...i will appreciate your reply ...thanks in advance ...god pless you ...
Yes Thanks for your appreciation doctor 👩⚕️ I will do pulpotomy video soon If you are unable to locate canal orifices there are three approaches 1. Use law of LOCATION OF CANAL ORIFICES 2. Use DG 16 probe 3. Use of ultrasonic tips
@@AtoZKidsdental but what do you mean by piont 1& 3 ?? and what do you mean by DG probe ?? What do you prefere as antiseptic solution to be used between visits ( formalin or cmcb ) or what your suggestion in this regard in case of small abscess in apex ?? Thanks in advance ....
As you see and insert different files into different canals you will be able t recognise doctor Yes Doctor you can use EAL in primary teeth but due it may not give accurate readings in resorted roots due to apex widely resorbed and open
Don’t worry Doctor Now you need to do two things 1. Follow up the patient as due to extrusion there might be an inflammatory reaction resulting in PAIN which will last 2-3 days so advice analgesics 2. As metapex is basically a calcium hydroxide paste so it will resorb faster so you need to recall patient in one month interval for 3 months and evaluate in X-ray as it will resorb or show signs of resorption
@@AtoZKidsdental in 7 years old patient , I will use it for lower D .. Will last until the premolar erupt !! Can I have your advice doctor in this case !!
@@marinarefaat9119Dr it has a faster resorption rate than root resorption so mostly in 3-5yrs age group it doesn’t last until exfoliation but yes in 6-9yrs age group it lasts until exfoliation so you can go ahead safely
Yes Doctor you are absolutely right Since apex in primary roots is open mostly due to resorbing nature so EAL me provide false reading and hence it’s better to correlate with RADIOGRAPH and just concentrate on removal of pulp rather than reaching apex of roots in primary tooth PULPECTOMY Hope you got my point doctor
@@AtoZKidsdental Aha, so initially you recommend we get an idea of the WL via the radiograph measurements (from each root until the cusp height), then take initial radiograph & even if it were inaccurate or not exact .. we start with rotary files but as u said try not to reach the apical area as we would with perm. and just clean pulp as far as we can w/o reaching apex or damaging the tooth underneath it & obturate. Is that the correct way? Because I haven’t gotten a primary tooth pulpectomy case yet, so i wanted to be prepared just in case i get one then i know what to do then. And thanks for your informative video, i enjoyed it a lot.
Yes Doctors absolutely As our sim is never APEX in primary roots instead our aim is to remove as much pulp as possible due to highly complex pulp canal anatomy of primary roots Hope you got my point doctor
As the name suggest we perform CHEMOMECHANICAL PREPARATION In primary roots meaning that with irrigants doing the majority work and not Biomechanical preparation as in permanent tooth where we focus on apical pulp and apical preparation
No Dr As we don’t need to concentrate on apex of roots in primary teeth and we usually keep it short of 2 mm so that nothing is uotoythe level of developing tooth bud Hope you got my point doctor
Hi I understand sealant is set after 48 hrs. How do u proceed with core buildup. Will u do it immediately with gic. If i want to do with lightcure can I place gic lining and proceed immediately or should I recall the patient
Hi doctor As in primary teeth the roots resorb over a period of time and permanent teeth erupts following this physiological process So we need to fill primary roots with resorbable material
Yes Doctor Moist cotton pledget will help in condensation of cal hydroxide paste which is oil based so due to repellency the moist cotton will push the paste inside the canal from orifice
There are few points for ZOE 1) it has slow resorption 2) if overobturated it acts as foreign body and may lead to enamel hypoplasia of permanent tooth bud 3) uniform consistency difficult 4) difficult to introduce in canal 5) non antiseptic
Sir 9 year old child 65 tooth. M pulpotomy karni h Canal m calcium hydroxide insert kar sakte h kya Idoform vagera h nhi Sir plz advise kese kare Because my first patients
Hi Dr. thank you for the amazing video. May I know how do you manage young pediatric patient undergoing pulpectomy procedure as it requires LA, rubber dam and the subsequent somewhat extensive pulpectomy preparation for a child?
