Yes Dr In such cases it’s best to do pre endo build up This will certainly help you overcome the difficulties of approximating rubber dam sheet distally Hope you got my point 👩⚕️
The pulp tissue was necrosed so it usually comes out as debris when we prepare canals Such is usually seen in chronic cases where pathology has developed and patient has visited asymptotically or with swelling
Very nice question Dr The clamps are of Coltene company. These are colour coded clamps for specific teeth. Yes Dr the bow of every clamp is always distal unless if the tooth is anterior tooth. In this case it’s placed wrongly but since it was an extracted tooth and the placement of bow mesial gave a better view of access for video purpose Hope you got my point doctor
Yes Doctor In fact a very Interesting question Mostly canal location is centralised and in symmetrical position however due to distalization of roots the medial canals are centered and move away distally as roots taper distally Hope you got my point doctor
Yes Dr This follows the law of canal orifices that if there is two canals mesial and lingual on mesial aspect and we have single large distal canal then it would be confined to center in symmetry with ML and MB
@@AtoZKidsdental Generally mesial canals being at mesial side , distal canals being at middle of tooth , am I wrong doctor? Why in this case opposite ?
@@nurturk9112 yes you are absolutely right doctor However in this canal location seems little off location especially mesial canals But that is acceptable as mostly depends on overall tooth anatomy so nothing can be fixed
Hello Doctor Though I have made many videos in pediatric rotary endodontics But will explain you also WE SHOULD NOT USE PROTAPER SYSTEM OR ADULT ROTARY FILES in Primary Teeth because 1. These files were designed for the best cutting efficiency required to prepare canals 2. In primary teeth we don’t require to prepare canal as our main focus is on removal of as much PULP TISSUE as we can (PULP-ECTOMY) 3. Adult rotary files are designed to prepare upto Apex of root but in primary teeth our aim is never to reach and prepare apical third as most of the accessory canals are at the furcation 4. Primary Roots Resorb so we need to just focus as to how effectively and efficiently we remove pulp tissue (CHEMOMECHANICAL PREPARATION) and then fill up roots with resorbable material 5. Primary rotary files are heat treated niti files and will never break even if you curve them sharply ( to safeguard unpredictable movements in children) whereas adult rotary files are liable to fracture 6. Lesser mouth opening gives you good access with pediatric rotary files and leads to extirpation of pulp in shorter time as compared to large sized adult rotary files Don’t worry about any basic questions you can always ask on this channel
Yes but at the same time it’s our responsibility to advice the patient about the Need of Crown and Also mention the same in the Patient Record as you had adviced crown and will be very uselful to you once the patient may return after 4-5 yrs with fractured Tooth
But then everything would have gone even human being operated would have no existence then and science would have failed and only DRILLING and MACHINES would have EXISTED
@@drsaideepu5346 wow doctor really appreciate your understanding of language Yes Distal Caries is quite a challenge and best approach before Access Opening is to excavate and then do PRE ENDO build up
hi sir r u practisng dentist?if yes then what is instant solution to a adult patient or kid who comes in clinic with excrutiating pain swelling due to cavity?how is it fixed instantly ?is there any quick fix for this in modern dentistry so that the patient who comes with pain and tears goes home laughing and happy?
Hi doctor Yes I am practising dental specialist Whenever any patient comes with pain mild or severe The first thing is focus on three things 1. History of pain 2. Clinical findings 3. Radiographic findings As these things together will lead to an Accurate diagnosis whether you need to do restoration, or any soft tissue or endo perio, trauma, endodontics, or need to extract the tooth So pls focus on DIAGNOSIS before giving or asking for any instant solution If as per your point there is excruciating pain due to caries then it must be a case of an acute pulpal inflammation so you will again take all 3 points into consideration and then immediately under LOCAL ANAESTHESIA proceed with Vital pulp therapy eg IPC,DPC Non vital pulp therapy eg pulpotomy,pulpectomy,RCT Hope you got my point Doctor
u should do a complete DEroofing before engaging any files. and using round bur after exploring the canal is very damaging to the sound dentine u should use endoz or ultrasonic for that. But the major mistake u did that u didn't do a complete removal of the pulpal camper roof that's why there is no clean endo map.
Yes Dr whatever you said has already been done itself in the video as well as mentioned in the video You can re see the video Also the dentinal map is clearly visible in the thumbnail itself as also we can visualise the floor of the pulp chamber Hope you got my point doctor
Incredibly satisfying
Thanksgiving always 😇🤘🏻
the fk ? i feel pain watching this
Don’t worry
In clinical case, it’s difficult to apply rubber dam at distal side if the caries is equal or under the gingival margin. Is there any tips?
