Custom cone obturation

Поделиться
HTML-код
  • Опубликовано: 1 окт 2024
  • In this video, I have explained about custom cone or rolled cone root canal obturation technique

Комментарии • 23

  • @FunTastic1
    @FunTastic1 4 месяца назад +2

    Please make a demo video of single sitting RCT. THANK YOU ❤️

    • @smartdentistry
      @smartdentistry  4 месяца назад

      Now I am making a complete video about A-Z of rubber dam application. Once I finish that, I will definitely make a video about single visit Endodontics. Thank you

  • @DentistCorner
    @DentistCorner 4 месяца назад +1

    Sir plz make videos on obturation of simple molars

    • @smartdentistry
      @smartdentistry  4 месяца назад

      Thank you. Single cone obturation techniques? or anyother easy obturation techniques?

    • @DentistCorner
      @DentistCorner 4 месяца назад

      @@smartdentistry single cone obturation techniques plz. Your videos have helped me alot thanks alot 🙏🙏

  • @gunabantaelangbam8680
    @gunabantaelangbam8680 3 месяца назад

    Thnk u sir

  • @akanshas8424
    @akanshas8424 Месяц назад

    Hi please tell how do u know which taper is better

    • @smartdentistry
      @smartdentistry  Месяц назад

      Taper is determined by length of the roots, canal width and obturation technique we use. This seems to be an interesting topic. I will make a video in detail about this
      Thanks for suggesting
      Upcoming videos in Smart Dentistry RUclips channel
      All about root canal Irrigation
      How to select the correct master cone
      When to discard a rotary file
      How to negotiate a calcified root canal - @anujgarg952, @DrHozefa
      Antibiotics after Root Canal Treatment?
      How to locate root canals?
      How to remove Guttapercha from root canals?
      When to do Post and Core?
      Curved root canals and file selection
      Everything a beginner should know about rotary files
      TCA technique of Cleaning and shaping - @DrHozefa
      Anterior proximal composite restorations - @raghuramm563
      Finishing and polishing of composite restorations - @DrHozefa
      How to create the perfect anatomy in posterior composite restorations - @DrHozefa
      Working length using RVG - @manadentist2267, @sushrutachakraborty464
      How to use apex locators to get accurate reading? - @katyaynigupta5259
      How to determine the correct taper for canal preparation - @akanshas8424

  • @vinayyadav9188
    @vinayyadav9188 4 месяца назад

    Can you please please help me telling how many years can rct with crown will work properly for deciduous molar which is broken from side. Or should i go for pulp capping then filling if possible.
    With lots of hope I am sending this to you please help to come to a decision of saving my tooth for as long as possible.
    Btw i am 20 year old..

    • @smartdentistry
      @smartdentistry  4 месяца назад

      Hi
      You have mentioned your age is 20 and the tooth is deciduous molar
      Is that a retained tooth?
      If that is a retained tooth and the permanent tooth is missing congenitally, then we shall attempt to retain the deciduous tooth
      But it must be verified with X-Ray in advance
      Again the long term success of deciduous tooth is very not good as compared to permanent tooth.
      Need more details to come to any decision like tooth number, decay status, root length available, occlusion and much more

    • @vinayyadav9188
      @vinayyadav9188 4 месяца назад

      ​@@smartdentistry
      Yes sir it's a retained deciduous molar and the permanent is missing congenitally.
      The roots are in good condition right now and the decay is not giving any pain through infection(which needs to be treated through medicine).
      But sometimes abnormal pressure on the broken structure while eating gives pain for few minutes.
      The doctor said to me that rct will last only for 2 years so i should go for implant instead but i want to save this tooth for as long as possible.
      So please tell me that within 2 years will the roots resorb on it's own even after rct or it could last more.
      Should I go for rct directly or try to go for filling first( pulp capping if needed).
      During my 6 months earlier visit the decay was very small and no pain at all of any kind. Doctor said to me when some problem will occur then come again.
      Now the tooth structure is breaking in small pieces.
      That's why
      I want some treatment so that more damage to the tooth can be minimised.
      I will be highly greatful if you can help me.

