In this video, I have explained about the selection of best intra canal medicaments and their placement techniques My Course in Udemy www.udemy.com/...
Sir another technique for placing caoh is using paper point and leaving the paper point there only. Cut it. Place teflon then temporary. I found it very easy and effective. The paper point takes the caoh till the apex.
Yes, you are right. This technique is easy to use and can be used in straight single rooted teeth. In case of curved root canals the removal of paper point may be quite difficult. It may get stuck inside the canal. Also if the scheduled appointment get delayed paper point may act as a nidus for reinfection. Anyhow in many cases it can be used with less effort and predictable outcomes. Thank you
Sir video content was always great ,now graphics are to a new level. My doubts about chlorhexidine and triple antibiotic paste got cleared thanks to you.
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 Thank yo
Upcoming videos in Smart Dentistry RUclips channel Mineral Trioxide and its applications in Endodontics 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 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 Thank you
Upcoming videos in Smart Dentistry RUclips channel Glide path in Endodontics Mineral Trioxide and its applications in Endodontics 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 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 @bhagvanpinapathruni2427 Thank you
Sir,In large abscess cases,after giving oil based calcium hydroxide for 3-4 weeks.can we remove the calcium hydroxide and obturate it instantly .If we keep this another 3-4 weeks( if it is not healed properly ).Is there any problem,please explain sir.
Calcium hydroxide when placed more than 21 days could weaken the roots. This could later leads to fracture of the roots. May be upto a month it is okay. More than that I do not recommend
Hello sir, I want to ask, when we're treating a pulpitis in two visits should I place some intracanal medicament after the complete preparation of the canal - first visit (and obturate the canal in the second visit)? And also when we use the master cone to compact the calcium hydroxide aren't we extruding it in most cases?
1. If no intracanal medicament is placed, minimal number of micro organisms which are present after cleaning and shaping would multiply and reestablish an infection. So the canal should be never left free 2. Mastercone usually will not cause extrusion of intracanal medicament as the consistency is thicker compared to a sealer. Sealer may extrude, but not the intra canal medicament as the flow tendency is less unless we are using very positive pressure to compact
Sir, while placing calcium with syringe form it often get shorter than apex and material come out from side of syringe and walls what to do to avoid that? And when i place it pt often complain of pain sometimes swelling also what can be the reason? Can it be due to air remain in canal and it get pushed beyond apex or any other reason?
Exactly. Air in the canal get entrapped inside leading to incomplete canal filling and also pain. This can be easily avoided by injecting calcium hydroxide half way through the canal and then using master cone or lentulospiral or rotary file in reverse direction to aid in filling the entire canal.
Try to get Cynomysin capsule from Pfizer. It is available as 100 mg capsules. It is available in market. We shall get it from all pharmacy or even from online pharmacy.
The alkaline pH of calcium hydroxide may cause the dentinal structure to collapse owing to the destruction of carboxylate and phosphate groups. This destruction and dissolution within the dentinal structure reduces the hardness of the dentine. Read this free article. This will be helpful journals.lww.com/eddt/fulltext/2022/34040/effect_of_calcium_hydroxide_on_fracture_resistance.2.aspx thank you
Betadine solution can be mixed with calcium hydroxide to increase the efficacy of calcium hydroxide against E Faecalis. But the duration of action is short lived and some iodine products can cause severe staining of tooth. So preferably it can be avoided
We have to understand the following in case patient reporting with swelling A. The size of the pulp chamber and root canal are large B. Mostly this would be the first time the tooth becomes symptomatic (in case or large swelling. If it was persistent, there would have been a sinus tract) Then, 1. Do a thorough cleaning and shaping 2. Sodium hypochlorite must be used 3. Fill the root canals with calcium hydroxide 4. Recall on the third day and replace the calcium hydroxide 5. Advise antibiotics (Metronidazole must be included) Hope this is helpful
@@smartdentistry but in case of swelling and pain, most of the time if we close canal in first visit even after complete bmp and apical guaging, pt experience severe pain , which relieves only after opening the canal.
In those cases(with swelling), we shall place chlorhexidine for two days, recall the patient after second day and remove chlorhexidine, replace with calcium hydroxide. Also administer antibiotics. I prefer Ofloxacin/ornidazole in patients with swelling.
Sir another technique for placing caoh is using paper point and leaving the paper point there only. Cut it. Place teflon then temporary. I found it very easy and effective. The paper point takes the caoh till the apex.
Yes, you are right. This technique is easy to use and can be used in straight single rooted teeth. In case of curved root canals the removal of paper point may be quite difficult. It may get stuck inside the canal. Also if the scheduled appointment get delayed paper point may act as a nidus for reinfection. Anyhow in many cases it can be used with less effort and predictable outcomes.
Thank you
Excellent clinical tips.
Glad it was helpful!
Thank you master lecturer
Keep doing this nice work 👏
Thank you, I will
Very nicely explained dear
Thank you so much 🙂
Always looking forward to your new video Sir💕
very informative video
Awesome presentation
Thank you so much
You're most welcome
Sir video content was always great ,now graphics are to a new level. My doubts about chlorhexidine and triple antibiotic paste got cleared thanks to you.
