Case Discussion 11 - Replacing an Old Bridge
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- Опубліковано 29 вер 2024
- Always plan in depth before starting a case so you know exactly what needs to be done to execute the plan. It will also greatly help you in explaining to the patient why you’re doing what you are and that leads to patient satisfaction and trust.
Please Note:
According to updated literature, RCT of healthy abutments is never recommended as that reduces the lifespan of the tooth. However there are some exceptions to this rule.
RCTs in this case was done for two reasons,
1) Extreme Hypersensitivity of Abutments (even air and not responding to other treatments)
2) Substantial Bone loss around Abutments.
If you do such a case and the teeth appear to be healthy clinically and on the X-ray, no need for Root canal treatments on abutment teeth :)
If this has helped you, please do let me know in the comments section, subscribe and share ahead :)
Amazing dr faizan. I absolutely love watching your case discussions. Please keep making more videos like this. Also i have a request please make video/s on reading a CBCT.
Thank you, I will
I am re-learning dentistry after a gap of 5 years and 2 kids. You have no idea how helpful your content is. Please keep making these case discussions and treatment planning.
your comment made my day! most welcome and best of luck!
Kahn hoty hain ye dr??
same here, re-learning after 5 yrs gap. Love these videos!!
Sir I am looking y r video from uk .sir you explain this problum profanaliy .this count experience. Perfectly explain..thanks and heats off to u
Sir Amazing Video 😊 please keep making these cases videoa
Thank you, I will! Another case discussion coming in 2 hours :D
Dr,why dont you place implants
Because of diabetic pt?
I don't place in Implants in uncontrolled Diabetes.
Ap ka hospital Kaha par he
How i discusss my case
I practice at Vanguard Dental Clinics, Karachi. 03202021925 for appointments.
❤❤❤❤❤
❤️
Bi ap pakistan kune c city sa haya
Karachi
السلام علیکم ڈاکٹر صاحب میں نے یہاں راولپنڈی میں سکیلنگ کروائی تھی میرے دانت پیلے ہو گئے تھے بالکل سا ویسے بالکل صاف ہیں لیکن صرف پیلے ہو گئے تھے سکیلنگ کرانے سے بھی ٹھیک نہیں گئے پیلا پن نہیں گیا ان کا
Assalamualaikum sir I m from Jammu and Kashmir
I m 20
My 3 teeth are extracted 1 canine and 2 incisor of upper left jaw....
I got a bridge which involved 2 more teeth from either side....
Now there is a big gap behind this bridge my lips tissue lost bridge is not aligned as natural teeth ....I m underconfident and so depressed....😢😢😢😢🥹🥹🥹I can't smile...even my lips shape changed....
I feel sucidal thoughts 😢😢😢
Now if I will go for implants that 2 supportive teeth will also be extracted......what should I do now please tell🥹🥹🥹🥹🥹🥹
Your hospital address?
Dr Faizan, your videos are really informative, thanks for your language selection. I am a punjabi Indian dentist. In my free time or while cooking i watch your videos, it seems like someone is sitting beside and telling me the ethics of being a practitioner. Much respect and regards. Love from India 🇮🇳
What a genuine comment. Thankyou for watching and for the kind words :) best of luck to you! Love from Pakistan!
Vegetation meaning
Assalamualaikum sir plese help me for the sake of Allah
Assalam o Alaikum sir mry lower teeth m left side pa almost 3 months sy hard blister abscess se bna ha thk ni ho rha bth hard ha sometimes km hta but khtm ni hta bar bar aa jata....kia ya dangerous ho skta ...kia ya lump bna skta bth hard h i think pus ha....plz guide me ....
Blister painless h ....ya kis waja sy ha....kia ya ar problem cause kr skta....kia ya tumor to ni jo mouth m lower side bna rha....
I don't want to lose my teeths😢 my gums are receding plZ plZ suggest me something what should I do went to a dentist he prescribed Fluoride toothpaste but not different i don't want any artificial thing in my mouth plz tell me how to grow my gums back and prevent them from recede😢😢😢😢😢
Meray teeth mai gap tha ALLAH garat karay dentist ko mujhay cap laga deya
Pori zindagi tabha kar dee 😢
السلام وعلیکم
ڈاکٹر صاحب کیا RCT کیے بغیر برج نہیں لگائی جا سکتی؟
Wasalam. Agar daant healthy hain toh RCT ki zarurat nahin hai.