Yes Dr Thanks for your appreciation As per the child’s cooperation i have segregated the treatment into 3 different categories 1. Child below 4 yrs of age--in parents lap and usually with mouth prop and suction to gain isolation and procedure in one tooth in single or at most two sittings 2. Child above 5 yrs to 8 yrs - building friendly relation with child to gain his or her cooperation and treatment is done taking care of child in understanding the ongoing things(may it take multiple sitting) Preferred RUBBER DAM in almost all cases 3. Child 9-14 yrs - Gaining Total Support and friendly Relation with child and explain good and bad about teeth Procedure under rubber dam
Sir, What is cotton pledget and how we use it ? Is it for apex i mean we leave it in apex prevent of medicament? Or is it just for opening Canal? Thank you
Oh ok Dr Then As we know that primary teeth roots tends to resorb over a period of time and so we should always fill the root canals with same obturation material which tends to resorb at same rate as roots resorb
Why you put clamp in wrong direction, the arch going to view distal, and you dont not to use the sponge to clean the rotatory sistem.. Thats not higienic....
Yes Dr .. you have highlighted very correctly about clamp to be distal.. I will pin up your comment to top.. yes the files are every time cleaned up with sponge ( ENDOWRIST)but I didn’t show in video.. in latest videos I have shown how to clean files with sponge. This is a SIMULATED DEMONSTRATION
just watch the damn video everyone is looking at the rotary files you look at the clamp. Its an extracted tooth you dumb ass. Fuck i hate these Rubber dam police as if they have worked their entire life with the Saudi prices son.
In This video We have used the all new NT PEDO GOLD from NINETEN DENTAL.These are exclusively pediatric rotary files made in EUROPE. The length of files is 18 mm.
There are 3 sets of files
#15/06
#20/04
#25/04
For more Details pls visit the following ntendo.net/nt-pedo-gold-files/
amazing work and information
Thankyou so much Dr Rose
Don’t do
Can we use caoH with barium sulphate instead of iodoform
Yea Dr
However the role of Barium Sulphate is only producing OPACITY
and Idodoform has an additional ANTISEPTIC role
Very nice illustration and beautiful explanation doc👌👌
Thankyou
Very informative 👏🏻 Thank you
Thanks for your appreciation doctor
Amazing job Dr 👏👏
Thankyou so much Dr
Great work but I wanna know the difference between metapex and metapaste ..also Im wondering ..as we know caoh is contraindicated in primary teeth isn't ?
Thanks Dr
Yes Dr
Metapste is calcium hydroxide paste and it also contains barium sulphate which basically enhances its radio opacity can be used as intermittent dressing in long standing infections
Metapex is also calcium hydroxide paste but it also contains iodoform which is an antiseptic paste to further enhance its antibacterial properties
No Calcium hydroxide is not contraindicated in primary teeth as it has good success rate however yes there is a point that it has a resorption rate greater than root resorption and hence after some time it gets resorbed completely and we may need to redo the root canal procedure again especially if we obturation in younger children of 3-6 yrs age group
Hope you got my point doctor
Thank you from Yemen
Your welcome Dr
Nice presentation video demonstrate access opening decidious mandibular molar. I expect deciduous maxillary molar tooth.
Thankyou for your appreciation Doctor..
Yes Dr will do
@@AtoZKidsdental I think mandibular molar because presence of 2 mesial canals and 1 distal canal(C shaped).Is'nt it Ato Z?
Yes Dr there is large distal canal which splits into two (db and dl) at apical third.. more clearly seen in post obturation iopa at the end of video
Appreciate your excellence and how often can we expect lateral canals in deciduous teeth.
