Usually when we do an access through the crown, there will be no damage to the crown. But this crown had a very thin layer of porcelain,so it chipped off like that. Usually an access through the crown will only have a small circular opening.

@@dineshnpu same problem here too sir 😅

Gp size 35.04

Heeey Dr. That's totally fine. We all have our own way of doing things, there are no right and wrong. We just want what's best for the patient at the end of the day. And thank you for saying it in way where you are not rude. That helps create a healthy conversation 🙏😊 keep it up Dr. 🙏🙏❤️❤️

@@dineshnpu yes im a nice guy :)

Heyyyy... That's a good question, it's not a must. I removed all the pulp and debris from the canal and immediately obturated. Caoh2 is a good medicament, but in some cases, I choose not to use them. It not 100% necessary. 😊😊😊

Heyyy.. I'm sorry, but I'm recording all this using a microscope, so it's impossible to show my apex locator in the videos. But what I usually aim for is 00 on my apex locator.

Heyyyy.. I totally agree with your opinion. I would do the same thing if that pulp was actively bleeding. In my humble opinion, the pulp has regenerated, that's why there Is no active bleeding. I removed the caries around the exposure space and placed theracal over it. This has been my protocol for half a decade and surprisingly it works. I follow sodium hypochlorite and mta for actively bleeding pulp. As I said, just my humble opinion 🙏😊

Thankkk you so much 🙏🙏😊😊

Thank you sooo much 🙏❤️

The files I'm using are from eighteeth, e-flex blue. Size that I'm using is T1 : 20.04(yellow) T1.5 : 25.04 ( red) T3 : 35.04 ( green)

Thankkk youuuu 🙏❤️

Email. [email protected]

Mine is just at apex, 00, which is a good place to be. 😊😊

@@dineshnpu So doc, do you shaping at 00 also to MAF? Is it safe doc do the shaping till 00, or still subtract 0.5mm from 00?

Yes. I do. I'm using eighteeth endomotor. It's very accurate. I will stand by it

Thank you for the kind comments. Means Alot to me

Thank you ❤️❤️❤️

I use a tweezer to hold the files and place them in, so this enables me to not put my fingers in. Mirror size, I'm using a size 5. I usually place my mirror slightly away from the working tooth and use my microscope to focus on the mirror. It's abit hard to explain, but try to imagine that I'll place my mirror at the premolar region to look at the 6, sometimes at the 7 to look at 6, never at 6 itself.

I'm using eighteeth e-flex blue

That's the db that's positioned very weirdly.

@@dineshnpu seems like the roots are twisted

I'm using eighteeth e-flex blue. It's very gooooddd... Thank you sooo muchhh

I would love to suggest some to you, but different suppliers carry different burs and all of them have their own way of numbering them. A #3 from mani might be equivalent to a #6 on Mr. Bur. So, I can't specifically suggest a bur to you. But what I would suggest is asking your bur supplier for a long shank ( abt 7mm) diamond round bur( 2mm-3mm). This is perfect. Anything bigger will be too much .

Because I prefer taking opgs rather than taking a PA 😊

Thank you Dr. 🙏❤️

Irreversible pulpitis with apical periodontitis 😊🙏

@@dineshnpu thanks sir

Hahahahhaa... The thing is, I'm doing these cases clinically and usually a large mirror doesn't have similar capabilities as my small mouth mirror in reflecting light into the canals when using a microscope. That is why I stick to my mouth mirrors although sometimes it's hard to angulate. And also, it's a 2nd molar and a real life patient. Sometimes I get lost in the focus of treating the patient rather than recording the case. 🙏🙏🙏 Sorry. I'll try to take better videos next time 😊❤️ thank you for the support

Just a gut feeling that it can't be this simple. Since I have a cbct at my disposal, I took it. But if I didn't, probably would have obturated that two canals and moved on 🙏😊

Thank you Dr. The mesial contact was originally like that, so I didn't redo it. And this case came back to me to do indirect already. 😊😊 But for a long term temporary, I would not leave it open like this 😊

Use isopropyl alcohol n micro brush to clean sealer from pulp chamber

Heyyy.. Yess.. I use alcohol and cotton pellet. Also, scaling helps. After 90% removal, use etchant and scrub with a micro brush.

I don't use post and core in my daily practice anymore. I use fiber and fiber reinforced composites. 😊😊

But, this tooth has got Alot of structure left, in my humble opinion, a composite veneer will do the trick. But ideally, crown would be a great option too

@@dineshnpu thank you dr 🙏🏼

Yes it is. But I would advice trying to do crown down technique if you are using rotary. Don't try to bring your rotary straight to WL without using a K file first. I don't use barbed broach in my daily Dentistry too

Do you mean the one I'm using to carve? It's just a diamond shaped sharp composite carver from a local brand called quensdent. It's something similar to lm arte's fissura. 😊❤️

Always used side vented. It's the safest way to prevent over extrusion of sodium hypochlorite beyond the apex 😁

It is a fiber strip, it helps deflect occlusal forces and acts as a fail safe for the whole restoration ❤️😁

@@dineshnpu thanks sir

Always, sodium hypochlorite 😁

I prefer using ribbond, as, if it fails, it won't cause a catastrophic failure unlike a post which will fracture the root of the tooth. Ribbond functions similar to a post too 😁

Thanks ❤️

Heyyy. The purple tip is actually the irrigation. I'm using full strength sodium hypochlorite. The green tip is my sonic activator. A sonic activator activates the sodium hypochlorite irrigant which will help it flow into any accesory / lateral canals if present 😁❤️

@@dineshnpu love u content sir

​@@besi23rthank you 🙏🙏🙏❤️

?? 😂

You can definitely etch and bond again if contamination happens. But if it's just a little blood seeping in but, u can try wicking it away with a micro brush. But I suggest reetch and bond. 😁

I'm from Malaysia actually. A small part of Malaysia called melaka. 🙏😁😁

Appreciate the support. Thank you sooo much 🙏❤️

Hey dr. That's ribbond ( a fiber material). It acts as a fail safe and deflects occlusal forces. 😁

@@dineshnpu Thank you for your response ❤️

Thank you 🙏❤️❤️❤️

Heyyyy dr. I don't use any liner. I'm just using flowable composite at the deepest end. That's why you see me curing. If you are using gic, I would recommend you to place the gic as your base first, then etch and bond the tooth as well as the gic and proceed with the restoration. Hope this helps. But I personally do not use neither gic or any liner. Thank you for the support 🙏🙏❤️❤️

TY for respond. I'll try this. Thanks

This tooth in the last tooth in that quadrant. So we are forced to place the clamp on the same tooth we are planning to restore. It's always a good idea to place the clamp slightly more subgingivally to have space for clamp position. Appreciate the kind comments 🙏🙏😁😁

Not really anything in particular, I think they all work fine 🙏😁 Teflon is magic, takes time to get used to it, but once it's incorporated into your workflow, you can't live without it

@@dineshnpu yeah I completely agree with you. Thank you for your response.

Thank you. Glad that you liked it 🙏❤️

Thank you

You can always do free hand technique for this case, but you'll never get a well adapted margin, it'll always be an overhanging one. Using matrix will always be the best choice 🙏🙏😁😁

Yes.. It's just a white stone primarily used for polishing, but I use them to remove unsupported enamel 😁❤️

@@dineshnpu thanks 🙏