Intra-canal Medicaments

[@hamzahussain7794]

Got it sir! Thanks alot! I will switch from Cresophene to Calcium Hydroxide and Caustinerf, this is really helpful!

[@Endocrisps]

🙏🙏

[@waqaryounas3888]

Very informative sir thanks alot. Kindly make video on how to manage intra oral and extra oral facial space infection and what to do.. Thank u soo much sir.

[@Endocrisps]

Sure👍🙏

[@ditiditi1843]

If there is no infection the main root canal filling in definite way is endomethasone ...if there's infection we use calcium hydroxide in 2 or 3 weeks with a post check xray....and sometimes when nothing is happening we can use before extraction mtapex bioceramic sealer ....we can definitely fill the root canal with gutaperch ....and is one of the best ....and the last one is a technique like a sealer puf which i take beyond the apex to the infection this material (take a little endomethasone ...a few eugenol ..a few cresotin..a litlle yellow iodine (powder)mix them together and with a lentylo send them beyond the apex as a sealer puf and then just fill the root with enomethasone and gutaperch and you good to go!

[@yashraj-gn5tw]

good evening, you said corticosteroid should not be used routinely as it causes resorption but i could not find any studies supporting this.

[@Endocrisps]

You need to search that on pubmed

[@sakshisharma642]

Sir if we extend calcium hydroxide beyond apex and then after a week call patient for obturation but the rvg shows presence of calcium hydroxide beyond apex then in this case can we obturate the canal or we have to remove the calcium hydroxide. And if we have to remove it first then how to do it

[@Endocrisps]

No need to remove calcium from periapical area

[@sacredholymonk]

Great information as always. Sir kindly throw some light on use of calcium hydroxide+idoform in periapical lesions.

[@Endocrisps]

Ok👍

[@r.k.7754]

Sir there is sinus formation in lower molar after rct .. Wt should me treatment

[@Endocrisps]

There can be a missed canal

[@harshjain4082]

Great sir .. How to place calcium hydroxide powered in weeping canal and perforation directly kya ?? Please explain

[@Endocrisps]

Yes directly

[@vijyantmehrotra8119]

Keep doing this nice job

[@Abhi-cl8ye]

Cresophene/steriod can also be used in bleeding due to over instrumentation?? Or only used in pain due to over instrumentation??Thanx

[@Endocrisps]

No need in bleeding cases

[@thesmile.architect]

Severe pain onset next day which was not earlier after metapex placement and slight extrusion of it into periapical region where there is a lesion , should i wait and watch regarding the pain?

[@Endocrisps]

Remove metapex, irrigate well and give dressing with cotton and light temporary filling.

[@thesmile.architect]

@@Endocrisps the extruded matepex would dissolve itself? And how many does after generally the pain resolves to ensure the patient

[@MsSSkaria]

What is the gauge of the needle used with water based calcium hydroxide ? When i place the calcium hydroxide tip at orifice and extrude - it rarely fills the entire canal - only the coronal third. Whats your advise

[@Endocrisps]

There are premixed water based calcium hydroxide available for medicament use. If you are freshly mixing chair side, then apply the calcium hydroxide paste with master apical file on all the walls of canal. Consistency should be like a sealer👍

[@papalala3099]

Sir but till how many days is CaOH placed in a canal with periapical lesion? Same goes for metapex?

[@Endocrisps]

Answer is there in video

[@Endocrisps]

Metapex for 21 days Calcium for 7 days

[@singjue4791]

Hi Sir, can I ask why odontopaste cannot be used for cases longer than 30days

[@Endocrisps]

Efficacy decreases after 3 weeks. Then you have to place again

[@dr.mridulakumari4896]

Very informative lecture Thank u very much

[@Endocrisps]

🙏🙏

[@advancedentalhospitalresea4593]

Very informative thank you so much sir....

[@Endocrisps]

🙏🙏

[@Hittheban]

Sir can u please give me reply, I did a rct for 15 second visit, reached file 40mm, till that time patient didn’t have pain, after that I applied vitapex. Immediately she started complaining of pain which afterwards became light. Why it is like that? Is this normal? I observed in some patients, hope you will answer thank you

[@Endocrisps]

Don't use oil based calcium hydroxide, use water based calcium hydroxide

[@divyaarora4840]

Sir when we start procedure like access opening, pain starts too much, at that time how to handle it, kindly suggest

[@Endocrisps]

Give intrapulpal LA

[@saurabhsapkal5235]

Sir what is the side effects of metapex extrusion in periapical cystic lesion where patient is asymptomatic

[@Endocrisps]

Nothing

[@saurabhsapkal5235]

@@Endocrisps thank you so much sir for replying me ... Please upload weekly crisps to educate all...