Yes Dr
In such cases it’s best to do pre endo build up
This will certainly help you overcome the difficulties of approximating rubber dam sheet distally
Hope you got my point 👩⚕️
Thank you Doctor
Thanks for your appreciation
FINISHED HIM!!!
Yes the treatment
Finally First 😲😲
Thanksgiving for being First
why is there no pulp tissue ¿ and great work that was super satisfying
The pulp tissue was necrosed so it usually comes out as debris when we prepare canals
Such is usually seen in chronic cases where pathology has developed and patient has visited asymptotically or with swelling
@@AtoZKidsdental ok thank you 🙏
Your welcome doctor
Excellent
Thanks for your appreciation doctor
Great job dr 👏..my question is..What is the name of clamp used? And is the bow of the clamp located mesially?!🤔
Very nice question Dr
The clamps are of Coltene company. These are colour coded clamps for specific teeth.
Yes Dr the bow of every clamp is always distal unless if the tooth is anterior tooth. In this case it’s placed wrongly but since it was an extracted tooth and the placement of bow mesial gave a better view of access for video purpose
Hope you got my point doctor
@@AtoZKidsdental yes, I got it😃 thank you so much dr 🌹🙏
Your welcome doctor
Mesial canals are centralized. Interesting
Yes
Incredible..... ✍️
Thankyou Dr
Is it necessary to finish with F2..
I guess for mesial canal till F1 is fine.
Yes doctor you are right mostly for the mesial canals or we can appropriately say for the narrow canals of molars we should prepare upto size F1
Why are mesial canals centralized? Sorry if dumb question, I'm heavily interested in canal work
Yes Doctor
In fact a very Interesting question
Mostly canal location is centralised and in symmetrical position however due to distalization of roots the medial canals are centered and move away distally as roots taper distally
Hope you got my point doctor
Amazing work ❤️
Thanks for your appreciation doctor
Can the natural teeth grow back or you wil forever need a filling ?
Natural Teeth do not grow back instead teeth is the only organ in human body that cannot repair itself
So once damaged you need permanent fillling
Is Sx file enough wide to shape the orifice nd make it broader the way GG drill does?please tell me doctor
No Doctor
Sx file is especially designed for coronal third preparation so that we can get glide path
GG drills should be used as an Orifice Opener
Sir, why mb, ml located at center of the tooth and d canal located at nearer to the distal canal
Yes Dr
This follows the law of canal orifices that if there is two canals mesial and lingual on mesial aspect and we have single large distal canal then it would be confined to center in symmetry with ML and MB
but dr the canals are located quite distally ?
Yes Dr location of canals is distal
@@AtoZKidsdental Generally mesial canals being at mesial side , distal canals being at middle of tooth , am I wrong doctor? Why in this case opposite ?
@@nurturk9112 yes you are absolutely right doctor
However in this canal location seems little off location especially mesial canals
But that is acceptable as mostly depends on overall tooth anatomy so nothing can be fixed
Thanks
Your welcome doctor 👩⚕️
Can protaper be used in primary teeth lso? Am a beginner sory for the silly ques
Hello Doctor
Though I have made many videos in pediatric rotary endodontics
But will explain you also
WE SHOULD NOT USE PROTAPER SYSTEM OR ADULT ROTARY FILES in Primary Teeth because
1. These files were designed for the best cutting efficiency required to prepare canals
2. In primary teeth we don’t require to prepare canal as our main focus is on removal of as much PULP TISSUE as we can (PULP-ECTOMY)
3. Adult rotary files are designed to prepare upto Apex of root but in primary teeth our aim is never to reach and prepare apical third as most of the accessory canals are at the furcation
4. Primary Roots Resorb so we need to just focus as to how effectively and efficiently we remove pulp tissue (CHEMOMECHANICAL PREPARATION) and then fill up roots with resorbable material
5. Primary rotary files are heat treated niti files and will never break even if you curve them sharply ( to safeguard unpredictable movements in children) whereas adult rotary files are liable to fracture
6. Lesser mouth opening gives you good access with pediatric rotary files and leads to extirpation of pulp in shorter time as compared to large sized adult rotary files
Don’t worry about any basic questions you can always ask on this channel
Thank you a ton for this elaborate answer 👍
@@siddhijoshi1778 your welcome doctor
No sé si sea la angulación de la cámara, pero nunca vi que baje las limas hasta el tope de goma.
