Excellent video as always. I will talk to some other colleagues (we are in New Brunswick, Canada. Not far from bean-town) and see if I can get a group to attend a seminar. Cheers.
Dr. Nasseh, I'm curious if you have a recommended tip to use with the ultrasonic for basic irrigation and activation? (I've just purchased this same setup from Brassler) This is a fantastic video by the way! I've been watching your videos for a little over a year, and they have helped me tremendously.
Sure. Use the E11 and E12 tips (for anterior vs. posterior) along with a size 20 U-File Tip. Connect your unit to your water source from your Quick Connect attachment to allow water flow through the tip while irrigating. It's important to set the power setting on your Forza Ultrasonic unit to P1-2 (not the recommended setting on the tip box which is designed for cutting rather than irrigating!) It you set the power to higher than P-1 you can potentially ledge. But my tests show at the lowest setting it doesn't. So, set it to the lowest setting and allow water to go through it. Use it passively and don't let it bind in the canal. It should always be free in the canal and you can go up to the curve but not beyond it. It is what I use in 100% of cases nowadays and why I manage debris removal so efficiently. Use it after 1 or 2 Rhythm motions on your file and it will wash out the debris form inside the canal very quickly (when it's connected to water!) Good luck!
I don't see much difference between 15/02 handfile and 15/04 expediator file. How about we determine our final master size after just using 15/02 hand file? Waveone protocol uses 15/02 hand file to determine the final size.
As always Dr nasseh a great video . I regularly follow your vlog and tutorials . I have a question regarding irrigation protocol you use , you always use hypochlorite. I was wondering what about other irrigants ? I mean liquid edta or 2 % chx . Personally I am a great fan of 2 % chx . It has great antimicrobial properties , and is not as corrosive as NaOCl. Can you please do a video on different types of irrigants and different protocols.
Good morning sir One thing i rarly see in your cases. Are the lateral and apical puffs and. Lateral fills. People make lot of fuzz of it. Sir u doing wonderful cases. But? Where are those
The goal of root canal therapy is disinfection of the main canal, not filling lateral canals. The filling of lateral canals is often incidental and a big distraction from what's important. There are no studies to date to prove a higher success rate by filling lateral canals. Keep in mind this channel is about basic endo cases designed for general dentists. ! ;)
Real World Endo thank you sir. Please upload atleast one such case. Your presence is global now. Whenever i ask some endo doubts in dental groups. They usually say" dr for vedios check dr ali nasseh vedios at you tube. " :)
Than you. Well, if you want to capture more lateral canals check out the video I just uploaded a minute ago on passive ultrasonic use during debris removal. That certainly helps capture more lateral canals if you're interested in that. But keep in mind, filling of lateral canals will not improve your success rate, thorough cleaning of the main canal will and sometimes the two coincide. Cheers!
reema assaf Hi Reema! The percentage of EDTA is based on the balance between removing the smear layer without causing dentinal erosion and damaging dentin itself. There are lower percentages but not higher for that reason. Canal Clean, the EndoSequence EDTA product also has a surfactant in it. I will do a video to explain the use of lubricants in endo at some point. Hope all's well with you! :)
Lower RPMs increase the torque on the file and increase the chance of fracture. There's a sweet spot and ratio between torque and RPM. In general, torque goes down as you increase the RPM. However, as you increase the RPM beyond a certain point the file gets stiffer and you also have less time for error. If this lower RPM was not a problem we would have used Rotary NiTI Files by hand. We don't because they will have a higher rate of fracture due to excessive torque at such low RPMs.
I hate how the file stops at the apex. He had to tug to pull it out after it stopped. In a case with a curved root there would be a chance of file separation during this.
I agree. The quickest work around is for the assistant to remove the lip clip from the patient or disconnect it and you will then press the engage button and the file begins to move! Otherwise, you can disconnect the chord to the back of the handpiece and it will do the same. That's a good work around to this issue. Cheers! :)
I am a hygienist but I love all your videos! Thanks Dr Ali
Thank you for your kind comment! :)
Excellent video as always. I will talk to some other colleagues (we are in New Brunswick, Canada. Not far from bean-town) and see if I can get a group to attend a seminar. Cheers.
hello doctor,thank you for sharing us your experience ,i would to ask you what do you think about the MM cotrol of Microméga
Dr. Nasseh, I'm curious if you have a recommended tip to use with the ultrasonic for basic irrigation and activation? (I've just purchased this same setup from Brassler) This is a fantastic video by the way! I've been watching your videos for a little over a year, and they have helped me tremendously.
