Very easy to understand, the simple explanation was given in this video to understand the step-back technique of cleaning and shaping root canal system
This is absolutely great doc. I have been in and out during my practice, and in desperation to polish my skills. Your videos really helped me to get into the core of the basics. Thanks a lot ❤
this is veryy good video i like the quality especially when you demonstrated how to use the file in witch winding motion .. I would be very greatful if you demonstrated other motions too in a separate video
For Phase 2A we use gg file what should be the length of it? Also can we start by using GG files 4-3-2 in sequence. Can you let me know how that works.
thank you dr that's very helpful. If I may ask. is it better to use GG drill after the access cavity (before cleaning and shaping) or is it better to use it after cleaning and shaping?
For a beginner, I would recommend step-back technique. Crown down technique has many advantages, but also can lead to errors in inexperienced hands. Once you get familiarized with step back, then crown down technique can be used. I will soon make a video on step down technique thank you
@@smartdentistry Although stepback has a popular history still for beginners it is risky as (1) u will run risk of file separation (2) u will push debris apically/extrusion and then pain (3) you can cause a ledge.(4) irrigation is cumbersome or literally nil. Hence go with crown down as a general rule for amateurs/ professionals as you can overcome all the above risks . Subsequently u can follow the step back only for apical 3 rd 5 mm from apical constriction.
WE SHOULD ENLARGE THE APEX THREE TO FOUR TIMES BIGGER FILE SIZE FROM THE FIRST FILE THAT BINDS AT THE APEX... For eg.. If 30 is the initial file that binds at apex.. then the master apical file will be 45 or 50 ie... three to four times...
@@syedshah2000 At the working length, the file should binds, ie...the file should not be able to go beyond this level and also if you take your hand, the file should not fall back. It should stay there. Contrarily, at any length short of the working length, the file should not bind and it will never stay inside the canal and fall back if we remove our hand....
Bravoo sir...as a beginner...we usually find it very difficult..also damaged floor.is it Okkkk..i mean we can pursue a career in endodontics.. Kinda doubts..hit...
Yes, definitely. In my view...endodontics is one among the branch of dentistry which has a very high hope in future... I would definitely recommend to pursue your career as endodontist...
Thanks for the video, i would like to ask about phase One. i'm working on an extracted premolar type III. I first entered the canal with #15 without establishing working length. Now i'm confused. it fits tightly in the canal and did bind to apical dentin, but i pushed it through the foramen because i didn't establish working length. Did i perforate the foramen by using large #15 as patent file ? and if it is perforated /widened can i just use file #20 , 1 mm shorter as initial apical and continue ?
Nothing to worry. It happens frequently. Many teeth especially in young patients will have apical foramen measuring size bigger than 15K. As you mentioned, reduce the length by 1 mm and continue cleaning and shaping and establish apical stop at the new length(1mm shorter than the radiographic apex).. I don't think you have perforated the foramen because i strongly believe that tooth you are practicing is extracted for orthodontic reasons from a young patient.... so it usually have a wide foramen... Keep practicing.... All the best