Thanks for your appreciation doctor
Pulp canal in primary molars are highly complex and variations are enormous
So It’s always better to focus on PULP EXTIRPATION as much as possible and use of variably variable files
Hello Dr.. at first let me say what a splendid job you did right there .. I just wanna ask you about something .. why did you use the rotary files .. according to what I know we used 10-20 k files only and obturate why did you go for the larger file .. and again great great work ❤
Thanks for your appreciation doctor
Yes Doctor
This is NT GOLD FILE SYSTEM which are exclusive pediatric rotary file for canal preparation
So sequential use of #15 k file for initial Negotiations is done and thereafter these rot arry files are used
This is current concept of pulpectomy procedure
@@AtoZKidsdental Next benefit they accommodate obturation material well
Yes Doctor
2:57
@@Real_Deal86 at 2:57 what doctor
i never learned that caoh can be used for obturaiton material. i learned that it can be used for intracanal medication in between visits, if there wasn't enough time to complete the RCT. can you explain the difference between metaplex and metapaste, and when is it indicated to use it?
Metapex Is basically calcium hydroxide plus Iodoform paste
Calcium hydroxide plus Iodoform paste is a resorbable material and and it’s resorption rate is almost equal to or faster than root resorption and with higher succcess rate so with primary teeth PULP CANAL TREATMENT it is the MATERIAL OF CHOICE as an OBTURATION MATERIAL
Great work ❤
But what about calcium hydroxide isn’t it contraindicated in primary teeth ?
It is calcium hydroxide With iodoform for pedo
In Brazil, we use gutta percha with MTA
Yes Dr that’s true
But tooth over here is primary tooth so we use resorbable material
@@AtoZKidsdental ooo great!! I didnt see "kidsdental" before... I like to use zinc oxide and eugenol... Great job doc!
Thanks for your appreciation doctor
I must be the only one who wanted to hit up a techno club after this
Why dr
@@AtoZKidsdental Because when that beat dropped I couldn't stop bobbing my head throughout the whole video lol
Hahaha that was 😂
@@AtoZKidsdental Great video nonetheless good sir 🤙
Thankyou so much Doctor 👨⚕️
You should remove all caries first before you access the pulp chamber to reduce the bacterial load
Yes Dr it’s and important point
We should Remove All caries before entering into pulp chamber
Thankyou for your enlightenment
Good job
Thanks Doctor
Amazing work Sir !!!
Thanks for your appreciation doctor
Thanx alot for your supporting videos and we hope to do videos about diffrent clincal cases like (how to read x ray ,Operative cases , How to deal with class2 caries,deep caries , pedo restorative materials.......)
Great Doctor...yes doctor will do it soon..Thanks for your valuable suggestions
Very excellent RCT ,respect! However, isn’t the RD clamp’s wing should be at the distal side?
Yea Doctor
You are absolutely right
Great❤
Thanks for your appreciation Doctor
Hi sir... Thank you for the wonderful video... Sir can u please tell me what are the handfiles to be used and the order in which they are used, if not using rotary files....
Yes doctor
For complete rct training you can join this channel
Thank you for the great video doc. May i ask you about the removing caries process. Are you doing it under or without local anasthesia?. And if the caries is not expand to the other pulp chamber, can i just doing the procedure in 1 root canal?
Thanks before, i really appreciate that
Yes and yes
Thanks for your appreciation Doctor
Anything beyond Enamel needs to be performed under local anaesthesia
Great
Thanks for your appreciation doctor 👨⚕️
Perfection 🥰
Thankyou so much Dr
Amazing work 👏 but why did you use metapaste as obturating material instead of metapex ??
Thankyou Doctor
Yes Dr I used calcium hydroxide plus iodoform paste from iodotin
I preferred this due to its consistency and uniform flow
Before obturation with either met apex or any syringe based obturation we need to have uniform flow and consistency in order to obtain the desired results.
Hope you got my point Doctors
@@AtoZKidsdental Am i right ?
Metapex is CaOH with iodoform &
Metapaste is CaOH without iodoform !!!
Yes Dr you are very correct
After we flow the paste in the canal , can we directly restore with composite if we want ,or we give a temporary filling ?
