Dr. Nasseh shares his trip to ESE meeting 2019 in Vienna and discusses the topic of Warm Hydraulic Condensation using Eiteeth's company's power devices.
The différence is visible at CBCT ! This technique is a variant the Schilder technique ! A mix of Schilder and Buchanan ! I've been using it for the past 5 years ! I've really frightening things with Buchanan technique ! The Absence of Tug Back on the Master Cône should never be left as is ! An exemple would be a C shape section root canal ! That je where one should do Schilder absolutely because any kind of material as a volume réduction du Standard Reactive Entalpie ! The Guttapercha is thé only natural material that je stable ! Further more it changes Spatial Conformation become more Thermoplastic after heating ( like heated chocolate for exemple ). Very good video ! Really good démonstration ! Thank you for sharing !
Yeah I noticed more hydraulic force so sealer can get around more. I wouldn’t worry about more GP in the coronal aspect of the canal as we worry more about the apical because that’s the Area is much harder to really clean with our current instrumentation
Cool video, I do have one question: Is there one result you've found more predictable when obturating with your sealer. I have been injecting into canal exactly as you have demonstrated and according to manufacturer guidelines and at times, end up obturating 1-2 mm short (specifically in smaller canals). I am wondering if coating the cone with sealer instead can help mitigate this result. I always confirm patency and true working length before final obturation. I understand that not much sealer is actually needed anyways due to the good flowable properties, etc. What's your advice on the matter? Is there a chance that injecting into canal results in too much sealer?
In smaller canals make sure your cone is seated to length before adding the sealer. Then take some sealer to apex with a size 10 file and then take the lightly coated cone and seat slowly, allowing sealer to vent up around the cone. Make sure it's fully seated before melting the handle off. If not, you may need a new cone as the cone fitting itself can sometimes distort the cone in smaller sizes. Cheers!
Great question! It should #1 Never Be Locked in the Canal and #2 Not be pushed beyond half way down the canal. The sealer should be visualized to avoid over or underFills. After placement in the coronal seal a file is used to safely push it to the apex. This is designed to prevent overfills. Also, if magnification/illumination is not available to see the material coming out of the needle tip, I recommend using the sealer on a paper pad to avoid overfills.
Dr. Nasseh, are the BC gutta percha cones exactly matched in shape and size to their corresponding files, or do they get fatter at the top and therefore risk binding coronally? Thanks!
Hello Dr. Nasseh, Thank You for Your impact in spreading knowledge about new, better solotions and fighting myths that I've also heard many, many times. Ignoration or somebodys personal interst shouldn't stop our development. I personally use BCS for 5 years and recently carring out studies about it. Do you use knowdays only HiFlow BCS or also the regular flow version? Do you think high temperature can affect sealer setting or other properties? Thank You for Your answer. Best regards, DMD M. Kubiszyn.
Thanks Dr. What do you think about Dr. Ricucci's position on filling lateral canals? For him it has no use since you can't predictably eliminate the biofilm in them when present nor remove remanent tissue and you end up with lateral canals with a mix of tissue, sealer and sometimes biofilm.
I agree with him completely. This has been a point of contention since 1968 and debates with Dr. Herbert Schilder and Frank Weine. There's too many assumptions on various sides of this argument; therefore, the simplest explanation is often the correct one. There's no need to specifically aim to fill lateral canals, But if they are there and are significantly large, they get filled nevertheless. Trying to fill them in vital teeth is mere non-sense. Best wishes.
Thank you Doctor. You mentioned setting the EndoPro 270 to 270°C. Is that to accomplish warm hydraulic condensation with the standard BC points? If so, is there any difference in vitro (or in vivo) in using standard BC points at 270°C vs. BC 150 Series points to 150°C?
The 150 series cones mean that they melt easily. It doesn't mean you need to use 150 to melt them. Use the highest setting on your heat source so you take less time melting the handle.
san sa The main difference is that one is calcium silicate based (BC Sealer) and the other is a Calcium Phosphate based and is a faster set. Also, BC Sealer is premixed and doesn’t require mixing but Septodon’s BR RCS is a powder and liquid that needs to be mixed. Also, more research is done on BC Sealer since it’s older and came first. Cheers.
@@AANasseh thanks so much for your answer. I'm approaching now the world of bioceramic materials and you are a great help to me! I'm watching your videos like a crime TV series. they're so interesting. every one is full of contents and gives me new inspirations on my everyday practice and protocols. what I really like most is that they are really meant for practical use even for who cannot afford some materials (p.e. cleaning the canal cement without ultrasonic). cheers from Italy 🇮🇹 PS. I just read actually bioroot is made of tricalcium silicate.. I'm pretty confused. also I cannot understand what should be the difference between these canal cements and the other root repair materials (such as the busa root repair or the septodont biodentine)...
san sa Thank you. BioRoot RCS and BioDentine are the same Calcium Carbonate base but with different viscosity and particle size and setting time and BC Sealer and Putty are the exact same way but by a different manufacturer. The main difference again is Brasseler’s premix formula compared to Septodon’s mixture requiring formula. Both are pure bioceramics and don’t cause staining. BUSA’s EndoSequence line (also called TotalFill by FKG internationally) is premised and has easier clinical handling.) otherwise both cements have similar biological properties.
@@AANasseh good to know that fkg has basically the same product. here in Italy fkg is easier to find than busa's products... hence can I obtain basically the same results with the canal filler or the root repair material? I'm just watching your video about apexification in which you use the root repair (the CBL #11). but if I can manage the viscosity and setting time, could I obturate in the same way a larger apex or a perforation with the bc sealer or the root repair material?
san sa Yes, you can use FKG and also yes for the interchangeable use of the materials. However, you have to use the Putty where a large surface of the material comes in contact with Blood (large size apexification, retrofill, or perf repair) as it’s designed to be more washout resistant. The sealer is too liquid and can get mixed with blood is the site is bleeding that can affect it. The Putty is the better solution for those large defects. Sealer is only beat as a conventional sealer or for the Lid Technique which I’ve described. Cheers.
Hello Dr. Nasseh. I came across a couple of endodontists who claimed that there are reports that BC sealer is not setting fully inside root canals particularly in cases with apical seepage. I have been using BC sealer for the past year and I personally love it. What are your thoughts ? Is BC sealer here to stay or vanish like resilon ?
It's been around for 11 years and used in 20million root canals worldwide. These kind of negative stories are more about commercial interest than reality and such stories are promoted by companies who rather sell the more expensive thermoplastic carriers rather than the simpler and less expensive bioceramic based technique. Basically, it's just propaganda. I've done +10,000 cases with it over the past 11 years. I would have noticed a problem by now if there actually was one.
Im' sorry but I currently don't do workshops. We do have a list of courses on our website you can attend. My next course is at Harvard on December 6th.
Canon C300mkiii for studio and 25 different cameras for the road stuff ranging from GpPros to other DSLRs. It’s not the camera though! I went to filmschool many years ago ;)
