Case Discussion 11 - Replacing an Old Bridge
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- Опубликовано: 28 сен 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 :)
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Antes law is my fav topic so far in prosthodontics that I love to explain to my patients
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 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.
Im just handling a case similar to this one. Thankyou so much for sharing this case. Worth watching
Glad it was helpful!
Good experience dr saheb great work ,,love from India
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
How i am not even dentist yet i find this soo interesting the way u are teaching things. I got my braces at the age of late 30’s and just learning about teeth😊
Haha thankyou for watching and best of luck to you with your treatment:)
Thankyou sir for discussing the cases. These are really helping in clinics 😊.
Very happy to know :)
Amazing result👏Dr.Faizan.and very well explained case .I learned a lot from this. Thank-you sir
Glad it was helpful :) Most welcome
@@DRSMFaizan sir please make more videos like this ,also include the topics like periodontal issues and mobile teeth,splinting.
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 :)
Sir,
Thank you for helping us all.😇
In any of your forthcoming videos,
I request you to kindly discuss dental treatment and management of medically compromised patients , dental treatment in cases of recurrent infections and other special cases.
Surgical procedures in congenital diseases and in patients suffering with different syndromes( i.e,Marfan syndrome, Treacher Collins' etc).
Also please keep uploading more case discussions like this one.
Thank you for being such a great Teacher.✨😇
This is really an awesome case done by you. 💯✨
Much Appreciation for your efforts.🙏
Stay blessed always. 😇
Thankyou for the suggestion Twinkle! will do
@@DRSMFaizan
Most Welcome Sir .😇
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....
Thank you sir for uploading useful case discussion videos . Please keeping sharing more of these 🙏🏻👏🏻☺️
Keep watching :)
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
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.
I'm fresher your videos are very helpful.. thanks a lot
It's my pleasure
You are my inspiration doc from my bds days.. I'm also starting youtube channel inspired from you where I will post my treatment videos
Thankyou very much for the kind words and best of luck to you :)
Dr Faizan u r extra supereb
maza aa jata ha video's daikh KY
Bohat shukria dekhnay ke liyay :)
And many thanks for sharing and discussing the case
Most welcome :)
Aage ke dard mein kaun sa
Same issues how much does it cost ? Pls?
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.
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
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?
Zabardast Dr. Sb. Very informative JazakAllah.
Glad it was helpful:)
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🥹🥹🥹🥹🥹🥹
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 :)
bhai ur way of explanation is excellent..............G.B. .......KEEP IT UP..........
bohat shukria :)
Sir Amazing Video 😊 please keep making these cases videoa
Thank you, I will! Another case discussion coming in 2 hours :D
So insightful and fun to listen ❤
Happy to know
Where is your clinic??
Sir please crown lengthening, or gingivectomy pe video banaye kabhi.. JAZAKALLAH Sir 😇
ok jee
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)
Excellent work. I must appreciate.
bohat shukria
Excellent,,, I AM also facing the same problem
Happy to help!
Woohoo!
I'm handling the same case, but I'm Extracting 11 & Canine to Canine Bridge.
In Sha ALLAH, hope it works good
Best of luck :)
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.
Thanku sir..its really very informative
Most welcome
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
Thank you
You're welcome
guru of dentistry!!
You’re too kind :)
Sir Mari bati 6year ki ha aus ka teeth ma Kira ha
Im from Sri Lanka. Can you put English subtitles please. No idea on Hindi
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.
Ap kaha pr hoty hin
Thank you so much sir I'm ur big big fan
I have a question if the bridge is mobile how can we take impression for temporary restoration most likely the bridge will come off....
Most welcome and thankyou for watching.
You can take a digital impression of the bridge if you have an intra oral scanner.
If you don’t have a scanner and have to take a normal impression and the tooth is grade 3 mobility, inform the patient that the bridge will come off with the impression and she has to wear a mask for a few hours atleast until the lab can manufacture the temporaries on an urgent basis.
