Great video! I enjoy the HD quality and wouldn't mind watching a start to finish procedure either. From injection, dam placement, to the final radiograph.
Frankly, I want to keep the videos short. It gets super boring to watch the procedure if it's from the beginning to the end. It's like watching paint dry! Otherwise, each CBL can be hours of discussion as each aspect of endo is a world to its own. That's what I do at the school with the residents in my TX. Planning course. They show a total of 4 of their cases and we talk about them from 1-5pm! That's engaging as we chat and have fun with the back and forth during the conversation. The video, however, being one sided would be unbearable if it's long! :(
But that's the beauty of RUclips, we don't have to watch the whole thing. We can always skip to the parts of the video we're interested in, but in my case, I'm always curious to see what another clinician is doing. I bring this up because some stuff you cut out might not seem relevant to you, but might actually pretty useful for some of us. Just a thought :) I'll take what I can get! In school, you see bits and pieces of what someone does. Endo is one of the specialities in school where it really lacked clinical demonstration just because there really isn't that much endo to go around (patient's can't afford) so you have less time developing a clinical experience from it. I actually only did two molars, two premolars, and one canine in school which may be more than some, but I want to learn more, to the finer details. Most of the time I'm working alone and maybe once in awhile I got an instructor to help me out, so I had a glimpse of the technique and stuff they do.
You ve done a very good job being one man band in the video, there are videos out there that i really get dizzy because of quick shift of the camera, i dont know what happen but after watching the video my eyes are really tired. Thank for the tutorial video. You are a good educator and an excellent instructor.
G0D BLESSED Y0UR HEART ❤️ DOCTOR! You are doing a lot of good for all Dentists 🦷 and the patients that we all are treating with better results! 🙏❤️! You are the best of ❤️
Thanks. At this point it’s mostly experience… looking at the. X-rays and estimating based on the past 28,000!cases… but you can use your PA and if you have a CBCT you can get pretty close as it doesn’t have significant distortion.
Напишу на родном языке.Я очень восхищен вашим мастерством, для меня бы была большая честь увидеть вас за работой.Спасибо за вашу работу, тот видео материал который Вы готовите восхитительный.Я очень рад, что нашел ваш канал на RUclips.
My problem as GP in access cavity opening in upper 6 or 7 it's destroy the healthy wall in mesial marginal ridge my bur goes more mesial than mesial buccal canal than I find myself destroy and weaking the wall also for me sometime difficult work by direct vision i need some guideline form you doctor to avoid this problem
excellent video.. what's your take on Edgefiles from edgeendo.. I find them truly amazing considering you get best of both worlds flexibility + cutting efficiency..
Your videos are great!!!Learning a lot from them. What's your opinion on obturating with warm gutta percha like EdgeFill? Thank you for all your effort!
Great case discussion Thank you for that Can you please share your thoughts about best apex locator and using Guttacore for obturation And what if the canal was really calcified what would be the optimal procedure for management of at least 1 Calcified canal ?
I don't use Guttacore. It's not necessary in my opinion. As far as the apex locator, I use the EndoSync A.I. It's great. Here's the link to it: realworldendo.com/shop_items For calcified teeth, well, it's not a short answer. But I've done other videos on "How to get down canals" that might help you. Otherwise, you need magnification, illumination, experience, and a great 3 dimensional ability to visualize and use your perpetual ability. Cheers!
I always loved the content of ur channel .. I have a question .. r we always able to achieve apical patency in re-treatment cases with absence of periapical radiographic changes ? .. 2nd question .. I can work on maxillary teeth easily unlike mandibular teeth under the operating microscope .. what should be my position and patient's position to have a direct vision on mandibular molars and premolars ? Please I need ur help in both questions
If the patient has symptoms, do you fill the canal with gp direct after rinsing the canals or do you dress the canals with calasept and wait a time and then fill the canals and in that case how long should you wait? /Thank You!
Ideally Ca(OH)2 treatment helps with most cases if the operator is inexperienced; but an experienced endodontist who can achieve larger working length can fill the canals in a single visit. So, it depends on individual ability.
