Well, many things to do but the typical is doing the Freedom Trail for history, visit the universities, or catch a Sox game at the Fenway! Also visit the Seaport District and North End for food! Have fun!! :)

I'm not here to convince you. If you don't believe it then pull your teeth. You'll end up toothless. I have had root canals that are still in my mouth 30 years later and so have almost everyone in my family. If it's good enough for me and my family it's good enough for others. The bottom line is that you have to have an endodontist (a root canal specialist.) It's a very technical procedure. The term "reputable dentist" means nothing to me. Patients judge reputation based on Yelp, social media, and bedside manner; not actual technical skills that only other expert dentists can judge a dentist by. Good luck.

Root canal fillings don't fall out. It's technically impossible. If it ever does then whoever did the procedure had no idea what they were doing. I don't know your specific situation but it would be more likely that you failed to restore the tooth in a timely manner after your root canal therapy procedure as you should have done and when the tooth decayed again in the interim, provisional, restoration that was placed in the opening to your root canal fell out you are now blaming your dentist for it.

@@AANasseh the root canal was done ten years ago and 3 weeks ago the tooth or filling whatever is at the top of the tooth fell off exposing the black tooth and awful smell. No infection on xray though. Very strange

@@Star5dg Man! You got 10 years out of the tooth and are complaining?! What did you expect, for the tooth to become immortal? I thought you had it done recently! Keep in mind Everything had an expiration date. A hip replacement lasts 10 years! Now if you had decay under the filling the filling it’s possible that the quality of the filling was not that good, assuming you brushed and flossed your teeth every night before going to bed, which is what everyone should be doing if they want their own teeth and especially teeth with fillings last as long as possible!!!

@@AANasseh 10 years but when you add everything up..2 fillings in that tooth, root canal, then extraction. That's two mercury filling, 4 doses of local anaesthetic, extraction which is painful due to it being rooted...all to save the tooth. Mad

@@Star5dg Your goals have to be realisticl. If you feel the way you feel you do then you should remove any tooth at the first sight of decay in it it's basically on a conveyer belt at that point. All of healthcare is the delay of inevitable death and demise. If you don't see it in that light you'll have difficulty making sense out of all healthcare choices. Good luck!! .

@@gnyaniprasad291 99.99% is not sterilization. It’s just disinfection and should not be used as a method of sterilization between patients. It’s ok to use during the same procedure in the same patient but not between two different patients. Autoclaving is the only efficient way approved in the USA between patients.

Munce Burs.

@@AANasseh thank you very much

Unfortunately not a whole lot of data on the rest of them. I don’t even know the composition of Zenseal and how much Calcium Silicate it has and what’s the mechanism of setting… you should just use Thermafill so the bean counters know what it really means to be expensive! 😅

@@retrogamerdave362 it’s good that you are able to give the replacement option right away and avoid this conundrum. You can also apply the cost towards the implant with an implant discount to absorb the fee. Good solutions! 👍

Go to your local dental school and if they have a post graduate endodontics program then have them do a CBCT and analyze it with the faculty to see if you have signs and symptoms of sinusitis. Keep in mind bad taste and smell is only occasionally from an infected pulp in the sinus, most common causes are periodontal disease, chronic tonsillitis, sinusitis, or bad diet, etc. An endodntist specialist can rule out tooth/gum problems and then an ENT specialist can look into tonsils and sinus separately.

You may be right. More studies in this area comparing materials under similar circumstance is needed to confirm. 👍

@@AhmadNouroloyouni I would wait 4-6 weeks… also you have to rule out healing by scarring as it may heal leaving a bumpy scar that can be confused for a persistent sinus tract. If you see a scar Confirm it has no opening and nothing is expressing out. 👍

@@AANasseh Thank you so much for your answer! I have a follow-up question: In one of your videos, I saw a resident performing microsurgery through the sinus tract. I'm wondering, do you recommend curettage through the sinus tract for persistent cases?

@@AhmadNouroloyouni Persistemt cases are different than what the resident was doing in that video, in which he was washing out and removing large overfill of sealer past the apex and into the lesion and through the sinus tract before the material had set (washing out through the sinus tract.) In persistent lesions/cases apico would be the better option than washing through the sinus tract. Otherwise, I generally don’t manipulate the sinus tract and let natural healing take place after conventional treatment/retreatment and then triage based on follow up. Cheers.

