You are most welcome

Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal - @anujgarg952, @DrHozefa Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 How to use apex locators to get accurate reading? - @katyaynigupta5259 How to determine the correct taper for canal preparation - @akanshas8424 Diagnosis in Endodontics - @MuhammadAbdullah-iy3hc, @bsk4627 Thank you

Keep watching

You're welcome!

Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal - @anujgarg952, @DrHozefa Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 How to use apex locators to get accurate reading? - @katyaynigupta5259 How to determine the correct taper for canal preparation - @akanshas8424 Diagnosis in Endodontics - @MuhammadAbdullah-iy3hc, @bsk4627 Thank you

Most of the so called bioceramic sealer are similar to MTA in composition. Back in 2009 when these sealers were not available, I conducted a research by mixing MTA with propylene glycol and used as a sealer in clinical trial. This group showed better healing compared to resin and ZnOEg. Now a days they are available readymade as bioceramic sealers..

Biodentin is a good alternative but in many situations we are dependent only on radiographs for placement like in apexification. Using biodentin for apexification without knowing the extent of placement is highly difficult. For perforation repair or pulp capping, biodentin is good. But for apexification and retrograde filling MTA is better. So overall I recommend MTA over biodentin. Biodentin also has another advantage of shorter setting time which is handy in many situations BC putty is a better alternative to MTA because of its consistency which we may not be able to get with manual manipulation of MTA

Taper is determined by length of the roots, canal width and obturation technique we use. This seems to be an interesting topic. I will make a video in detail about this Thanks for suggesting Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal - @anujgarg952, @DrHozefa Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 How to use apex locators to get accurate reading? - @katyaynigupta5259 How to determine the correct taper for canal preparation - @akanshas8424

Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal - @anujgarg952, @DrHozefa Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 How to use apex locators to get accurate reading? - @katyaynigupta5259 Thank yo

Thank you, I will

Thank you so much 🙂

Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 How to use apex locators to get accurate reading? - @katyaynigupta5259 Thank you

Calcium hydroxide when placed more than 21 days could weaken the roots. This could later leads to fracture of the roots. May be upto a month it is okay. More than that I do not recommend

You are most welcome

It is an honor for me to get appreciated by such experienced Dentist. Thanks a lot sir for your kind words

Thank you so much 🙂

Glad it was helpful!

Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 Thank you

Thank you Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267 Thank you

Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal - @anujgarg952, @DrHozefa Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Working length using RVG - @manadentist2267, @sushrutachakraborty464 How to use apex locators to get accurate reading? - @katyaynigupta5259 Thank yo

So nice of you

yes. Definitely. Using a smaller size file will be useful to negotiate a canal if already there a pathway existing. But in many cases there will be partial calcifications throughout the canal. In those cases it is better to use a small but stiffer file rather than using a smaller size. I will cover this fact along with different type of files to use for negotiation and mechanism of calcification so that we shall understand the negotiation technique. I will make videos in the following sequence thank you Upcoming videos in Smart Dentistry KZbin channel All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa Thank you

This mismatch is what we call as compatible.

@@smartdentistry okkk😊

And I don't understand that residual compressor stresses will induce strength..

Upcoming videos in Smart Dentistry KZbin channel Mineral Trioxide and its applications in Endodontics All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa

Upcoming videos in Smart Dentistry KZbin channel Mineral Trioxide and its applications in Endodontics All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Finishing and polishing of composite restorations - @DrHozefa How to create the perfect anatomy in posterior composite restorations - @DrHozefa

I use Kodak 5200 RVG with default settings in Confident New Life 70 Kva X-Ray Machine Thank you

You're very welcome!

Upcoming videos in Smart Dentistry KZbin channel Mineral Trioxide and its applications in Endodontics All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa Anterior proximal composite restorations - @raghuramm563 Thank you

Upcoming videos in Smart Dentistry KZbin channel Mineral Trioxide and its applications in Endodontics All about root canal Irrigation How to select the correct master cone When to discard a rotary file How to negotiate a calcified root canal Antibiotics after Root Canal Treatment? How to locate root canals? How to remove Guttapercha from root canals? When to do Post and Core? Curved root canals and file selection Everything a beginner should know about rotary files TCA technique of Cleaning and shaping - @DrHozefa

The alkaline pH of calcium hydroxide may cause the dentinal structure to collapse owing to the destruction of carboxylate and phosphate groups. This destruction and dissolution within the dentinal structure reduces the hardness of the dentine. Read this free article. This will be helpful journals.lww.com/eddt/fulltext/2022/34040/effect_of_calcium_hydroxide_on_fracture_resistance.2.aspx thank you

@@smartdentistry thank you Sir 💐

Try to get Cynomysin capsule from Pfizer. It is available as 100 mg capsules. It is available in market. We shall get it from all pharmacy or even from online pharmacy.

Calcium hydroxide is radiolucent. So in order to make it radio opaque, barium sulphate is added.

Calcium hydroxide is radio lucent. In order to make it radio opaque, barium sulphate is added

We have to understand the following in case patient reporting with swelling A. The size of the pulp chamber and root canal are large B. Mostly this would be the first time the tooth becomes symptomatic (in case or large swelling. If it was persistent, there would have been a sinus tract) Then, 1. Do a thorough cleaning and shaping 2. Sodium hypochlorite must be used 3. Fill the root canals with calcium hydroxide 4. Recall on the third day and replace the calcium hydroxide 5. Advise antibiotics (Metronidazole must be included) Hope this is helpful

@@smartdentistry but in case of swelling and pain, most of the time if we close canal in first visit even after complete bmp and apical guaging, pt experience severe pain , which relieves only after opening the canal.

In those cases(with swelling), we shall place chlorhexidine for two days, recall the patient after second day and remove chlorhexidine, replace with calcium hydroxide. Also administer antibiotics. I prefer Ofloxacin/ornidazole in patients with swelling.

​@@smartdentistrysir why you don.t chose pencillin it is choice medication but oflo..xin is not

@@RazaullahZia-r6f Yes I always use Amoxicillin . But in case of patients with big swelling, Ofloxacin is highly effective.

1. If no intracanal medicament is placed, minimal number of micro organisms which are present after cleaning and shaping would multiply and reestablish an infection. So the canal should be never left free 2. Mastercone usually will not cause extrusion of intracanal medicament as the consistency is thicker compared to a sealer. Sealer may extrude, but not the intra canal medicament as the flow tendency is less unless we are using very positive pressure to compact

@@smartdentistry Thank you! So there isn't a problem to place calcium hydroxide in a pulpitis?

Yes, you are right. This technique is easy to use and can be used in straight single rooted teeth. In case of curved root canals the removal of paper point may be quite difficult. It may get stuck inside the canal. Also if the scheduled appointment get delayed paper point may act as a nidus for reinfection. Anyhow in many cases it can be used with less effort and predictable outcomes. Thank you

Exactly. Air in the canal get entrapped inside leading to incomplete canal filling and also pain. This can be easily avoided by injecting calcium hydroxide half way through the canal and then using master cone or lentulospiral or rotary file in reverse direction to aid in filling the entire canal.