[@dentist.haithamahmed4774]

Is there any complications if calcium hydroxide extruded the canal with high amount ? What will happen and how to deal if this happen ?

[@Endocrisps]

Nothing happens in most of the cases

[@34gaurikadam82]

Extruded water based calcium hydroxide beyond apex and patient is now having excruciating pain What do to sir? How shall i manage the extruded one

[@Endocrisps]

Water based calcium hydroxide does not cause much pain. There can be another issue

[@Cricket-w2d3q]

Sir can We use metrogyl dg gel with kanacort gel as root canal medicament for short period....and in what condition pls explain in short

[@Endocrisps]

Never experimented this

[@dr.harshithakbhat3188]

Sir, I have started rct in rt 36 ( failed composite restoration) it was non vital tooth ,wil pt experience pain during that night sevre pain?

[@Endocrisps]

Prefer to irrigate copiously before BMP to avoid any pain postoperatively

[@vijyantmehrotra8119]

Very useful 👌 lecture

[@nissakhoiruddin2634]

great video 👍👍👍, whats the difference with metapex vs metapaste? and when to use it?

[@Endocrisps]

Metapex can be used when you are not able to get dry canal even after calcium hydroxide dressing for a week.

[@nissakhoiruddin2634]

@@Endocrisps thankyou doc for ur great explanation 🙏

[@3laaedin349]

Very useful but can u repeat what u say in 0:55 about metapex pls

[@gauravchauhan285]

Sir can we use cal_iodoform in root canals,as after placing cal_iodoform in root canals severe pain is experienced by patient for 2_3days

[@Endocrisps]

Oil based calcium hydroxide like metapex can block canal and leads to swelling and pain in chronic cases. Better first place water based calcium hydroxide. Later use metapex

[@rina2903]

My endodontist put calcium hydroxide and guatopercha for permanent root canal treatment 2 month ago. My tooth became very painful and now i have pain in my eye, jaw, neck,. Could it be allergic reaction to calcium hydroxide and should it put in as permanent feeler.

[@Endocrisps]

It can't be allergy because of calcium hydroxide. There is some issue with RCT. I can tell you if you can share xrays

[@rina2903]

@@Endocrisps Thank you for reply. How I can send you picture?

[@gauripatil2113]

Sir please suggest some effective intra canal medicament for re rct cases

[@Endocrisps]

Metapex

[@arshiyaqureshhi958]

Sir.very informative.nicely explained.can u please make video on composite and its layering technique,shades.which one should we use and all the other details thank you.

[@Endocrisps]

Ok sure👍

[@divyaarora4840]

Sir kindly make video for PULPECTOMY.. lower primary molar with pus point over gums

[@Endocrisps]

Okay

[@chandan3385]

How much duration can metapex be placed in root canal?

[@Endocrisps]

2-3 weeks👍

[@chandan3385]

@@Endocrisps my doctor is suggesting for 3 to 6 months

[@Endocrisps]

Usually 3 weeks are sufficient for removing infection but it can vary from case to case. Your doctor is operating you, so he is the best judge👍

[@sanjayve101]

Can u please give the refference....that calcium hydroxide has tissue dissolution capability?there are articles that mentions caoh2 increases tissue dissolution capability of naocl aftr its being given as an intracanal medicament...but the same article mentions that the tissue dissolution capacity of caoh2 as such is doubtful...

[@Endocrisps]

In vitro solubility of human pulp tissue in calcium hydroxide and sodium hypochlorite M. Andersen A. Lund J. O. Andreasen F. M. Andreasen

[@deepikadevi2941]

Can you add links where these can be purchased?

[@Endocrisps]

Type them on google and you can easily find👍

[@lulupriya2184]

Please put a video of pulp devitalising paste

[@Endocrisps]

Okay

[@chandan3385]

Are there any side effects of metapex?

[@Endocrisps]

No side effects

[@sdmsahab3826]

which medications be given in case of severe pain ..after 1st sitting

[@Endocrisps]

It varies from case to case. What was the initial status vital or necrotic? BMP completed or not?

[@sdmsahab3826]

@@Endocrisps vital pulp & necrotic both cases

[@Endocrisps]

Painkillers like combiflem or ketorol on SOS basis is sufficient in vital cases. In necrotic cases, if there is swelling or pus discharge an antibiotics course can be prescribed. If no symptoms at initial stage, still a painkiller course for 3 days should be given. 🙏🙏

[@sdmsahab3826]

@@Endocrisps Dr. Sahab i recently performed RCT on tooth no. 31...patient had already severe pain & sensitivity for the last 1 yr. , after only 1 visit, he even has severe pain ..i had given intracanal Calcium hydroxide, prescribed Zerodol SP + Oflox 200 + Metrogyl 400 + Aciloc + Ketorol SoS, even after 2 days patient has severe pain in tooth.....what do give medication and treatment............. 2.. Also plzz tell me if it normal that patient who has severe pain earlier before RCT, his pain increases after only BMP is performed, patient is alcoholic, smoker & tobacco chewer....