When you cleaned the chamber from the excess of obturation material, was the cotton pellet wet? Thanks
Yea Doctor it was moist
hai doctor! thankyou for this amazing video, i was curious what is moist cotton pellet? do we use aquadest for it? thankyou so much doctor
Thanks for your appreciation Doctor
Yes the moist cotton pledget during obturation is used to condense the calcium hydroxide plus Iodoform paste which is Basically Oil base and hence water replling so moisture will easily push the material away and condense with twisting pressure
Hope you got my point Doctor
But i've got questoin dr.. you measure the w.l but you fill the canal with paste that may get over or under the obtained w.l depending on force of pressure on Iodotin syringe ....why do not use gutta percha file it give more accuracy in entrance to the obtained w.l .....please could explain ??
Yes Dr
The roots of deciduous teeth resorb slowly over a period of time so we need to fill with material that also resorbs over period of time so we use calcium hydroxide paste resobable
Gutta percha is non resorbable
@@AtoZKidsdental amazing answer...now i got it ...
Your welcome doctor
Excellent
Thanks for your appreciation doctor
Amazing video ,
How you can sure that Calcium not going out apex?
Hi Dr Thanks for your appreciation.
Yes Dr .. whenever we place the syringe tip into canal orifice we gently push the plunger and wait and simultaneously start to withdraw the syringe as an when the material oozes out of canal and thereby we squeeze up the material with the cotton pledget to retain into the canal without sticking it back to the top of the syringe as I have shown in the video..This will work for you too.. Pls try and let me know
@@AtoZKidsdental thanks for your answer dr ,
This is about not going Calcium hydroxide out coronally
I want to know about pushing apically without going out the apical foramen?
Sorry to bother you
Yes Dr
By this technique and your Working Length up to which you had done your instrumentation limits the material up to that extent... so if you want to control your material then it’s your instrumentation for Working Length
@@AtoZKidsdental thanks dr
This mean no apical violation 😬 by instrumentation
Yes Dr ideally keep your working length 2mm short of apex and then do CMP and finally when you obturate through this technique you would be safe and nothing will go beyond apex
amazing👏👏
why did you open the access before removing the caries
Thankyou Dr
Yes Dr I opened access simultaneously removed all caries
Thanks dr
Your welcome Doctor 👨⚕️
Thanku so much Dr...well explained..can metapaste be used for obturation in primary teeth?
Thanks for your appreciation doctor
Yes Dr
The material should be resorbable and as per studies calcium hydroxide paste with iodoform has more success rate than ZOE alone for obturation in primary root canals
When to opturate if there is abscess and small gingval polyp .. If 2 visit did you prescribe antibiotics in-between or put any intercanal medicament or just cotton and temporal filling ?
Nice work Dr. I really don't know why some people are asking about use of gutta percha in primary tooth. Is it that way in some parts of the world or I studied wrong?
Thanks for your appreciation doctor
Yes doctor this is because PEDIATRIC DENTISTRY was not taught in this way and was neglected
It has been recognised as speciality very late so anything related to primary teeth was looked alike permanent teeth and were taught and treated in the same way
Pediatric Dentistry is now more Revolutionized and Especially Modern Pediatric dentistry
Bcz in pathway book said if pediatric teeth in adult must be obturated with gutta cone as long apical seal!
Yes. doctor
Amazing work dr but if I did not have this restorable material and I just have zinc oxide what the technic to put the ZOE in the canals ?? Plz tell me
Thanks for your appreciation doctor
Yes Doctor you can use ZOE however there are various ways
1) using lentulospiral
2)using endodontic pressure syringe
3) using plugger
@@AtoZKidsdental 👍🏻👍🏻
😃
Splendid job ....keep going ...but i want you to maximize the size of the writing that appear while filming ....could you please make video about pulpotomy ...& how can i find canals in permanent upper1st molar if only 2 canals appear what kind of burs or files or technic can i use to find other canals ...i will appreciate your reply ...thanks in advance ...god pless you ...