@@DRSMFaizan شکریہ
Sir PFM bridge replace krane me pain hota hai kya????also wanted to know ki is a root canal necessary if we replace an old bridge of 12 yrs????
Sir please crown lengthening, or gingivectomy pe video banaye kabhi.. JAZAKALLAH Sir 😇
ok jee
ڈینٹل نے کہا ہے کہ اپ کو کیپنگ کروانی پڑے گی یا پھر زرکونیا تو سر میری دانت بالکل ٹھیک ہیں صحیح سلامت ہیں صرف پیلے ہیں اس کا مجھے کوئی حل بتا دیں واش کروانے سے بھی صحیح نہیں ہو اسکیلنگ کروانے سے بھی صحیح نہیں ہوئے تو کیا مجھے کیپنگ کروانی چاہیے یا زرکونیا کچھ بتا دیں
Where your clinic .this is oweum story , I am proud of you sir because I am also dentist 🦷 . Mashallah.
Thankyou for watching and for the kind words :) I practice at Vanguard Dental, F31, Block 9, Clifton, Karachi
Work is as same as name my name is also faizan ullah and a dentist in Pakistan teaching methods are also same....😅
Hello sir mere beti 20 sal ki hai usy upper lip k oper swelling honi shuro hoi dentist ko dikhaya madicin daity rahy fark nai pra phir sab kahty 2 dant nikal kar sai ho jayga par phir b nai gai buhat hard swelling hai nak aik taraf Sy Tere ho rahi ab kahty 😢cancer hai Kiya krin Kuch samj nai a rahi ya hard swelling cancer kaisy bn gai 😢😢
Endo krna zarori tha kea, Canine & premolar looked caries free? Is it mandatory to do endo on every tooth for bridge?
Complete treatment ki cost kitni aye?
sir is case me apne first imression jo lock me rkhne ko bola wo apne crown preps ke bad wla ku nai use kiya. i mean without preps us impression ka kya faida
Takey aik backup ho apkay pass Hamesha ke uski bite aur dant kaisay thay. Lab ne impression/model guma dia, toot gaya, gum gaya etc etc. I will sleep at peace because I know I have a backup.
Sir Mari bati 6year ki ha aus ka teeth ma Kira ha
AMAAZING!! Plz share cases. Some simple and some complex. I am a new dentist in uk after a five year gap. This is exactly the same here. Love the jokes and mazaki baatein also. I am sure ur patients love you and the vibe you bring to ur surgery
Thankyou for watching and for the kind words. Best of luck to you and most welcome:)
Very nice!!
I have a Question
How did you decide between PFM or Zirconia?
Also long span zirconia Recommended or not?
Zirconia in long span bridges is not recommended.
this case discussion is really very helpful. i recently had a patient t like that and i was confused how should i proceed, but this one was amazing , thankyou dr faizan, please keep on making videos on case discussions
So happy to know this video was helpful. Now you know exactly what you need to do :) Best of luck! More discussions to come soon
Sir I'm kmdcian you're amazing MashAllah ❤
Wheres ur clinic in Karachi plz...i badly need to visit
Dr sahab, ap ka clinic address btayea,plz.
Vanguard Dental Clinics, F31, Block 9, Clifton. 03202021925
Bss ye lab py jab time ata hai
Yaqeen kryn patient k pass time khtm hota😂
Apny procedure m wqt hi wqt😂
Majak kiya ❤
Haha :)
Very detailed case discussion ❤
Thankyou for watching:)
Im just handling a case similar to this one. Thankyou so much for sharing this case. Worth watching
Glad it was helpful!
maam please make a video on Interproximal reduction(IPR) /approximation stripping Treatment.
Mere Orthodontics ne mujhe IPR treatment with Braces ke liye suggest kiya.
Because mere front ke upper wale do teeth bahut bare aur lambe hai aur thora bahar vi hai. Bas yahi problem hai. Please please Maam make a video 🙏🙏🙏
Will do :)
Assalmu alaykum sir..kya rct kar ke bridge dena zaruri hota hai anterior bridging ke case mein as some dentist prefer to do on vital case .they Said why to do intentional rct and compromise strength. Sir which is better to always do rct or prep on vital tooth
Wasalam. Depends case to case. Whenever possible, if the teeth are healthy, avoid intentional RCTs.
