Hi Dr .I am a new dentist and doing endo treatments is like a fobia to me but after watching some of your videos I an feel more relax about it . I will watch all of them soon .I appreciate you for this much hardworks that you havedone for help new dentists .Thanks very much Dr🙏🏻
Additions to tip 3: - place your liquid medicament (calcium hydroxide) with a irrigation needle in one canal and just look if it comes up the other one (also not 100%, but a good indication) - put markings of your working length on your GPs with tweezers. Put both of them into the two canals. If one goes to length and the other doesn't check it the other way around. If now the other fits to length then both canals join.
I do not. I try to minimize the amount of things I use, because Endo seems to have a lot of things. But, that doesn’t mean there aren’t providers to don’t use it. If you’re using chlorhexidine, some providers use Celine between chlorhexidine and sodium hypo chlorite.
Is it good option to use #20(.04/.06) guttapercha and use gutta gauge to cut the tip for the corresponding sizes for example 25,30,40(.04/.06) in order to avoid bad calibrated guttaperchas?
This is a local result. Just google gutta gauge. www.henryschein.ca/ca-en/dental-ca/p/endodontics/organizers-measuring-devices-stops/gutta-percha-gauge/2221361?promocode=EZ&gclid=Cj0KCQiAn-2tBhDVARIsAGmStVmPTL9kMTUZaicDdQYTNmBtuilaxQTJi22TGIqB2OYS8uIH_YJa_FgaAtduEALw_wcB
Great video with very nice tips! The opposite happened to me last week. I had a very good tug back, I made come fit X-ray and everything looked perfect. I filled the tooth and took a final X-ray and it was too long 😮😮😮. I didn’t know what went wrong. Have I pushed too hard with the plugger? Do you have any idea why this happens and how to prevent it? Very frustrating…
An apical stop will really help this issue tbh. It’s the reason I switched to making a ledge at the apical portion - to keep my GP from flying out the end of the tooth. Been there
Found it on an external drive and figured I’d send it. I can’t recall what they were for - the patient asked me to remove them. Actually - I think it was from a patient that went to emerg after he fell off his low level deck…..weekend afternoon festivities….-
You have another video that might address the short obturation problem: ruclips.net/video/m8Zd8noQbW0/видео.html I am in the process of switching away from Waveone Gold for this reason. I have couple cases that cone fit looked perfect but final x ray was short. Part of the reason could be due to variable taper shaped canal preparation, and the other reason you have talked about in your video is that gutta percha have variability during manufacturing. Either way the gutta percha is stuck mid canal somewhere. It can be overcome by instrumenting the apical part, but most likely it will cause over instrumentation and loss of apical stop. One of my case was a straight but calcified anterior tooth. Cone fit with Comfort Fit Gutta Percha Medium was short but Waveone Gold Medium file goes to length easily on the radiograph.
Great comment. It took me a long time to move to cone fitting with sealer in place - I just needed more confidence in knowing that my working length was good to go with the apex locator. I found that once I moved to a conefit with sealer, my fills have been on the money most of the time. The only time I still conefit without sealer are open apices (#80 and greater) and single canal vital cases where I need more time for the hypo to degrade tissue.
@@AllThingsDentistry That sounds like a good system that you have figured out. I haven't really been testing WL with EAL after rotary instrumentation, but instead, use conefit without sealer. I'll give that a try.
Happens all the time to me. There’s something about waveone gold primary gutta percha that just doesn’t fit perfectly. I use protaper sx for an orifice opener and a root zx ii for my apex locator. Get down to wl, get the rotary down to the working length, all good, then when I check my cone fit it can be short, I can tell it’s going to be short because the gutta percha won’t seat to the working length it’d usually 1-2mm off. Happens way too often
Hi Dr .I am a new dentist and doing endo treatments is like a fobia to me but after watching some of your videos I an feel more relax about it . I will watch all of them soon .I appreciate you for this much hardworks that you havedone for help new dentists .Thanks very much Dr🙏🏻
Additions to tip 3:
- place your liquid medicament (calcium hydroxide) with a irrigation needle in one canal and just look if it comes up the other one (also not 100%, but a good indication)
- put markings of your working length on your GPs with tweezers. Put both of them into the two canals. If one goes to length and the other doesn't check it the other way around. If now the other fits to length then both canals join.
This joining part is so good .... Inone case i was stuck like that only .