Keep it very dry around the crown and try to alight the file so it's not touching the sides of the access. Another trick is to place some tubing or nail polish on your file! :)
If you are in the US, EndoSyncPlus from BrasselerUSA. Rest of the world you can have the TriAutoZX but Morita. In either one you have to get into the menus and program the Apical motion to STOP. This way the file knows to stop instead of reverse. Cheers!
Thanks Doc, I like these step by step procedural videos, can you include your irrigation protocol? Can you do a video comparing BioRace to ESX? I learn BioRace from Dr Trope in Univ Penn.
Irrigation will be shown soon too. BioRace vs. ESX is very different. ESX is a system that expands based on the level of difficulty of the tooth. I know I should do a video on that... hopefully soon! :) Cheers!
First of all a big thank you for uploading such educational and informative videos.. Just coz of you i have excelled so much in my Practice from satisfaction point of view.. Am very grateful to you for that.. Great video.. and pin point clear instructions.. Awesome.. kudos to that..!! Que: 1.How much time did you take to complete this case? 2.Do you treat every case(or more than 90% cases) single sitting. Suggestion: It would be nice if you can show your irrigation protocol before obturation,(either single sitting or multiple sitting case, if you make any difference at all)..
Thank you. I'm glad this is helping you. For the irrigation protocol, I've shared other peoples' videos and I will definitely do a comprehensive video on it at some point soon. Regarding how long it took to finish this case, over 95% of cases I complete in a single visit and they take 30-45minutes from the moment of the first shot. I only don't fill if I feel I haven't had enough time to search for all canals and reach adequate apical diameter. Or if the canal is not drying (drainage!) Or lastly, if I dont have time due to emergencies or a busy schedule, etc. Hope this helps.
Oh..!! thank you.. i purposely asked you about the time as for me it takes 45 mins min(Simplest Case) just for the bmp..(ye SSC is a thing that am not doing rigorously,mostly rhythm tech) if you can share any thoughts on this it woud be gr8..!!!
45min is not too long. But people often take too long because they do not have an organized system with their assistant. If you're in the early part of your career you will get faster in time. I took longer earlier on too. Now that I've completed over 22K cases you learn what you're looking at before you start and develop faster strategies. As I tell our residents at school I recommend focusing on quality first and then improve on efficiency. Good luck! :)
very nice video De Nasseh. May I know how you were using the orifice opener at the beginning to shape the orifice and coronal part of the canal, doing the SSC? could this motion remove the dentinal triangle (interference) for the straight line access? many thanks
Yes. You can use SSC and in fact, it's better to use SSC with the orifice opener. Better to use a Round Bur or ultrasonics to remove most of the triangle and then use the orifice opener to complete. I'm posting a basic video on access soon. :)
do more maxillary molars. You like all the mandibular molars because they are easier thats why haha....just kidding. You do excellent work and this is a tough case. Excellent job!
Thank you so much for all of your videos🎉❤❤❤
Great video! I enjoy the HD quality and wouldn't mind watching a start to finish procedure either. From injection, dam placement, to the final radiograph.
Frankly, I want to keep the videos short. It gets super boring to watch the procedure if it's from the beginning to the end. It's like watching paint dry! Otherwise, each CBL can be hours of discussion as each aspect of endo is a world to its own. That's what I do at the school with the residents in my TX. Planning course. They show a total of 4 of their cases and we talk about them from 1-5pm! That's engaging as we chat and have fun with the back and forth during the conversation. The video, however, being one sided would be unbearable if it's long! :(
But that's the beauty of RUclips, we don't have to watch the whole thing. We can always skip to the parts of the video we're interested in, but in my case, I'm always curious to see what another clinician is doing. I bring this up because some stuff you cut out might not seem relevant to you, but might actually pretty useful for some of us. Just a thought :) I'll take what I can get!