In this case, teeth were hypersensitive and also alot of bone loss (more than 50%) so they weren’t very “healthy” to support a bridge long term.
Hello, are you carrying out any courses in Vanguard these days? I would like to learn please, thank you.
Salaam. Paused currently. Will let you know as soon as we open new admissions for the next batch.
@@DRSMFaizan thank you.
Can you please make your videos in English or put English subtitles for people like us who dont understand the language
Subtitles on the way :)
@@DRSMFaizan thank you doctor. Looking forward to your videos 😊
Really very fantastic sir ❤
Thankyou :)
Good
I fix one teeth in zarkozi material by making a bridge with one root canal, but I have Sever Pain and unable to eat
Was the root canal done properly? Do you have an xray ?
Sir very well explained✨ sir i want to ask when we give temporaries so it will not affect the extraction socket or clot formed it will not get dislodged ?? It will not affect the healing??
Happy to help :) Quite the opposite, the clot will be stabilised. If the temporaries are not sharp/pointy and no excess cement, the healing will be very nice.
Hi sir i am also a dentist
I would like to know what material is used for temporary bridge cementation
Please reply
Provicol (voco company)
sir how did you remove temporary bridge and which material to use for cementation of temporary bridge
?????
Great explanation Sir, amazing results! Sir, can you please tell what temporary cement did you use to stay the temporary crowns in place?
thankyou for watching and for the kind words. You can use any temporary cement, whatsoever. i used i think i used “provisiory ne”
Antes law is my fav topic so far in prosthodontics that I love to explain to my patients
Good experience dr saheb great work ,,love from India
Assalam o Alaikum sir
Sir apki clinic kis City me hy
I think zirconia should be better option
Im from Sri Lanka. Can you put English subtitles please. No idea on Hindi
Same issues how much does it cost ? Pls?
Sir meri age 42 hy, 18 saal say bridge isi trah lga hoa tha...ab center may gap ana start ho gaya tha jis ki waja sy utarna para, alhumdullilah teeth safe hyn...kya RCT krwa k dobara say bridge lgwaon....kindly give me 2nd opinion
If teeth are healthy and painfree and there is no infection, just get a new bridge and no need for root canal treatments. Best of luck
@DRSMFaizan Thank you so much...stay blessed...
Can not chew, because jaw bone can not support Will break from screw joints,
Rather they should work on invisible chewable braces made of hard metal like graphene or other.
Sir patient bhi vo pakrta hn jo bahir vala hoon........😂
Hmara patient rct k 1st visit k bad ghaib ho jata he......😅😢
Wher your clinic
Vanguard dental clinic, F31, Block 9, Clifton, Karachi. 03202021925
amazing!
Thank you so much.❤️
Location of your clinic?
Vanguard Dental Clinic, F31, Block 9, Clifton, Karachi. 03202021925
Why intentional root canals sir if abutments are healthy?
they aren’t healthy. alot of bone loss and teeth are already slightly sensitive due to root exposure.
Ok thank you for Rply sir 👍
Sir plz reply 😢 mere teeth doctor ne reshape k chakkar m ghise diya h upar and niche mujhe ni pta tha enemal ghis jata hai to teeth yellow dikhne lgte h mere little yellow ghise teeth m dikhai de reha bhut persan hu sir ache teeth karab kr diya doctor ne ab mujhe kya Krna chahiye plz suggest me jise teeth white dekhe
Konsa teeth kharab Kiya us doctor ne saamne ka
@@MP14-S3CT ha
I am also a densitry student but no one teach me like you did thanks 🎉
So happy to read your comment :) Bohat shukria and best of luck to you.
Hello Sir I'm from UK n want to fresh my bridge how much time u take about this procedure so I can arrange my vaccations
Hello Zarish. Depends on case to case. If the underlying teeth are ok and do not need removal, we can give you a new bridge in a week. Otherwise can take upto 3 weeks if extractions are required.
Asalamualikum where Yu based
I m from uk i got gum decease so mu teeth so bad need a treatment where u based
My teeth are wobbly
Sir please guide receding gums
Hi Dr Fiazan
Very good demonstration. Why did you considered RCT of UL3&4 and UR3&4. I am a working dentist in UK for last 30 years BDS Manchester university and MSc in restorative dentistry. We do not do elective RCT as vital teeth in my opinion better than non vital teeth and vital teeth long lasting than non vital.