Have u ever posed a problem where ur master cone is correct but when u obturate it with sealer the cone being short of the working length?
Great tips! Oddly, there's a very icky-feeling zoomed-in shot of someone removing sutures at 4:14. Don't know if it's a mistake or a joke.
I needed some B roll and found that from about 5 years ago. Sorry if it offended you.
🤣@@AllThingsDentistry
Amazing Channel!
Do you use saline for irrigation?
I do not. I try to minimize the amount of things I use, because Endo seems to have a lot of things. But, that doesn’t mean there aren’t providers to don’t use it.
If you’re using chlorhexidine, some providers use Celine between chlorhexidine and sodium hypo chlorite.
Is it good option to use #20(.04/.06) guttapercha and use gutta gauge to cut the tip for the corresponding sizes for example 25,30,40(.04/.06) in order to avoid bad calibrated guttaperchas?
It’s really up to you. I’d check your sizes first before to see how accurate your GP is. Save time.
Thanks please give us tips about crown and bridge how we can avoid overhang or anathor complications in fixed prosthetic
hello doc
i am a dentist from India
I have just completed my graduation.
i really love your videos
it's so helpful.
Hi Dr
What is the material which you get started your video in isolation like a liquidam?
Where do I get the Gutter Guage?
This is a local result. Just google gutta gauge. www.henryschein.ca/ca-en/dental-ca/p/endodontics/organizers-measuring-devices-stops/gutta-percha-gauge/2221361?promocode=EZ&gclid=Cj0KCQiAn-2tBhDVARIsAGmStVmPTL9kMTUZaicDdQYTNmBtuilaxQTJi22TGIqB2OYS8uIH_YJa_FgaAtduEALw_wcB
Great video with very nice tips! The opposite happened to me last week. I had a very good tug back, I made come fit X-ray and everything looked perfect. I filled the tooth and took a final X-ray and it was too long 😮😮😮. I didn’t know what went wrong. Have I pushed too hard with the plugger? Do you have any idea why this happens and how to prevent it?
Very frustrating…
Apical Stop Or False Tug Back
An apical stop will really help this issue tbh. It’s the reason I switched to making a ledge at the apical portion - to keep my GP from flying out the end of the tooth. Been there
@@AllThingsDentistry Your Channel is more than Excellent
Greetings Form Egypt ♥️😍
Coming Soon To USA
Wish I can Attend to You💓♥️😍
@@AllThingsDentistry thanks for the reply! How do we best do an apical stop?
what was w the lip suturing ta 4:13 lol
Found it on an external drive and figured I’d send it. I can’t recall what they were for - the patient asked me to remove them. Actually - I think it was from a patient that went to emerg after he fell off his low level deck…..weekend afternoon festivities….-
Thank you! So helpful!
Thanks
You have another video that might address the short obturation problem: ruclips.net/video/m8Zd8noQbW0/видео.html
I am in the process of switching away from Waveone Gold for this reason. I have couple cases that cone fit looked perfect but final x ray was short. Part of the reason could be due to variable taper shaped canal preparation, and the other reason you have talked about in your video is that gutta percha have variability during manufacturing. Either way the gutta percha is stuck mid canal somewhere. It can be overcome by instrumenting the apical part, but most likely it will cause over instrumentation and loss of apical stop.
One of my case was a straight but calcified anterior tooth. Cone fit with Comfort Fit Gutta Percha Medium was short but Waveone Gold Medium file goes to length easily on the radiograph.
Great comment. It took me a long time to move to cone fitting with sealer in place - I just needed more confidence in knowing that my working length was good to go with the apex locator.
I found that once I moved to a conefit with sealer, my fills have been on the money most of the time.
The only time I still conefit without sealer are open apices (#80 and greater) and single canal vital cases where I need more time for the hypo to degrade tissue.
@@AllThingsDentistry That sounds like a good system that you have figured out. I haven't really been testing WL with EAL after rotary instrumentation, but instead, use conefit without sealer. I'll give that a try.
Happens all the time to me. There’s something about waveone gold primary gutta percha that just doesn’t fit perfectly. I use protaper sx for an orifice opener and a root zx ii for my apex locator. Get down to wl, get the rotary down to the working length, all good, then when I check my cone fit it can be short, I can tell it’s going to be short because the gutta percha won’t seat to the working length it’d usually 1-2mm off. Happens way too often