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
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..
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
@@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.
@@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.
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.)
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
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.
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
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
@@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
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??