The last of vitality is very rare after crown prep or bridge prep if properly done.
Please reply
Hello and thankyou for your comment and kind words.
You’re spot on about prognosis of vital teeth as compared to non vital teeth.
However, multiple factors play a role in the decision making process. One of them being periodontal condition of the abutments. Bone level is directly linked with increase in the incidence of pulpal necrosis and periapical pathosis and in this particular case, bone level is less than 50%.
Second reason was hypersensitivity on both sides.
AOA sir mera beta 24 year ka us k front teeth agy peechy han wo thk ho skty han tell me pls
Please talk english, I dont understand anything :(
Same yehi condition front k 4 teeth me bridge unit ho tw is me hum implant ki tarf jayain tw kia process hoga ? Please make a detail video on it.
Ab kesa he aapka
Address
Vanguard Dental, F31, Block 9, Clifton, Karachi. 03202021925
Vry Helpful thnku doc❤
Most welcome Dr. Aahuja
Dr. Is it necessary to do the RCT of every tooth to be crowned?
Ofcourse NOT. According to updated and new literature, it’s quite the contrary.
RCT of healthy abutments is never recommended as that reduces the lifespan of the tooth.
However there are some exceptions to this rule.
RCTs in this case was done for two reasons,
1) Extreme Hypersensitivity of Abutments (even air and not responding to other treatments)
2) Substantial Bone loss around Abutments.
Thankyou.
Great video.. great explaining skills
Thankyou for watching and for the appreciation
Ap kaha pr hoty hin
Where are you located
Vanguard, F31, Block 9, Clifton
Thankyou sir for discussing the cases. These are really helping in clinics 😊.
Very happy to know :)
Sir,
Thank you for uploading such a great case discussion.😇
I personally learnt a lot from these discussions.😊
The 'case discussion ' series has really been very helpful in our learning.
Kindly consider uploading more case discussions like this one.😇🙏
As always I'm sharing this video ahead so that it helps others too.😄
Your efforts have instilled in us the motivation we need to survive in this field.✨😊
Thank you so much.🙏😇
May God bless you always with success and prosperity.✨
Warm regards.🙏
Dear Faizan sir
Please
block canal pr 1 case study bnao...
Very informative❤ plz make videos on crown preps too
will do
Dr sb AP k clenaek kha per h
I practice at Vanguard Dental Clinics, Karachi.
Sir please please make many more such videos
Keep watching:)
100 likes for comment "dikhane Wale daat and khane Wale daat alag hote hai , kahawat dentist ne banayi hai"
Sir the way you are explaining and managing a case is amazing. I just learned so many things even from one video. Greetings from Afghanistan 🇦🇫
Thankyou for watching. Very happy to read your comment and to know you learned something :) Best of luck.
Ufff itni beautiful discussion. Thankyou so so much. Please keep them coming. So entertainimg & informative at the same time
Thankyou for watching and for the kind words :) You’re most welcome.
Sir, mene last yr july me 2 incisors ko Crown kraya tha, rool canal B ho chuka hai, but after 18 days of surgery my gums got infected, bluish in clr, sensitivity, swollen gums, and alot of pain every time.
I use sensodyne mouth wash 2 to 3 times a day since last yr, brushing properly, flossing etc.
But problem is still there, what should I do.
Seems like either there is a problem with the root canal treatment or the crowns had gaps in them and so food was getting stuck. DM any pictures/xrays you have on Instagram and i’ll have a look.
@@DRSMFaizan
Sir, I don't have x-rays But I can send you a current picture of my gums.
Thank you so much for replying.
Salam , sir mery front two teeth se gum nikal gya ha I don't know may be hard brushing se wo move kr rha ha jb b hath lgao ya khana khao to dono teeth k beech mai halka sa space bn jata ha... What is the problem and what is the treatment plz tell me dant hil ni rha but gum aese q ho rha hy
❤
Excellent,,, I AM also facing the same problem
Happy to help!
Sir, really you're toooo good, aap hasate bhi bahut ho
Thankyou for watching and for the kind words Anil :)
Excellent presentation hats off to you dr faizan , one thing i want to ask does these temporaries not interefere in healing of socket ??
Thankyou for watching and for the kind words. If they aren’t sharp, healing will be uneventful and predictable and nice :)
How will we give temporaries if we're going for implants?
denture
Where is your hospital
Vanguard Dental, Karachi
Thanku sir..its really very informative
Most welcome
Weldon sir very nicely beautifully and easily guide same briefly conveyed details. Thanks
Thankyou for watching and for the kind words.