Sure. Use the E11 and E12 tips (for anterior vs. posterior) along with a size 20 U-File Tip. Connect your unit to your water source from your Quick Connect attachment to allow water flow through the tip while irrigating. It's important to set the power setting on your Forza Ultrasonic unit to P1-2 (not the recommended setting on the tip box which is designed for cutting rather than irrigating!) It you set the power to higher than P-1 you can potentially ledge. But my tests show at the lowest setting it doesn't. So, set it to the lowest setting and allow water to go through it. Use it passively and don't let it bind in the canal. It should always be free in the canal and you can go up to the curve but not beyond it. It is what I use in 100% of cases nowadays and why I manage debris removal so efficiently. Use it after 1 or 2 Rhythm motions on your file and it will wash out the debris form inside the canal very quickly (when it's connected to water!) Good luck!
@@AANasseh Incredible information, thank you so much for taking the time to send this!
in many developing countries, we still rely heavily on manual k-file... which is extremely time consuming.. haiz..
I don't see much difference between 15/02 handfile and 15/04 expediator file. How about we determine our final master size after just using 15/02 hand file? Waveone protocol uses 15/02 hand file to determine the final size.
As always Dr nasseh a great video .
I regularly follow your vlog and tutorials .
I have a question regarding irrigation protocol you use , you always use hypochlorite. I was wondering what about other irrigants ? I mean liquid edta or 2 % chx . Personally I am a great fan of 2 % chx . It has great antimicrobial properties , and is not as corrosive as NaOCl.
Can you please do a video on different types of irrigants and different protocols.
Souvik, I've done one with Dr. Safi but I will do a more comprehensive one in the future. Thank you for your comment. :)
Thank you very much sir
why did u used a core build up material and not a flowable composite
Thanks 💙
Good morning sir
One thing i rarly see in your cases. Are the lateral and apical puffs and. Lateral fills. People make lot of fuzz of it. Sir u doing wonderful cases. But? Where are those
The goal of root canal therapy is disinfection of the main canal, not filling lateral canals. The filling of lateral canals is often incidental and a big distraction from what's important. There are no studies to date to prove a higher success rate by filling lateral canals. Keep in mind this channel is about basic endo cases designed for general dentists. ! ;)
Real World Endo thank you sir. Please upload atleast one such case.
Your presence is global now. Whenever i ask some endo doubts in dental groups. They usually say" dr for vedios check dr ali nasseh vedios at you tube. " :)
Than you. Well, if you want to capture more lateral canals check out the video I just uploaded a minute ago on passive ultrasonic use during debris removal. That certainly helps capture more lateral canals if you're interested in that. But keep in mind, filling of lateral canals will not improve your success rate, thorough cleaning of the main canal will and sometimes the two coincide. Cheers!
Thank you so much
Hi very good vedio
Thank you!
Do you use lubricant on your rotary files?
No. There will be a video explaining that at some point. :)
reema assaf Hi Reema! The percentage of EDTA is based on the balance between removing the smear layer without causing dentinal erosion and damaging dentin itself. There are lower percentages but not higher for that reason. Canal Clean, the EndoSequence EDTA product also has a surfactant in it. I will do a video to explain the use of lubricants in endo at some point. Hope all's well with you! :)
Lower RPMs increase the torque on the file and increase the chance of fracture. There's a sweet spot and ratio between torque and RPM. In general, torque goes down as you increase the RPM. However, as you increase the RPM beyond a certain point the file gets stiffer and you also have less time for error. If this lower RPM was not a problem we would have used Rotary NiTI Files by hand. We don't because they will have a higher rate of fracture due to excessive torque at such low RPMs.
I hate how the file stops at the apex. He had to tug to pull it out after it stopped. In a case with a curved root there would be a chance of file separation during this.
I agree. The quickest work around is for the assistant to remove the lip clip from the patient or disconnect it and you will then press the engage button and the file begins to move! Otherwise, you can disconnect the chord to the back of the handpiece and it will do the same. That's a good work around to this issue. Cheers! :)