Should I refill a short fill? Friday Questions
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- Опубликовано: 30 сен 2024
- Dr. Nasseh shares some ideas about whether a slightly short fill should be refilled if discovered immediately after a post op film.
You can view this and other videos on the RWE Website here: bit.ly/2jeAFRt
This is so true. I have seen underobturated, instrument seperation cases last for a decade or more and perfectly obturated cases fail. Endodontics is cruel.
It’s because of the coronal seal the first one had.
well said, sir. I think we have all seen terrible looking obturations last a long time and amazing-looking ones get extracted the same year.
If the canine treated short 4 mm and no pain or any radiograph change after 2 months ... should i retreat canine??
No. Coronal seal is much more important than how much short.
Sir , I will be thankful if you provide tips for correct use of hypochloride for root canal irrigation
thank you dr allen . for many of us new dentists we encounter a problem which is not achieving full working length for example a size 25 cone goes to full working length but with little or no tugback while a size 30 cone is 2 mm short . why is this happening ? thank u again dr for ur wonderfull videos.
That should not happen logically! If the 25 goes to length and is loose without any tug back, 30 should not be 2mm short. You either have a GP Company that's using terrible spec on their manufacturing (25 thinner than 25 and 30 thicker than a 30) or your assistant is passing you a size 60 (also blue) instead of a 30 by mistake! If you're using 04 taper, a loose 25 means that 30 would fit maximum of 1mm short. You could also have a ledge in the canal where the 30 engages and can't bypass the curve. Those are the only scenarios that come to mind off the top of my head.
what about cutting 1-2 mm from GP size 25 to achieve good tugback. that should solve the problem.
Thanks
Hii doctor.... I have a qtn a lil out of topic... Can u please do a video on blocked canals...in patients with chronic pulpitis how should we achieve full working length in such cases
that was the smoothest instrument exchange I've ever seen.
With great due respect sir, we don't use rubber dam in implant cases, still achieve maximum results. Is this game of manufactures of rubber dam, etc ?
Hello sir, thank you for all these amazing teachings. I wish i could learn with you more.
I really appreciate your work and i wish i could work with you and learn from you profissor
Hi Dr. N, has seen this video before, I ledged, corrected the length, instrumented and cleaned till apex and then for some reason was 1.3 mm short, extremely annoyed with my self.. but I cleaned super thoroughly. Was just about the go back and then said, we’ll watch it.. patient appreciated my ocd
just wow.. full of knowledge
hello sir..what if pt has sensitivity in the tooth after obturation?...
Mee too same doubt
One of my molars is recommended for root canal treatment. The decay is on the side of the tooth. So far, I have a temporary filling but it's giving me a lot of pain every time I bite on foods such as soft toast. I don't know what I should do with the tooth. Will an inlay or onlay or a crown solve the issue?
Ahoy there mate.
If your tooth is painful you need to consult immediately with a dentist so he can give you a diagnosis, and make a treatment plan considering all possible treatments (extraction or root canal treatment), the advantages and disadvantages of each as well as the risks involved, including the risk of postponing or doing no treatment.
If you are talking about a posterior tooth, a crown is less likely to brake in the long run, so it could be a good long run investment if you decide to keep your tooth by doing a root canal treatment.
It is imperative that you keep a high quality of oral hygiene by brushing and flossing to avoid recurrent caries and gum disease.
True that.hats of to you sir
It is wonderful to hear an expert comment on these things clearly and concisely.
Kindly add a video regarding pain after obturation, it's causes and management. Regards.
I'm very stressed about this case, 1st mand molar, achieving full length, getting tug back, filling the canals, the mesiolingual canal tightly with gps, , gave gc lining, topping up with composite filling and later finding out that the gp ran abt 2 + mm short or 3mm, I cant tell on the bigger xray image, how much it is. I gather that it happened as the gp was cut, the instrument used for cutting had a small string of gp with it which was cut too, but that string is probably what stretched the gp out from its working length. At the next appointment I tried to go back in to retrieve the gp and insert a full length one again, nothing was working to bugde the gp, no gg bur, no HS file or reamer or softener helped to take it out.
How do I inform the patient about this that it's taken well and also do crown on top of it. or how long should I wait for it be asymptomatic to do crown on top? or it will have poor prognosis and I can inform the patient that it may have to extracted and implant placed?
Good day doctor. I want to buy dental microscope but i find very hard to choose good dental microscope there are too many microscope in the market. Can you make a video about criteria of a good dental microscope? That will help us a lot doctor❤
Gp cones are hand rolled and there's always a chance of low or more working length. Human eye is not a scale
I "refresh "your video time to time. I like it agree with you.
thx so helpful
Mine is 2mm less...I want to send my x ray
outstanding info. god bless you
during the rct procedure the pain continues i check the woking length is ok and hand k file done til up to the working lenght and and upto 35 no file at working length medication given to the patient slight mobility comes after starting the procedure what are the resions for that?
Thank you Sir.So helpful the way you explain. Never came across even a single teacher ,please continue teaching us Sir.
What should be the Concentration of sodium hypochloride for proper irrigation? How do you dilute the irrigation solution?
Anywhere from 2%-6% works. I currently use Triton, which is an all in one solution with 4% NaClO.
hi dr, in mandibular molar patient has no pain but all 3 canals have ledge and 3 to 4 mm short.. what can be the best way to obturate.. any trick.. i even tried with 8 k file to reach length but now not possible with edta even
Soha Munawwar I am not sure if I am the right one to answer, but don’t try to rush, bend the smallest file, use a lot of irrigation and do it.. do it in 3 appointments if you must but give it a go..
I love the way you think Dr. Nasseh 👌👍
What do you think of gental wave?
I have better use for my money. Just use ultrasonics in a fluid. According to U. of Toronto research there's no significant difference between cleaning with either system.
Согласен с Вами полностью.
Thanks!
Thank you! 👍
@@AANasseh thank you sir . I got very much supports from your videos. Thank you for your kind and helpful video sir
You are a boss
Dr joon Merci ,kheyli ali tozih midi
Merci! :)