Pls can you write in English Doctor
Tanku sir
Your welcome doctor
Do we have to recommend crowns for these patients?
Yes Doctor
After Root Canal Treatment the tooth is prone to fracture so we should advice crown to patients undergoing root canal treatment
But some patients don't want to bear the cost of a crown.But do we still go with the RCT without the crown ?
Yes but at the same time it’s our responsibility to advice the patient about the Need of Crown and Also mention the same in the Patient Record as you had adviced crown and will be very uselful to you once the patient may return after 4-5 yrs with fractured Tooth
Is it painful?
No this is not painful as this procedure is done by doctor who will numb the tooth nerve before doing the procedure
He should have drilled everything away
But then everything would have gone even human being operated would have no existence then and science would have failed and only DRILLING and MACHINES would have EXISTED
@@AtoZKidsdental good answer 😃
Thanks for your appreciation doctor
Hi sir.
My question is when used the orifice opener or sx, should u use with same working length u took earlier with k files
Hi Dr
Dr orifice opener or enlarger is used to gain glide access and is used till coronal third only not beyond that.
Oky thanks for clarifying Dr i appreciate.
So what about shaping file s1 and s2 and finishing files f1 and f2
Shaping files and finishing files are used up to full working length Dr
Thnx for quick answer thumbs up Dr your videos are so helpful thnx again
Thankyou Dr for your appreciation 😇
Where this place
It’s INDIA
Lindo 🤩
Yeah😁😁
complete the full process abut this teeth
Ok Doctor
You missed working length determination sir
Yes it was done but not shown as this is a simulated demonstration on extracted tooth
Absolutely right in the beginning I know that it is a extracted tooth
Yes
Thanks for your appreciation doctor
ненавижу кариес в дистальной стороне зуба.Спилывается очень много дентина для того чтобы подобратся к пульпе
Hello Doctor
Can you please write in English
@@AtoZKidsdental he said ...he hates caries in distal side of the tooth
@@drsaideepu5346 wow doctor really appreciate your understanding of language
Yes Distal Caries is quite a challenge and best approach before Access Opening is to excavate and then do PRE ENDO build up
hi sir r u practisng dentist?if yes then what is instant solution to a adult patient or kid who comes in clinic with excrutiating pain swelling due to cavity?how is it fixed instantly ?is there any quick fix for this in modern dentistry so that the patient who comes with pain and tears goes home laughing and happy?
Hi doctor
Yes I am practising dental specialist
Whenever any patient comes with pain mild or severe
The first thing is focus on three things
1. History of pain
2. Clinical findings
3. Radiographic findings
As these things together will lead to an Accurate diagnosis whether you need to do restoration, or any soft tissue or endo perio, trauma, endodontics, or need to extract the tooth
So pls focus on DIAGNOSIS before giving or asking for any instant solution
If as per your point there is excruciating pain due to caries then it must be a case of an acute pulpal inflammation so you will again take all 3 points into consideration and then immediately under LOCAL ANAESTHESIA proceed with
Vital pulp therapy eg IPC,DPC
Non vital pulp therapy eg pulpotomy,pulpectomy,RCT
Hope you got my point Doctor
You didnt show the dintine map sir
Yes there is clear dentin map doctor
u should do a complete DEroofing before engaging any files. and using round bur after exploring the canal is very damaging to the sound dentine u should use endoz or ultrasonic for that. But the major mistake u did that u didn't do a complete removal of the pulpal camper roof that's why there is no clean endo map.
Yes Dr whatever you said has already been done itself in the video as well as mentioned in the video
You can re see the video
Also the dentinal map is clearly visible in the thumbnail itself as also we can visualise the floor of the pulp chamber
Hope you got my point doctor
what are you even saying bruh
Yes Doctor
Ivlo sound theva ila it's qt irritating to hear
Ok Doctor will try to reduce the sound
The patient must’ve been in agony before this procedure
Yes Doctor
Nasty, my guess is these patients do not have access to dental coverage, lack of education about good oral hygiene etc.
Yes Mostly
And few are careless too
That’s the real point
Name of bur please
Hi Doctor
It’s ENDO -Z Bur
@@AtoZKidsdental Hi dr.. Where can i get the endo z bur?
Hi Dr
You can get this Endo Z bur from your local Dental Dealer or you may ask for ENDO ACCESS KIT as it may contain the same
C shape canal lol
The dentinal map in this case is unusual and falls apart of regular canal orifice location
Like😍😍😍
Thanks Doctor
Very irritating background music 😤
Ok Doctor will do keep good one from next time