[@Endocrisps]

If tooth is vital means pulpal bleeding, no need to give antibiotics. Pain after BMP in such cases is because of remaining pulp in canal or some missed canal. An extra canal is common in mandibular anteriors.🙏🙏🙏

[@teethstreet]

ThankYou!! Very informative!

[@Endocrisps]

🙏🙏

[@tasfiakazi7576]

Thank u sir...🙏very informative video

[@Endocrisps]

🙏🙏

[@dr.nehaverma3935]

Hello sir...sir can u share some article also ...on the same topic ...if possible...

[@Endocrisps]

There are lot of articles related to medicaments. Please specify🙏

[@ramankhetan9501]

Hlo sir, very nicely explained,can we use calcium hydroxide instead of cresofene in case of overextended bmp injury

[@Endocrisps]

Cresophene give better results

[@minamokhtar9511]

In apexification cases, which type of medicament is most recommended?

[@Endocrisps]

Metapex is best in such cases. 🙏

[@nisa-vf6nk]

@@Endocrisps sir what is the duration of metapex in apexification

[@Endocrisps]

3 weeks

[@mohsinmahmood9350]

Thank u sir..... Please make a vedio about pulpectomy....

[@Endocrisps]

Ok sure 👍

[@ghulammurtaza172]

Sir one lecture on devitalizer

[@Endocrisps]

Sure👍

[@dr.davident]

Thank you doctor! I would like to ask you, what do you think about ledermix as ICM ? and when to use it ? Thanks!

[@Endocrisps]

I don't think there is any use of ledermix in current status of endodontics 🙏🙏

[@mahmudshowrav6204]

Sir what is your opinion on cmcp?

[@Endocrisps]

I don't use it 🙏

[@poloproductions9005]

Can we use metapex as permanent sealer?

[@Endocrisps]

No Its not recommended as it will dissolve in some months

[@drranjeetamohanty564]

Very clear explanation sir...

[@Endocrisps]

Thankyou🙏

[@SDents]

Thank u so mch sir ....grt wrk..🙏🙏

[@Endocrisps]

🙏🙏

[@KavitaPatil-gn3jh]

Nicely explained sir

[@Endocrisps]

👍🙏

[@poloproductions9005]

Can we use metapex as permanet sealer?

[@Endocrisps]

No

[@altimadentalcentre7880]

excellent video

[@Endocrisps]

🙏🙏

[@dilbahadursatyal6982]

Good information....

[@Endocrisps]

Thankyou🙏

[@mlagha7540]

Sorry what is PMP? And thank you

[@abhisheksolanki7923]

Nice video sir, can we use triplet paste upto same working length and for how long in open apex cases?

[@Endocrisps]

Same as calcium hydroxide🙏🙏

[@skmodina5679]

Thanks 👍👍

[@shilparathod417]

For how much time triple antibiotic paste should be placed in to canal? When should it changed?

[@Endocrisps]

After 14 days

[@malakmohammed220]

شكرا❤

[@vinaykumarsinghyadav1630]

Thank u so much sir 🙏❤️

[@Endocrisps]

🙏🙏

[@chandrasekharsahoo6713]

Please one on re rct

[@Endocrisps]

Ok👍

[@sharan4625]

Sir, when using metapex as intracanal medicament should we fill the entire canal with metapex or only apical portion is sufficient?

[@Endocrisps]

Filling the whole canal is better always🙏🙏

[@sharan4625]

@@Endocrisps thank you sir 🙏

[@tanujsharma8427]

🙏🙏🙏

[@karthicks2560]

❤️🙏

[@Endocrisps]

🙏🙏

[@jaijawanjaikisan8844]

Thank you sir

[@Endocrisps]

🙏🙏

[@legobant2751]

Hello dr. Do you have email? I have a case that ive been struggling right now

[@Endocrisps]

Everything mentioned in last slide👍

[@legobant2751]

@@Endocrisps hello doctor i sent an email. Hope you can help

[@Endocrisps]

👍👍

[@narindervermadental4694]

Nic

[@Endocrisps]

🙏🙏

[@gurmeetsingh7136]

Thanku sir 🙏

[@Endocrisps]

🙏🙏

[@musabbirali6636]

Sir yeh vidio ap hindi me banaye

[@3laaedin349]

Very useful but can u repeat what u say in 0:55 about metapex pls