    • @vinayyadav9188
      @vinayyadav9188 4 месяца назад

      ​@@smartdentistryYes sir it's a retained deciduous molar and the permanent is missing congenitally.
      The roots are in good condition right now and the decay is not giving any pain through infection(which needs to be treated through medicine).
      But sometimes abnormal pressure on the broken structure while eating gives pain for few minutes.
      The doctor said to me that rct will last only for 2 years so i should go for implant instead but i want to save this tooth for as long as possible.
      So please tell me that within 2 years will the roots resorb on it's own even after rct or it could last more.
      Should I go for rct directly or try to go for filling first( pulp capping if needed).
      During my 6 months earlier visit the decay was very small and no pain at all of any kind. Doctor said to me when some problem will occur then come again.
      Now the tooth structure is breaking in small pieces.
      That's why
      I want some treatment so that more damage to the tooth can be minimised.

  • @FunTastic1
    @FunTastic1 4 месяца назад +1

    Thank you this was much needed

  • @Sr68720
    @Sr68720 4 месяца назад +1

    Why would you do this when i have cones matching my preparation instruments.

    • @beninpaulaian3103
      @beninpaulaian3103 4 месяца назад

      In many clinical situations like maxillary incisors in young patients we won’t get matching cones as the canal apical size may be more than 100 iso size.

    • @smartdentistry
      @smartdentistry  4 месяца назад

      It is very difficult or mostly impossible to get gutta percha cone sizes greater than 90. We often encounter patients with extremely large canals especially in maxillary incisors of young patients. In those situations these custom comes are really helpful

    • @DentistCorner
      @DentistCorner 4 месяца назад

      But in those situations we can also use protaper gutta percha as it has thick ends. And if the ends are not thick enough, we can cut the ends a little to achieve our required thickness

    • @smartdentistry
      @smartdentistry  4 месяца назад +1

      @@DentistCorner But the taper of protaper cones are 6% or more. What happens is, there will be lot of lateral spaces filled with sealer or more commonly the greater taper of the cone at the coronal portion will prevent reaching the cone to full length or we wont get a proper apical seal.
      I personally DO NOT recommend protaper or any other greater taper cone for obturation in teeth with large apical sizes. Rather yet better technique would be reverse cone with lateral compaction

    • @justk5122
      @justk5122 3 месяца назад +1

      Sir, thank you for posting great videos. How is irrigation possible with these kind of wide apices? Wouldn’t NaOCl more likely exit the apices cause the NaOCl accidents? Is there any tips to prevent it from happening??

  • @vinayyadav9188
    @vinayyadav9188 4 месяца назад

    sir it's a retained deciduous molar and the permanent is missing congenitally.
    Place- Primary second molar.
    No occlusion.
    Roots are i think 1/2 the size of other molars.
    Decay - a guava seed size decay just adjacent to back molar.
    (Similar to the pic you have attached on your video with title caries removal technique , don't remove caries)
    the decay is not giving any pain through infection(which needs to be treated through medicine).
    But sometimes abnormal pressure on the broken structure while eating gives pain for few minutes.
    The doctor said to me that rct will last only for 2 years so i should go for implant instead but i want to save this tooth for as long as possible.
    So please tell me that within 2 years will the roots resorb on it's own even after rct or it could last more.
    Should I go for rct directly or try to go for filling first( pulp capping if needed).
    During my 6 months earlier visit to another doctor the decay was very small and no pain at all of any kind. Doctor said to me when some problem will occur then come again.
    Now the tooth structure is breaking in very small pieces.
    That's why
    I want some treatment so that more damage to the tooth can be minimised.
    (I have replied on the earlier comment but don't know why it's not visible afterwards.)

    • @smartdentistry
      @smartdentistry  4 месяца назад

      Hi
      Thanks for explaining everything in a such a beautiful manner
      1. Roots will not resorb as there is no permanent tooth. Roots will resorb only secondary to eruption force from the permanent tooth
      2. RCT will definitely last longer than two years if done with high accuracy. Although procedural errors are more likely to occur in deciduous tooth more than permanent tooth.
      3. If pulp capping could be attempted, I feel that should be the first choice
      4. If the tooth is in occlusion and has no mobility , then saving this tooth will be an better option rather than going for implant although well planned implant will have a better outcome
      5. I have seen deciduous tooth surviving and functioning even in 60 year old individuals. So I would recommend going for conservative treatments like restoration, pulp capping, RCT and if everything fails, implant is always an option.
      Thank you

    • @vinayyadav9188
      @vinayyadav9188 4 месяца назад

      @@smartdentistry thankuu so muchh sir for your valuable advice.
      I am glad that you gave me your time.