One Step Apexification using BioCeramic Putty
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- Опубликовано: 27 апр 2017
- In this video, Dr. Nasseh shares a technique he described in 2008 where the bioceramic Putty is used as an apical barrier in open apex cases. You can view this and other videos here: bit.ly/2qekck0
always a treat to hear from you Sir. Thank you.
Love your videos and explanations! Thank you very much for your help!
awesome, Dr. Nasseh. Good job! anything about the percentage of hypo. to be used here?
Very clever thanks
excellent barrier placement..!
Thanks so much 😍
Hi,
After placing MTA plug can i fill rest with CaOH?
CaOH2 will start to affect the dentine integrity after 6 weeks and will no longer be an effective antimicrobial, best to seal the space with GP / BC sealer
can METAPEX be used for apexification ?
why do we need to use GIC when we reach the CEJ can't we fill with composite directly?
It would be easy if the root walls were convergent to the apex, but in cases of immature teeth you have more or less a divergence. Thus using a custom GP as a plugger would just not fit.
How we can remove MTA from canal in case retreatment
Thnk you for the video! Why do you consider retreatments troublesome in revascularization cases vs. apexification though??
Thanks. Retx. teeth are more difficult to remove all foreign material as well as infection. All antigenic sources remaining cause problems with revascularization as they increase the incidence of inflammation that prevents revasularization. The limitation of all revscularization is removal of antigenic substances (microbes, necrotic tissue, and foreign materials) and activating the growth factors in dentin. You can see why that's more difficult in a revision than in primary endo.
Interesting
Hey doctor! I’m still a student can you tell me the problems that an open apex causes?
Good question. A larger diameter opening is more difficult to close and get an adequate seal as fluid tends to come back in. Historically, people used to do Apexificiation where they placed Ca(OH)2 until the body created a hard osteoid layer at the apex and closed it. That could take six months. Today, we can do this in one visit with this barrier technique using a hydrophilic bioceramic cement that creates a plug and now you can seal against it. Cheers! :)
@@AANasseh amazing! Well i saw a doctor posting his work (autotransplantation of an upper 3rd molar(18) in the place of a lower 1st molar (36) ) he mentioned that he saw no need to do an endodontic treatment since after 2years there was no infection or any thing of such, and i wonder whether that could cause a problem later on
@@reemthesoviet776 That's a separate problem. That's a vital tooth with a developing root that most likely contains a dental follicle at the apex, which will aid in revascularization. If this was an adult third molar with complete root formation however, it would have been a different story. It would have then needed endo.
I have seen studies shown way more leakage of the BC putty than MTA. I d like you opinion! P.S. that's a view from Encore suites. I stayed the same side one time :)
You're right on the view! :) But you're not right on the leakage studies. Can you provide a reference? Leakage studies are discredited in the field and are currently not accepted science.
Real World Endo Comparison of sealing ability of MTA and EndoSequence Bioceramic Root Repair Material: a bacterial leakage study.
Hirschberg CS, et al. Quintessence Int. 2013.
Real World Endo its on pubmed
As was my point, these leakage studies are non-sense. This is another exact study that shows the exact opposite results: J Conserv Dent. 2014 Jul-Aug; 17(4): 340-343.
This is why leakage based studies are political tools for manufacturers to beat the competition over the head rather than come up with real, clinical relevant information. The material works as well, if not bette retain MTA but is easier to use. That's all I care about. Cheers!
Real World Endo I would trust UMDNJ a little more than studies done in India but I appreciate your input! Will try the putty next time! Thank you for doing these videos, definitely helpful!
Very interesting theme !
Bio ceramic is still not available in Asian countries what will be the alternative
I think MTA is