Thank u so much Sir for your valuable information..i hv used only c+ file with EDTA along with copius irrigation to bypass a recent clinical case of ledge after watching ur video😊..it was a successful attempt 😌
Sir how can we differentiate wether it is a calcified blockage or it is a ledge when it is formed at apical one third. And the case is done by different dr.
Can d finder or c plus file automatically goes till apex without curving or bending file ( in gradual curve in apex not acute bend) as it has non cutting tip or u have to bend d finder and c plus file also
There is no need to bend GP. When you do BMP you need to do filing against the wall where shelf is present and this will make the wall smooth and easy path for rotary files and GP
Sir....most of the ledges that i encountered were in mesiolingual canal of lower first molar with slender roots. Sir can u suggest me anything to prevent ths to happn
Sir what if the ledge is felt only during 25.06 file use.. and even 20.06 has achieved apical patency ....then which file should we use to negotiate the ledge?
Hi If file is going in a direction away from canal its ledge and if it is following canal anatomy but blockage is there, then we call it loss of working length and blocked canal.
@@Endocrisps sir, actually ledge occurred at both MB and ML at the middle third even after starting bmp with pre curved 10 k file. I'm always careful about bmp and take all necessary precaution but unfortunately this happened and it was very unexpected. This is for the first time in my carrier I got a ledge issue after performing so many successful RCT s.
@@rownakbhattacharjee7046 It can happen because of canal anatomy also and sometimes because of calcification changes in the mid of canals. No worries use D finder or C + files to negate this.