Yes Thanks for your appreciation doctor 👩⚕️
I will do pulpotomy video soon
If you are unable to locate canal orifices there are three approaches
1. Use law of LOCATION OF CANAL ORIFICES
2. Use DG 16 probe
3. Use of ultrasonic tips
@@AtoZKidsdental but what do you mean by piont 1& 3 ?? and what do you mean by DG probe ?? What do you prefere as antiseptic solution to be used between visits ( formalin or cmcb ) or what your suggestion in this regard in case of small abscess in apex ?? Thanks in advance ....
Yes Dr
Point one is a law of canal orifice and symmetry of canal location
Point three is dg 16 probe especially designed for canal orifice exploration
Why u use cal hydroxide in canal filling of pulpectomy??
Because it’s resorbable and rate of resorbing is greater than or equal to root resorption in primary teeth
Thank u smch doctor
Your welcome doctor
Sir distal canal was c - shaped right?
Yes Dr
Ya but distobuccal and dosto lingual?
It’s a single continuous canal
Thank you doc
Is medication(caoh2)necessary for an endo trt in primary tooth with abcess or cellulite, or not?
It’s better to go for LSTR
go with TAP and then if pathological state improves crown it
Sir if the patient cant afford LSTR OR TAP... CAN U SUGGEST a simple method to control the abscess with CaOH2
How do you tell which canal is which using this WL x-ray ? also ,can i use apex locator in pediatric teeth ?
As you see and insert different files into different canals you will be able t recognise doctor
Yes Doctor you can use EAL in primary teeth but due it may not give accurate readings in resorted roots due to apex widely resorbed and open
super👏👏👏 Danke schön
Thanks for your appreciation Dr
brother do you have telegram chanel or Account?
Instagram
Is this a painful procedure?
No Doctor
This is done under local Anesthesia so you won’t feel pain and after treatment doctor advices analgesics to relieve pain
is that a necrotic c shaped canal in the distal?
Yes Doctor
In Primary Molar
What should I do if metapex pass the apex !!
Don’t worry Doctor
Now you need to do two things
1. Follow up the patient as due to extrusion there might be an inflammatory reaction resulting in PAIN which will last 2-3 days so advice analgesics
2. As metapex is basically a calcium hydroxide paste so it will resorb faster so you need to recall patient in one month interval for 3 months and evaluate in X-ray as it will resorb or show signs of resorption
@@AtoZKidsdental in 7 years old patient , I will use it for lower D ..
Will last until the premolar erupt !!
Can I have your advice doctor in this case !!
@@marinarefaat9119Dr it has a faster resorption rate than root resorption so mostly in 3-5yrs age group it doesn’t last until exfoliation but yes in 6-9yrs age group it lasts until exfoliation so you can go ahead safely
@@AtoZKidsdental thank you very much doctor for your help 🙏🏻🙏🏻💕
Your welcome doctor 👩⚕️
Thank you soo much
Your welcome Doctor
Do we have to take WL? And how do u determine it, bcz wouldn’t an apex locator be a bit inaccurate in primary teeth in comparison to permanent?
Yes Doctor you are absolutely right
Since apex in primary roots is open mostly due to resorbing nature so EAL me provide false reading and hence it’s better to correlate with RADIOGRAPH
and just concentrate on removal of pulp rather than reaching apex of roots in primary tooth PULPECTOMY
Hope you got my point doctor
@@AtoZKidsdental Aha, so initially you recommend we get an idea of the WL via the radiograph measurements (from each root until the cusp height), then take initial radiograph & even if it were inaccurate or not exact .. we start with rotary files but as u said try not to reach the apical area as we would with perm. and just clean pulp as far as we can w/o reaching apex or damaging the tooth underneath it & obturate. Is that the correct way?
Because I haven’t gotten a primary tooth pulpectomy case yet, so i wanted to be prepared just in case i get one then i know what to do then.
And thanks for your informative video, i enjoyed it a lot.
Yes Doctors absolutely
As our sim is never APEX in primary roots instead our aim is to remove as much pulp as possible due to highly complex pulp canal anatomy of primary roots
Hope you got my point doctor
As the name suggest we perform CHEMOMECHANICAL PREPARATION In primary roots meaning that with irrigants doing the majority work
and not Biomechanical preparation as in permanent tooth where we focus on apical pulp and apical preparation
@@AtoZKidsdental got it, thanks a lot Doc 🙏🏼
Weren’t the working lengths under prepared?
