+Mohammed Khattari The treatment was completed in a single visit. Dr. Fleury completed the endo in the first visit; but he was trying to say that he used obturation with GP and BC Sealer instead of doing Ca(OH)2 tx. He did a single visit endo. He placed a non bonded composite but the patient didn't replace the composite in the access with a fully bonded coronal restoration.
+freeduckie Dr. Fleury completed the case in a single visit using BC Sealer. He completed his cleaning and shaping in the standard fashion. Whereas he would be placing Ca(OH)2 and do it in two visits normally he completed the obturation the same visit using BC Sealer. Therefore, he did full cleaning shaping and irrigation prior to final obturation with BC Sealer. BC Sealer is not a short cut for inadequate instrumentation.
+RealWorld Endo Dr. Fleury says 3:50 that he is using only the BC sealer as a substitute for Ca(OH)2 as an INTERIM tx for an emergency apt. My impression of this case example was to illustrate that the BC sealer alone is a possible alternative to Ca(OH)2 in emergency endodontics. However it seems that I am mistaken.
+freeduckie Yes. I'm afraid what he said can be misinterpreted that way. That is not what he meant, however. He was trying to say that while we always did Ca(OH)2 tx. in these cases, because BC Sealer has Ca(OH)2 in it and is a permanent cement, we might as well obturate in a single visit. That's what he meant. You can not use BC Sealer as an interim Ca(OH)2 tx. because it will set hard and won't be removable during the second appointment!! We hope no one else will make that interpretation.
+RealWorld Endo Thank you for that clarification! As a video suggestion, can you discuss steps and techniques in retreating root canals previously treated by bioceramics? I believe a lot of clinicians are concerned about the retreatment of these teeth.
+freeduckie There will be more. But there's an old two part series which I don't know if you've seen or not. Here's part I: ua-cam.com/video/FlesEwh3-1M/v-deo.html Cheers!
Great video. However, I have to disagree with the statement that the "lesion is completely gone" in the first case. We can clearly see a radiographic finding compatible with incomplete healing. In addition, a 3D image would show that it id NOT completely gone... Nevertheless, I enjoyed the presentation and the cases.
Great video. Thanks doc. Why didn't you complete the treatment when she first came back?
+Mohammed Khattari The treatment was completed in a single visit. Dr. Fleury completed the endo in the first visit; but he was trying to say that he used obturation with GP and BC Sealer instead of doing Ca(OH)2 tx. He did a single visit endo. He placed a non bonded composite but the patient didn't replace the composite in the access with a fully bonded coronal restoration.
Result would be the same if you do since visit endo with an epoxy resin.
What if the patient's symptoms got worse? Could you now open the tooth for drainage?
good presentation thanks for sharing
#bioglass 45s5!#bioactive #glass and glass-#ceramic fundamentals & applications! #biocera #material!
ua-cam.com/video/8NkwJG4tyuQ/v-deo.html
Wondering the same thing.. Also, did you debride and shape the canals prior to the sealer's placement?
+freeduckie Dr. Fleury completed the case in a single visit using BC Sealer. He completed his cleaning and shaping in the standard fashion. Whereas he would be placing Ca(OH)2 and do it in two visits normally he completed the obturation the same visit using BC Sealer. Therefore, he did full cleaning shaping and irrigation prior to final obturation with BC Sealer. BC Sealer is not a short cut for inadequate instrumentation.
+RealWorld Endo Dr. Fleury says 3:50 that he is using only the BC sealer as a substitute for Ca(OH)2 as an INTERIM tx for an emergency apt. My impression of this case example was to illustrate that the BC sealer alone is a possible alternative to Ca(OH)2 in emergency endodontics. However it seems that I am mistaken.
+freeduckie Yes. I'm afraid what he said can be misinterpreted that way. That is not what he meant, however. He was trying to say that while we always did Ca(OH)2 tx. in these cases, because BC Sealer has Ca(OH)2 in it and is a permanent cement, we might as well obturate in a single visit. That's what he meant. You can not use BC Sealer as an interim Ca(OH)2 tx. because it will set hard and won't be removable during the second appointment!! We hope no one else will make that interpretation.
+RealWorld Endo Thank you for that clarification! As a video suggestion, can you discuss steps and techniques in retreating root canals previously treated by bioceramics? I believe a lot of clinicians are concerned about the retreatment of these teeth.
+freeduckie There will be more. But there's an old two part series which I don't know if you've seen or not. Here's part I: ua-cam.com/video/FlesEwh3-1M/v-deo.html
Cheers!
Doctor what is your views about using MTA FILLAPEX ROOT CANAL SEALER BIO CERAMIC SEALER ?
Bekbaas
MTA fill apex is a salicylate resin based sealer not bio ceramic sealer bec it only contains 15% of MTA powder ,, it is mainly resin
Great video. However, I have to disagree with the statement that the "lesion is completely gone" in the first case. We can clearly see a radiographic finding compatible with incomplete healing. In addition, a 3D image would show that it id NOT completely gone... Nevertheless, I enjoyed the presentation and the cases.