Why do you need RCT for this case. Do crown prep and manage sensitivity with desensitizers.
According to me this case could be manage with
Plan A : Putty impression and immediate crown preparation under LA. Apply desensitizers, extract tooth and do chair side temporization with Pro temp.
(First appointment)
Call for final after gingival healing and then impression and final teeth.
Plan B: Teeth extraction under LA followed by Basal implant immediately and temporization for 1 year on day 3.
Please read description :)
Very good case and excellent explanation doc 👍🏻👍🏻 just 1 question , why intentional RCT?? Why not tooth prep on vital teeth only if there was so complaint of pain or visible caries or irreversible pulpitis??
Thankyou for watching and for the kind words. Kindly check the description of the video for the detailed answer to your question :)
Good case of immediate denture
Thank you so much for such an amazing videos! I am an AS student in Illinois, USA.
I literally watched your every case discussions. Amazing
Can I ask one question,
What was the rationale of doing endodontics treatment on tooth # 5,6,11,12?
Thankyou very much for watching and for the kind words :) Happy to know they’re useful.
As for your question, i already mentioned the reason in the description of this video but here it is. I think that should clear up the confusion.
According to updated literature, RCT of healthy abutments is never recommended as that reduces the lifespan of the tooth. However there are some exceptions to this rule.
RCTs in this case was done for two reasons,
1) Extreme Hypersensitivity of Abutments (even air and not responding to other treatments)
2) Substantial Bone loss around Abutments.
If you do such a case and the teeth appear to be healthy clinically and on the X-ray, no need for Root canal treatments on abutment teeth :)
Hope that helps clear up the confusion. Best of luck to you with the AS program :)
Soft tissue is stupid , good point to note
Great content
Thankyou for watching :)
Dr Faizan u r extra supereb
maza aa jata ha video's daikh KY
Bohat shukria dekhnay ke liyay :)
absolutely amazing! i have one question though. could the elective endo on the premolars and canines be avoided? (owing to the conservative school of thought, not necessary to perform endodontic treatment before fixed prosthesis provided that the tooth is not infected)
Thankyou for watching and for the appreciation :) Please read the description for a detailed answer to your question. Short answer is that crown/bridge abutments do not need RCTs usually.
Sir,
Hopefully you are doing well.😇
You have uploaded another superb case discussion.👌
This is so informative and much detailed than the previous case discussions.
Thank you for explaining each and every step of the treatment plan in detail.😇🙏
This is the best ever video uploaded in the case discussion series.✨ ❤
Every dentist/ dental student needs to be well versed with key concepts and clinical knowledge and its applied part,
These case discussions provides a platform for Integrated Learning.✨👌
Watching this video is helpful for each and every dental student/ dentist.
Graduates, Undergraduates, and even Post-Graduates can learn so much through these case discussions.
Each one of us have our own shortcomings and I'm so glad that we have this opportunity to be able to improve on our skills and clinical knowledge through this amazing
UA-cam channel.✨
With each and every case discussion I get this opportunity to learn new things,
unlearn a few things, and relearn things that I couldn't learn properly and gain knowledge about things which I didn't know during BDS.
18:51 : Pro-tip is indeed helpful 💯
Usually, most people miss out on these things during the treatment procedure.
Thank you for always emphasizing on these helpful tips and tricks.😃
Indeed you are nurturing the young minds , this helps them to become good Dentists.☺️
People entering this field need to learn the importance of knowledge , skills and ethics.💯
Inculcating beneficial habits and great values requires a lot of time and effort.✨
People of my generation are blessed enough, because you are a saviour for all of us.✨
I wholeheartedly appreciate your efforts.🙏
Thank you for taking time out of your busy schedule to help us all.🙏😇
May God reward you and your loved ones with happiness, good health and peace.✨
Best Regards.
Stay Blessed Always.😇
thankyou so much for the feedback! appreciate it !
@@DRSMFaizan
Most Welcome Sir.🙏
Glad to know that you liked it.😄
Best Regards.💐
Aap Kahan hotay ..means which city
@@shaheenyaqub656 Dr.Faizan's Clinic address is given in the Channel Description:
Vanguard Dental Clinic, Karachi.