In school, you see bits and pieces of what someone does. Endo is one of the specialities in school where it really lacked clinical demonstration just because there really isn't that much endo to go around (patient's can't afford) so you have less time developing a clinical experience from it. I actually only did two molars, two premolars, and one canine in school which may be more than some, but I want to learn more, to the finer details. Most of the time I'm working alone and maybe once in awhile I got an instructor to help me out, so I had a glimpse of the technique and stuff they do.
You ve done a very good job being one man band in the video, there are videos out there that i really get dizzy because of quick shift of the camera, i dont know what happen but after watching the video my eyes are really tired. Thank for the tutorial video. You are a good educator and an excellent instructor.
G0D BLESSED Y0UR HEART ❤️ DOCTOR!
You are doing a lot of good for all Dentists 🦷 and the patients that we all are treating with better results! 🙏❤️! You are the best of
❤️
Great job Dr.Nasseh...How do you estimate approximately length of the canals bevor you start RCT? Thx
Thanks. At this point it’s mostly experience… looking at the. X-rays and estimating based on the past 28,000!cases… but you can use your PA and if you have a CBCT you can get pretty close as it doesn’t have significant distortion.
You can never create the path but take the path you are given 😃
Thank you so much Doc sharing your knowledge with all of us
Thanks for all these great Videos. I'm learning a ton from watching them. Coming from Fairbanks Alaska.
Thank you for ur video all ur videos help me a lot specially on my surgery thank you again !
Hello doctor, nice educational video. May I ask a question? What is the ideal torque value ? Thanks
Напишу на родном языке.Я очень восхищен вашим мастерством, для меня бы была большая честь увидеть вас за работой.Спасибо за вашу работу, тот видео материал который Вы готовите восхитительный.Я очень рад, что нашел ваш канал на RUclips.
thank you very much Dr Nasseh for these videos ..
keep on and please give us a tuotorial about irrigants sloutions
Sure. There will be one on irrigation at some point next year. Too many things in the pipeline at this point. Thanks for your comment. :)
My problem as GP in access cavity opening in upper 6 or 7 it's destroy the healthy wall in mesial marginal ridge my bur goes more mesial than mesial buccal canal than I find myself destroy and weaking the wall also for me sometime difficult work by direct vision i need some guideline form you doctor to avoid this problem
Thanks for sharing. Quite informative
excellent video.. what's your take on Edgefiles from edgeendo.. I find them truly amazing considering you get best of both worlds flexibility + cutting efficiency..
I like how he hold his laugh when saying the "zen words". I wonder how many takes he made for saying it perfectly
Everything is one take! I'm too lazy to do "do overs!"
;) Cheers!
Your videos are great!!!Learning a lot from them. What's your opinion on obturating with warm gutta percha like EdgeFill? Thank you for all your effort!
Great job sir , learn a lot
Great case discussion
Thank you for that
Can you please share your thoughts about best apex locator and using Guttacore for obturation
And what if the canal was really calcified what would be the optimal procedure for management of at least 1 Calcified canal ?
I don't use Guttacore. It's not necessary in my opinion. As far as the apex locator, I use the EndoSync A.I. It's great. Here's the link to it: realworldendo.com/shop_items
For calcified teeth, well, it's not a short answer. But I've done other videos on "How to get down canals" that might help you. Otherwise, you need magnification, illumination, experience, and a great 3 dimensional ability to visualize and use your perpetual ability. Cheers!
I always loved the content of ur channel .. I have a question .. r we always able to achieve apical patency in re-treatment cases with absence of periapical radiographic changes ? .. 2nd question .. I can work on maxillary teeth easily unlike mandibular teeth under the operating microscope .. what should be my position and patient's position to have a direct vision on mandibular molars and premolars ? Please I need ur help in both questions
You are the great boss 👍👍
If the patient has symptoms, do you fill the canal with gp direct after rinsing the canals or do you dress the canals with calasept and wait a time and then fill the canals and in that case how long should you wait? /Thank You!
Ideally Ca(OH)2 treatment helps with most cases if the operator is inexperienced; but an experienced endodontist who can achieve larger working length can fill the canals in a single visit. So, it depends on individual ability.
