Hydraulic condensation in different canal types: Friday Questions

[@jonathanmichelsohn7165]

Dr. Ali, your presentations are excellent. I have learned a great deal. Thank you!

[@helpinglau]

Thank u very much of everything! Endo is really a whole new world. I like to watch ur videos. they r very interesting video :)

[@zaidalbayer9220]

Dr ali thanks for these interesting videos , I wonder what are the side effects of bio ceramics overfilling or crossing the apex

[@AANasseh]

No worse than any other sealer, in fact, less inflammation as the material is more biocompatible. Obviously the goal remains not to extrude the sealer as it has no specific clinical function outside the root but since the material turns into hydroxyapatite when it sets it's good to know that it acts as a bone cement. It will not wash out quickly so it remains radiographically visible; but as long as it's not extruded in any biological vital structures it's ok. Of course, the same rules apply to this sealer than to others.

[@zaidalbayer9220]

@@AANasseh thank you a lot dr. Ali for all of your valuable informations.

[@ketisukhishvili6426]

Thanks you for tutorial.it was excellent. Do we use normal guta cone with BC cealer or cones mast be BC coverd?

[@AANasseh]

Thanks. Ideally BC coated GP so that the BC Can both adhere to dentin on the canal wall as well as the GP surface, which is otherwise hydrophobic without the coating.

[@ketisukhishvili6426]

@@AANasseh thanks for answer.Your fan from Georgia 🇬🇪

[@tradersutra1416]

Dr Nasseh, can you make a quick video about how to do BMP in Mb2s. Blend protocol is great but it appears it’s not that efficient compared to conventional canals

[@yuxiangwang179]

Thanks for sharing

[@dansberg7]

Thanks, Dr, Ali. What mag do you typically use on your microscope?

[@sameer7420]

thank you for this very important tutorial!

[@mells342]

sorry is your type 2 and type 3 weine classification not mixed up?

[@naveedrehmat5183]

Hi Ali . What are the chances of success if you inadvertently over fill the BC sealer like calcium silicate out of the Apex ?RSVP.

[@AANasseh]

Success is not really related to the overfill but how clean the canals are. The sealer is a bone cement and in itself should not cause a problem; however, over times people tend to overfill in cases that are highly infected due to apical resorption and loss of constriction. So the higher failure rate is not because of the filling material but the presence of persistent biofilm. Cheers!

[@angelicafoster670]

can we use conventional lateral condensation technique to obturate class III and IV canals ?

[@AANasseh]

In its truest form, Lateral condensation requires that your spreader reaches within 3-5mm of hate apex. Depending on curvature and canal anatomy this is either possible or impossible.

[@angelicafoster670]

@@AANasseh Thanks for your reply

[@galahadaverton2577]

Do epoxy-based sealers should not be used on Hydrualic Condensation?

[@AANasseh]

No. It doesn’t have the same properties as bioceramics. And there’s a recent article in press at Journal of Endodontics that validates this.

[@tradersutra1416]

Dr x Dr. Nasseh- anyway you can make a video about how to prepare Mb2 once found. They are tiny and calcified and the blend protocol seems not that efficient in the beginning.