You are most welcome. Thank you
Superb lecture given sir ❤
Sir kindly make one video on canal negotiation as it sometime very tuff to negotiate the apical third of the canals
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
Thank yo
A lecture on class 3 and 4 cavity preparations and restorations with composite
Upcoming videos in Smart Dentistry RUclips channel
Mineral Trioxide and its applications in Endodontics
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
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
Thank you
Sir
Can you do video on different rotary file system
Upcoming videos in Smart Dentistry RUclips channel
Glide path in Endodontics
Mineral Trioxide and its applications in Endodontics
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
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 @bhagvanpinapathruni2427
Thank you
Sir,In large abscess cases,after giving oil based calcium hydroxide for 3-4 weeks.can we remove the calcium hydroxide and obturate it instantly .If we keep this another 3-4 weeks( if it is not healed properly ).Is there any problem,please explain sir.
Calcium hydroxide when placed more than 21 days could weaken the roots. This could later leads to fracture of the roots.
May be upto a month it is okay. More than that I do not recommend
🎉
❤❤❤
Thank u
Hello sir,
I want to ask, when we're treating a pulpitis in two visits should I place some intracanal medicament after the complete preparation of the canal - first visit (and obturate the canal in the second visit)?
And also when we use the master cone to compact the calcium hydroxide aren't we extruding it in most cases?
1. If no intracanal medicament is placed, minimal number of micro organisms which are present after cleaning and shaping would multiply and reestablish an infection. So the canal should be never left free
2. Mastercone usually will not cause extrusion of intracanal medicament as the consistency is thicker compared to a sealer. Sealer may extrude, but not the intra canal medicament as the flow tendency is less unless we are using very positive pressure to compact
@@smartdentistry Thank you! So there isn't a problem to place calcium hydroxide in a pulpitis?
Sir, while placing calcium with syringe form it often get shorter than apex and material come out from side of syringe and walls what to do to avoid that? And when i place it pt often complain of pain sometimes swelling also what can be the reason? Can it be due to air remain in canal and it get pushed beyond apex or any other reason?
Exactly. Air in the canal get entrapped inside leading to incomplete canal filling and also pain. This can be easily avoided by injecting calcium hydroxide half way through the canal and then using master cone or lentulospiral or rotary file in reverse direction to aid in filling the entire canal.
Sir I have tried before. Minocycline is Unavailable in the market!
Try to get Cynomysin capsule from Pfizer. It is available as 100 mg capsules. It is available in market. We shall get it from all pharmacy or even from online pharmacy.
Sir can u please explain how calcium hydroxide leads to root fracture, if used for longer durations? Thank you
The alkaline pH of calcium hydroxide may cause the dentinal structure to collapse owing to the destruction of carboxylate and phosphate groups. This destruction and dissolution within the dentinal structure reduces the hardness of the dentine.
Read this free article. This will be helpful
journals.lww.com/eddt/fulltext/2022/34040/effect_of_calcium_hydroxide_on_fracture_resistance.2.aspx
thank you
@@smartdentistry thank you Sir 💐
what about betadine (iodine) ??? can that be used to disinfect the canals?
Betadine solution can be mixed with calcium hydroxide to increase the efficacy of calcium hydroxide against E Faecalis. But the duration of action is short lived and some iodine products can cause severe staining of tooth. So preferably it can be avoided
Sir for immature permanent tooth which medicament is best suited for apexogenesis
Triple antibiotic paste would be the ideal choice for apexogenesis.
What do you recommend in cases of teeth with severe swelling and necrotic pulp. What's ur protocol
We have to understand the following in case patient reporting with swelling
A. The size of the pulp chamber and root canal are large
B. Mostly this would be the first time the tooth becomes symptomatic (in case or large swelling. If it was persistent, there would have been a sinus tract)
Then,
1. Do a thorough cleaning and shaping
2. Sodium hypochlorite must be used
3. Fill the root canals with calcium hydroxide
4. Recall on the third day and replace the calcium hydroxide
5. Advise antibiotics (Metronidazole must be included)
Hope this is helpful
@@smartdentistry but in case of swelling and pain, most of the time if we close canal in first visit even after complete bmp and apical guaging, pt experience severe pain , which relieves only after opening the canal.
In those cases(with swelling), we shall place chlorhexidine for two days, recall the patient after second day and remove chlorhexidine, replace with calcium hydroxide. Also administer antibiotics. I prefer Ofloxacin/ornidazole in patients with swelling.
@@smartdentistrysir why you don.t chose pencillin it is choice medication but oflo..xin is not
@@RazaullahZia-r6f Yes I always use Amoxicillin . But in case of patients with big swelling, Ofloxacin is highly effective.
Sir what about calcium hydroxide with barium sulphate?
Calcium hydroxide is radiolucent. So in order to make it radio opaque, barium sulphate is added.
Calcium hydroxide is radio lucent. In order to make it radio opaque, barium sulphate is added
Very informative video