Thanks a lot for this informative video
I wonder how you can use Apex locator in presence of crown
Keep it very dry around the crown and try to alight the file so it's not touching the sides of the access. Another trick is to place some tubing or nail polish on your file! :)
Could you please help me that which rotary machin will stop when we reach to the apex?
If you are in the US, EndoSyncPlus from BrasselerUSA. Rest of the world you can have the TriAutoZX but Morita. In either one you have to get into the menus and program the Apical motion to STOP. This way the file knows to stop instead of reverse. Cheers!
Dr.Cool😎 thanks!
Would appreciate Your views on Wave One Rotary system Dr. Alen . :)
I have developed the ESR instruments as an alternative to WaveOne files. See the last few videos I’ve had on it about the ESR instruments.
great one
great video. learned a lot
Beutiful video sir !
Man you are amazing! Thank you very much
Keep going you are a gift
Sir is there any our whatsapp group ?
Thanks Doc, I like these step by step procedural videos, can you include your irrigation protocol? Can you do a video comparing BioRace to ESX? I learn BioRace from Dr Trope in Univ Penn.
Irrigation will be shown soon too. BioRace vs. ESX is very different. ESX is a system that expands based on the level of difficulty of the tooth. I know I should do a video on that... hopefully soon! :) Cheers!
We actually need a light inside the tooth to get a good vision 😁😅 it is too dark to see the canals orifices😬😅..
First of all a big thank you for uploading such educational and informative videos.. Just coz of you i have excelled so much in my Practice from satisfaction point of view.. Am very grateful to you for that..
Great video..
and pin point clear instructions.. Awesome..
kudos to that..!!
Que:
1.How much time did you take to complete this case?
2.Do you treat every case(or more than 90% cases) single sitting.
Suggestion: It would be nice if you can show your irrigation protocol before obturation,(either single sitting or multiple sitting case, if you make any difference at all)..
Thank you. I'm glad this is helping you. For the irrigation protocol, I've shared other peoples' videos and I will definitely do a comprehensive video on it at some point soon. Regarding how long it took to finish this case, over 95% of cases I complete in a single visit and they take 30-45minutes from the moment of the first shot. I only don't fill if I feel I haven't had enough time to search for all canals and reach adequate apical diameter. Or if the canal is not drying (drainage!) Or lastly, if I dont have time due to emergencies or a busy schedule, etc. Hope this helps.
Oh..!! thank you..
i purposely asked you about the time as for me it takes 45 mins min(Simplest Case) just for the bmp..(ye SSC is a thing that am not doing rigorously,mostly rhythm tech)
if you can share any thoughts on this it woud be gr8..!!!
45min is not too long. But people often take too long because they do not have an organized system with their assistant. If you're in the early part of your career you will get faster in time. I took longer earlier on too. Now that I've completed over 22K cases you learn what you're looking at before you start and develop faster strategies. As I tell our residents at school I recommend focusing on quality first and then improve on efficiency. Good luck! :)
Thank you very much..!!!!!!!
Wow .. so your assistant is not helping with filming ? 🤩
Thank you for this vedio
very nice video De Nasseh.
May I know how you were using the orifice opener at the beginning to shape the orifice and coronal part of the canal, doing the SSC? could this motion remove the dentinal triangle (interference) for the straight line access? many thanks
Yes. You can use SSC and in fact, it's better to use SSC with the orifice opener. Better to use a Round Bur or ultrasonics to remove most of the triangle and then use the orifice opener to complete. I'm posting a basic video on access soon. :)
u r my mentor
Sir u r the best...
Super sir
Tough case!
thank u sir.
nic
ely explained
do more maxillary molars. You like all the mandibular molars because they are easier thats why haha....just kidding. You do excellent work and this is a tough case. Excellent job!
Спасибо. Очень интересный случай.
I thought we should take the path less taken haha
🙏🙏
Namaste
💕
Л
7:17 Preach !