No Dr
As we don’t need to concentrate on apex of roots in primary teeth and we usually keep it short of 2 mm so that nothing is uotoythe level of developing tooth bud
Hope you got my point doctor
Que material usa para obturar definitivo el conducto?
Hello Dr
Can you pls write in English Doctor
Hi I understand sealant is set after 48 hrs. How do u proceed with core buildup. Will u do it immediately with gic. If i want to do with lightcure can I place gic lining and proceed immediately or should I recall the patient
You can proceed immediately doctor
So I should use gic lining followed by lightcure etching bonding and stuff. As such etchant will leak into the canals right
@@Chitti198 yes this is called as SANDWICH TECHNIQUE
Ok thankyou for the fast reply
@@Chitti198 your welcome doctor
Nice vdo.. To ask case related doubts where n how to contact you?
Why do not used guttapecha??? Many thank!
Hi doctor
As in primary teeth the roots resorb over a period of time and permanent teeth erupts following this physiological process
So we need to fill primary roots with resorbable material
Sir 15.06 file have to be used till Apex or it is orifice opener?
Yes Doctor 15/06 file is to be used as an orifice opener or maximum upto 1/3 rd Coronal aspect of root
Hey dr do we measure working length in pulpectomy?
Yes Dr
There are two methods
1) WL with Endodontic Files and taking IOPA
2) EAL
@@AtoZKidsdental
What is iopa and Eal ?!!
Iopa is intraoral radiography of single or set of three teeth
Eal is electronic apex locator
Can i do pulpectomy using manual protaper?
Yes Doctor
Only thing is how effectively you remove pulp tissue
@@AtoZKidsdental thank you dr for replying
Your welcome Doctor
what is moist cotton pledget used for
Yes Doctor
Moist cotton pledget will help in condensation of cal hydroxide paste which is oil based so due to repellency the moist cotton will push the paste inside the canal from orifice
Annoying music. Sound during preparation would have been better.
Ok Dr
Will keep this in mind
Thankyou for your valuable suggestions 🙏🏻
hi sir, you used calcium hydroxide paste! but its not resorbable into the canal., never never use calcium hydroxide for pulpectomy,
Hello Doctor
Calcium hydroxide is a resorbable material doctor
Why you don't use ZOE?
There are few points for ZOE
1) it has slow resorption
2) if overobturated it acts as foreign body and may lead to enamel hypoplasia of permanent tooth bud
3) uniform consistency difficult
4) difficult to introduce in canal
5) non antiseptic
Sir 9 year old child 65 tooth. M pulpotomy karni h
Canal m calcium hydroxide insert kar sakte h kya
Idoform vagera h nhi
Sir plz advise kese kare
Because my first patients
For Pulpotomy
MTA or Biodentin should be used as per latest protocol
MTA Is considered as GOLD STANDARD in PULPOTOMY
Canais são por dentro da raíz do dente?
Pls can you write in English Doctor
Hi Dr. thank you for the amazing video. May I know how do you manage young pediatric patient undergoing pulpectomy procedure as it requires LA, rubber dam and the subsequent somewhat extensive pulpectomy preparation for a child?