@@AANasseh Thank you so much for the comprehensive answer🙏🏻

My pleasure! Let me know if other specific topics can be helpful. :)

Also, yes I agree that achievements, awards, honors, and degrees aren't going to fill the hole in your soul if you have one. Neither will a partner, a house, or anything else.. that's an entirely different problem than one of financial success and status. That's something that requires perspective change, like you said, and also a ton of personal exploration-- finding one's place in the world again and feeling fulfilled day to day. Whether that's taking up a hobby that was ignored in favor of career advancement, joining a community simply for social connection etc etc. It differs from person to person. I think outside of that, though, solely looking at endodontics vs general dentistry and what either one can offer you.. Endodontists in the US can charge higher fees for treatments due to their specialty license, and they focus on RCTs, RC retreatments, and apical surgery, like you said-- doing the same thing over and over again. This might be intellectually "boring", but business wise it can prove extremely streamlined with lower overhead costs, less patients seen to produce the same amount as a general dentist doing the same procedures. And the narrower scope of practice may be a better fit for certain personalities who have a hard time juggling a plethora of patients all with different needs, treatment plans, etc. Of course, this is all from an outside perspective as a D3 who hasn't even practiced general dentistry yet. Just throwing my thoughts out there.

@@Alex-mt7vg True, like anything else, your best decision becomes clear only with introspection, after you’ve known yourself, your values and priorities, and what you want to do with the time that’s given to you on this earth! ;)

It's different lifestyles, partially based on practice base and the other is location you live. If you live in the US, endodontists and oral surgeons make similar income. LIfesyle of endodontists tends to be a little better and the practice is cleaner. Patients are, in general, more upscale than oral surgeons (Prefer to save their teeth rather than extract them!) I think you won't go wrong with either decision, it's a matter of what you prefer to do. I started dental school with the goal of becoming an oral surgeon like my Dad; but after my rotation I realized I didn't want to do another 6 years of school and was ready to get on with my life after a shorter residency. In retrospect I"m happy but you have to see what your main goals are in life and also speak to as many people as you can who share the same vision in their lives. There's no right or wrong, just different tastes or visions when it comes to this decision. Good luck! :)

That's a good question and has to do with where you finish. I just did an article review with Drs. Blitcher and Pryles that will be coming up in the next couple of weeks. It does address this exact issue based on the article about the role of patency, etc.

I have tried it already. I have to see some long term results before I'm comfortable sharing any feedback on it. Cheers.

Why would such thing happen? The immature tooth means there’s little to no contact with the walls (no torque on the file) and beyond the apex means there’s no proper working length. So, all these issues are preventable unless an old rusted file is used that breaks… which is also preventable. If it happens then just inform the patient and refer to a specialist to manage it. Will likely need close observation or surgery depending on the details of the case.

@@AANasseh irony is that file was brand new still this thing happened Thank you for your precious reply

Hello Dr.@AANasseh,I retrieved the file in this case

Thank you doctor for your quick valuable response

You should have asked him where did he/she get their endo certificate from? LOL! Of course, not all bioceramics are created equal and there's a lot of poor materials; but there are good ones that work and are time proven. Cheers!

I prefer occlusal plane perpendicular to the floor and use a scope. You can also use it almost parallel to the floor and try to use direct vision assisted by the mirror.

Thank you so much for your reply sir​@@AANasseh

File removal is not as easy as he makes it look. It's more of a magic show.

Not a silly question at all. You measure using a perio probe or something else to the orifice of the canals (or in the case of the post space to the point where you will insert the post) before you make the cut. So, just have to use the probe or even one of your files to measure up to the orifice of the canal. Maybe I'll make a video to show that. Thanks! :)

That’s a good point. Unless the dentist plans on staying a few years and will manage the situation if a problem arises then yes; it’s like a multi visit root canal. But if they are not planning for the long term, then it won’t be ethical to create a future liability for the owner without their consultation. Thank you for bringing up this topic. It’s a great point I did not address in the video!

@@AANasseh Im in my own private practice. And i never understand why someone would work in other way. Mybe the only point i have is that you have multiple specialist on one place and that is convenient for the patient. Maybe you can make video on that topic in future. Thank you.

If there is no probing and if the smile line is high, studies show less recession associated with Submarginal incision rather than a intrasulcular or Papilla incision. Also it’s easier to raise and then suture so it’s quicker.

Thank you Sir for the quick response. I have a question: I had a cyst removal some years ago, would it be possible that i can send you the images and you could give me feedback if the result is okay? I would pay for your feedback, of course.

@@Razoras123 But why do you need feedback on a cyst removal? It’s hard to evaluate from X-rays and images anyway. Don’t you think?

It would be nice to see the result reviewed by an expert, the suregon who did the work moved to another town unfortunately. It would help me tremendously.

Thanks! The ball burnisher is a great way to conpact the margins and the edges of the retrofilling. If it's too loose it can wash out and burnishing the edges can make the margins denser. Cheers! :)

Currently no plans for Brasseler itself to do that wih files. Sorry.

Thank you! 👍

@@AANasseh thank you sir . I got very much supports from your videos. Thank you for your kind and helpful video sir