Always do proper manual bmp. Don’t jump to rotary files immediately after 15 k or 20 k . Do until you get clean dentinal shavings. You will get to know on experience. Then for just shaping of canals we can do rotary files. And proper irrigation with hypo and edta is compulsory.
Xray is not the key, good apex locator is, radiographic apex is never same as anataomical apex, so using apex locator in each and every case is mandatory, rather going for lots of xrays, rather use an ex locator precisely and do lots of irrigation is the game changer in endodontics.
Almost similar situation I am having with one of my pt ……I started with rct of upper left canine,but she came with severe pain in second sitting….injected l.a ,completed bmp,placed cal hydroxide,recalled after 2 weeks……it seems she still had severe pain (which does not happen in my other patients)….she went to some other dentist n got it obturated……..few days ago she came back to me complaining of severe pain n heaviness in that tooth…….n she want me to do re rct …..I have advised her for cbct ….lets see wat happens
Am I the only one here who’s not a Dentist? Watching this in bed at 5am wiggling my loose bottom right 3rd molar. Thinking of pulling it out with my fingers.
Sir cbct me mild Periodontist 2 month se pain hota hai . Dentist ne steroids diye the laga laga k thak gya hu . Jabhi dentist k pass jata hu normal hai kahe kar ignore karte h . Kya karu sir pls help
Hello sir i had an rct and dr says one part of instrument (broach or needle) got broken and left at the bottom of tooth root. Is it safe to keep it like that sir? What should i do?
@@Doctor_Vishal_Mishra it's not ok bro, it's hurting since that day. I came to my home now and consulated another doc, he said they need to remove the tooth and even after that not sure if the file with come out as it's in the bottom outside the teeth. he said he'll perform a horizontal incision from the cheek side to get it out which might affect the inferior alveolar nerve as well. im scared.
It requires a lot of practice. After atleast 50 cases you would understand where to find the MB2 and how to get it. Initially start with a sharp explorer which will help you to find any notch or sudden drop, then start filing with a 6k or 8k file, if it is in the MB2, you’ll get the proprioceptive feeling on your fingers. Take one IOPAR to confirm. Furthermore to make sure the presence, insert one k file into MB1 and one H file into the MB2. That's it. Keep on finding them. It’s present in most of the upper 1st molars. Don’t be over enthusiastic, otherwise you might meet unwanted perforation. Best of luck.