Yes Dr
Thanks for your appreciation
As per the child’s cooperation i have segregated the treatment into 3 different categories
1. Child below 4 yrs of age--in parents lap and usually with mouth prop and suction to gain isolation and procedure in one tooth in single or at most two sittings
2. Child above 5 yrs to 8 yrs - building friendly relation with child to gain his or her cooperation and treatment is done taking care of child in understanding the ongoing things(may it take multiple sitting)
Preferred RUBBER DAM in almost all cases
3. Child 9-14 yrs - Gaining Total Support and friendly Relation with child and explain good and bad about teeth
Procedure under rubber dam
What is the finial restoration
Final restoration is Gic followed by SSC
@@AtoZKidsdental
What's SSC
SSC is STAINLESS STEEL CROWN
Sir, What is cotton pledget and how we use it ? Is it for apex i mean we leave it in apex prevent of medicament? Or is it just for opening Canal? Thank you
Hi doctor
Cotton pledget is small moist cotton equal to size of canal orifice
It is used to condense obturation material at the canal orifice
Irrigation by what? Thank you
Irrigation by saline/1% sodium hypochlorite/1% CHX
Thanks
Thanks for your appreciation doctor
Rct pains too much 😫😖😖
No it’s the tooth and the nerve are Anesthesied by your doctors so don’t worry it’s only done to save your natural tooth
@@AtoZKidsdental ok
Yes You will be fine
Doutor Prof. - PERTHER - inscrita no Canal-Gostei You Tube on line Aprendendo e pesquisando. .
- HORTÊNCIA DO NASCIMENTO SANTOS
Hi Dr
Can you pls writin English Doctor
Sir we can use this method in parmanent tooth
And
calplus with gp
Or
ZOE With gp
Which one is better in obturation of parmanent tooth
What irrigant do you use for pedo patient. Hypochlorite in conjunction with EDTA 17 percent or any other
For Pedo Primary Molars
1)Normal Sabine
2)Sodium Hypochlorite 1%
3)CHX 1%
4)EDTA 15-17%
Thanks for the reply. We normally use 3 percent hypochlorite for adult . Do we dilute it or 1 Percent is available in India
Yes As Per AAPD GUIDELINES
and mentioned in the PEDIATRIC ENDODONTICS by ANNA FUKS the recommendation for NAOCL is 1%
I was going to make a joke about the “pedo file”, buuuuuut.....nah.
Yes the pedo files are really a great invention especially in small mouth opening
I dont under stand why you did not but the catapercha in root canal
Hi Dr
Can you pls elaborate the role of CATAPERCHA
I think she meant gutta percha 😅
Oh ok Dr
Then As we know that primary teeth roots tends to resorb over a period of time and so we should always fill the root canals with same obturation material which tends to resorb at same rate as roots resorb
thankyou
Your welcome doctor
_Save that tooth !_ 💰
Yes Dr
Thanks
then extract after 1 yr😂
مش بيقع تانى ولا مش بيحطلو مسمار
Pls write in English doctor
Your Honor, it will not happen again
If you know HINDI also ,, you can ask pls
Your Honor is not falling or fixed
@@mohamedosman3365 Thankyou so much Doctor 👨⚕️
camera is making me sick. It focuses and re-focuses from the beginning until the end. It will bring you headache 🙁
Sorry Dr
And thanks for your suggestions I will improvise on this aspect
Deal with it.
Thanks Doctor
Watch with no volume. #killthemusic lol
Ok Doctor will keep it good from now
Why you put clamp in wrong direction, the arch going to view distal, and you dont not to use the sponge to clean the rotatory sistem.. Thats not higienic....
Yes Dr .. you have highlighted very correctly about clamp to be distal.. I will pin up your comment to top..
yes the files are every time cleaned up with sponge ( ENDOWRIST)but I didn’t show in video.. in latest videos I have shown how to clean files with sponge.
This is a SIMULATED DEMONSTRATION
just watch the damn video everyone is looking at the rotary files you look at the clamp. Its an extracted tooth you dumb ass. Fuck i hate these Rubber dam police as if they have worked their entire life with the Saudi prices son.
Nossa
Nosaa means doctor
это пи..ц, фильм ужасов!
уже дрель используют, представляю ощущения этого пациента 😱😱😱😱😱😱😱
пожалуй думаю он уже мертв.
Pls can you write in English Doctor
The song is annoying
Sorry for the song
Will keep up with your valuable suggestions next time Doctor
Cómo se llama la rola
Can you pls write in English Doctor
@@AtoZKidsdental what's is the soundtrack
@@larockola3271 did you like this soundtrack
Did you like this soundtrack
Annoying music.
Ohh sorry doctor
Thanks