If the bridge is less mobile, you can also take an impression without the tray so you can bend the set impression a little bit and take it out without removing the bridge with it.
@@DRSMFaizan thank you is just not enough I will always remember you in my prayers sir 😇
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.
Sir , why rct for the abutment tooth..why not vital preps
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...
Dr faizan.ur superb
Thankyou for watching
Wonderful discussion 👑✨✨✨
Very informative video sir thank you 😊
most welcome
How will we give temporaries if we're going for implants?
denture
Is the root canal for the side teeth imp ? Can you not bridge them with out root canal?
Sir please guide receding gums
amazing case Sir, hats off. Just one question which cement you use for cementing temporaries
thankyou. You can use any one, i thing i used Provisory Temp in this case.
Dr,why dont you place implants
Because of diabetic pt?
I don't place in Implants in uncontrolled Diabetes.
AOA.
Had a question regarding the case sir. Why did we do RCT of adjacent teeth? Can’t we do crown prep directly?
(P.S I just cleared 3rd prof so don’t know much about the guidelines of FPDs)
Wasalam. Check description:)
@@DRSMFaizanThankyou :)
Mere smne k do dant pr tartar dubara lg gya 3 4 dafa mai n scaking krwae h lakin tartar khtn nh horha kya kru mai ab svaking nh krwana chahti
Temporary, we have to cement with Temporary cement ?
Yes, indeed
nice video ,doctor.
is patient ko cost kitna aai is purey treatment ki?
Temporary me luting cement you use , sir ???
Where is your hospital
Vanguard Dental, Karachi
Sir Aapke Clinic Address
Filing karwai hai but us mai pan hurha hai
Good work sir
Thanks
Hii doc..... Thank you for such a great presentation.
Most welcome!
Good case of immediate denture
Sir mre b same teeeth problm h nd m pakistan larkna m rhti h plz guide me m kis doc k pas jaon m bht preshn h agr ap yahn krde to bht acha h nh to ap koi best doc btae plzzzz😢
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
Main bhi saamne wale daant ka elaj karwa rahi hon.root canal karwa k crwon lagwa rahi hon kitna time chalegs
Superb explanation, thank you
Glad it was helpful!
Sir love from United States of Islamabad
hhaha thankyou
Very helpful 👍
Glad you think so!
Good
sir mera ek canny teeth remove hua hai alternative bata de koi usky pichy teeth aya hua hai
How to chat with you me from Canada need to discuss about my teeth pls
Ap ka hospital Kaha par he
Hello Dr! What abt bone grafting n implants .? Wasn't d patient willing to do?
Couldn't afford.
@@DRSMFaizan thank u for ur valuable feedback. Ur vedios motivates me a lot 😊
@@naureentaj4219 happy to know and you’re most welcome
Amazing
Thanks
How i discusss my case
I practice at Vanguard Dental Clinics, Karachi. 03202021925 for appointments.
Great job
Thankyou for watching. Hope it was helpful :)
@@DRSMFaizan make some videos on implants
Very good Dr
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
Sir please please make many more such videos
Keep watching:)
Very nice sir please make a video on endo thanks
Noted
How can we contact with you
I practice at Vanguard Dental Clinics, F31, Block 9, Clifton, Karachi. 03202021925 for appointments.
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.
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 from which part of India and address please
Regards from🇮🇳
love from Pakistan!
सर दांत नीचे से बहुत ज़्यादा घिस गए है इस पर कोई वीडियो बना देते तो काफी हेल्फ़ हो जाती अभी इसके लिए कोई लेटेस्ट टेक्नॉलजी है क्या?
Super explain
Thank you 🙂
Good work
Thank you! Cheers!
ماشاءاللہ
A.a ap ka clinic kon si city main ha???
Karachi
❤
Sir patient bhi vo pakrta hn jo bahir vala hoon........😂
Hmara patient rct k 1st visit k bad ghaib ho jata he......😅😢
suture karna h ki nhi sir
no sutures required if papillae are intact.