Sir, i have never seen so elaborative video regarding RCT in my life. You are awesome. I have learned a lot from your video. I have seen you today and after that, i have watched every video of your channel. God bless you
I use only cement seal apex without cones,even after 7 years it dosent dizolve,+ the cones are a important factor for failure, because they do not come steril,and they do not seal perfect like seal apex does...its strong material but softer than bioceramic cements ,it has calcium hidroxide in it,and with a endo motor you can retreat a canal with no wories..blessings Dr🙏
Thank you sir for the lecture. I remember coming across a write up against extruding GP beyond the apex because it can cause irritation of the apical structures and it was said that apical pathology will never heal with presence of extruded GP. Please Sir, kindly comment and throw more light on this. 🙏
1. Most common cause of GP extrusions is because of periapical violation during cleaning and shaping or not having a good cone fit 2. There is a meta analysis in Australian Dental of endodontic journal (one among these two journals) which has confirmed that if there is extrusion of GP or sealer in periapical region then periapical healing is delayed 3. GP as such is one of the most biocompatible material used in dentistry Based on the above statements we could conclude that, it is not the presence of GP infact any material in periapical region could delay healing The reason for impaired healing is not because of the properties of GP or any other sealer material. But it is because of improper seal in the apical region which led to the material extrusion
Thank you for good explanation video. I have a query For curved roots, if we use 2% master cone for bmp done with 6% file to get tug bag, what about lateral spaces that we get above apical 3rd?? Is it possible to compact accessory gp on those cured canal using those straight spreader ?? Or are there other techniques??
In case of broad canals...palatal ones,or anterior teeth canals...many times..f3 gp are loose fitting during obturation.. should we switch to k files.. system for such cases...At times..50,55 no. K filling followed by its corresponding obturation works...what u say..??
Apical GP size could be considered as the most important factor determining the long term success of RCT. I too prefer to use 2% GP of greater size for obturating teeth with canal size more than 35 or 40. Especially in case of maxillary anteriors in young patients
what if there is no tug-back on the cones, even if apex locator (on files) indicates the canal is prepared to length? is tug-back required to obturate?
Now a days, whenever I notice apical resorption , I will use bioceramic sealer and keep the master cone 1 mm short as I always keep in my clinical practice.
The technique of using 2% cones and verifying it tug-back at working length is called apical gauging. I preferably avoid these technical terms just keep the video simple and easy to understand. If needed, I will make a separate video about apical tuning and apical gauging but it could be too theoretical rather than practical.
Thank you sir
I’m learning so much from your lectures
Sir, i have never seen so elaborative video regarding RCT in my life. You are awesome. I have learned a lot from your video. I have seen you today and after that, i have watched every video of your channel. God bless you
Thank you so much. All your support and great words motivate me to make more and more videos.
Keep doing this nice work 🎉
I use only cement seal apex without cones,even after 7 years it dosent dizolve,+ the cones are a important factor for failure, because they do not come steril,and they do not seal perfect like seal apex does...its strong material but softer than bioceramic cements ,it has calcium hidroxide in it,and with a endo motor you can retreat a canal with no wories..blessings Dr🙏
Can you explain me this whole thing precisely.
Please
ماشاءالله .. great job .. thanks doctor benin
Thank you sir for the lecture.
I remember coming across a write up against extruding GP beyond the apex because it can cause irritation of the apical structures and it was said that apical pathology will never heal with presence of extruded GP.
Please Sir, kindly comment and throw more light on this. 🙏
1. Most common cause of GP extrusions is because of periapical violation during cleaning and shaping or not having a good cone fit
2. There is a meta analysis in Australian Dental of endodontic journal (one among these two journals) which has confirmed that if there is extrusion of GP or sealer in periapical region then periapical healing is delayed
3. GP as such is one of the most biocompatible material used in dentistry
Based on the above statements we could conclude that, it is not the presence of GP infact any material in periapical region could delay healing
The reason for impaired healing is not because of the properties of GP or any other sealer material. But it is because of improper seal in the apical region which led to the material extrusion
Thank you for good explanation video.
I have a query
For curved roots, if we use 2% master cone for bmp done with 6% file to get tug bag, what about lateral spaces that we get above apical 3rd?? Is it possible to compact accessory gp on those cured canal using those straight spreader ?? Or are there other techniques??
Thank u sir for wonderful explanation
In case of broad canals...palatal ones,or anterior teeth canals...many times..f3 gp are loose fitting during obturation.. should we switch to k files.. system for such cases...At times..50,55 no. K filling followed by its corresponding obturation works...what u say..??
Apical GP size could be considered as the most important factor determining the long term success of RCT. I too prefer to use 2% GP of greater size for obturating teeth with canal size more than 35 or 40. Especially in case of maxillary anteriors in young patients
Very nicely explained dear
Thank you professor.
what if there is no tug-back on the cones, even if apex locator (on files) indicates the canal is prepared to length? is tug-back required to obturate?
We should increase the file size. For eg: if we have prepared upto 30/04, then we shall increase to 35/04 or 40/04
Thanks doc
U are great🎉
Sir please discuss , apical resorption cases,how much should be the obturation
Now a days, whenever I notice apical resorption , I will use bioceramic sealer and keep the master cone 1 mm short as I always keep in my clinical practice.
@@smartdentistry thanku sir
What r the 2 percent gps for f1,f2,f3...gps..of endorotary system
I mean to say..f1,f2,f3 files..of rotary endo... coincide with which files of k files...in their apical with
Apical width
F1-20, F2-25, F3-30, F4-40, F5-50
Thankyou sir
Why is tug back so important? If you don’t have tug back will the root canal fail?
Yes.. There are more chances for the Root canal treatment to fail if there is no Tug Back
Apical gauging????
The technique of using 2% cones and verifying it tug-back at working length is called apical gauging. I preferably avoid these technical terms just keep the video simple and easy to understand. If needed, I will make a separate video about apical tuning and apical gauging but it could be too theoretical rather than practical.