Mandibular Cuspid Root Canal - Dental Minute with Steven T. Cutbirth, DDS

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[@damon-burton]

Great breakdown of the root canal process. Thorough cleaning and drying are essential for long-term success.

[@centerforard]

Yes. Cleaning and irrigation are the keys, according to endodontists I have discussed the process with. The chairman of the endo. department at my dental school once said, " If you clean and irrigate the canals well, you could fill them with horse manure and the procedure would be successful." I am certainly not advocating poor canal filling, but he made a point. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@damon-burton]

@@centerforard Appreciate the insight. It really highlights just how critical the cleaning and irrigation steps are in the root canal process. It's fascinating how foundational these steps are to the procedure's success, regardless of the filling material. Thanks for sharing that memorable quote-definitely drives the point home.

[@timter3181]

Hello Dr ! Sometimes when I do split dam,there is saliva coming from the open space . How do you deal with that ?

[@syedbahauddin8486]

Liquidam

[@jotocaful]

Liquiddam, opaldam... But he just doesnt deal with it

[@centerforard]

The objective of the RD procedure I suggest is not to keep 100% of the saliva out of the RD, but to keep almost all of it out. You assistant has a suction for that small amount of saliva. Don't make the hole so long so that the RD fits tighter against the enclosed teeth. This RD method 1) keeps the tongue, cheeks and lips out of the operating field, 2) keeps any pieces of amalgam, old crowns being cut off, other debris cut by the burrs out of the patient's mouth and keeps 99% of the handpiece and irrigation water out of the patient's mouth. Fabulous! It is such a simple, effective and quick technique, you will find your self using it for most of your procedures. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@T.K01]

Hi Dr Cutbirth I have noticed in all of your endo videos you prep all of the canals to the same size. Is this correct? Almost always 30/40 I believe. Do you not place much importance in choosing a specific canal size prep?

[@centerforard]

I generally prep canals to size 30-45, unless the canal is sclerotic or very large, like a cuspid or maxillary central incisor in a younger person. I want to clean and irrigate the canal thoroughly, but do not want to over file. Endodontists have told me, and it makes sense, that overfiling can weaken a tooth and make it more prone to fracture, especially if it is an anterior tooth. Our to the small size of anterior teeth, you would prefer not to place a crown on an anterior tooth that has had endodontics because you would be removing tooth structure both on the inside and outside of the tooth, really making the tooth more prone to fracture over time. Remember, the thorough filing and irrigation is the important part of the endodontic procedure, but you do not want to overfile because endodontics makes a tooth more brittle over time, making it more prone to fracture. I had root canals and crowns onmy upper left cuspid and lateral incisor from a baseball accident when I was 17. The cuspid root fractured several years ago and was extracted and an implant placed. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@T.K01]

@@centerforard thanks Dr Cutbirth I obturated a tooth today and it went nicely. Your videos helped me tremendously. As you say - these techniques work and they work every time! 😁

[@centerforard]

Terrific!

[@syedbahauddin8486]

Why’s that file so curvy like that??? What type of file system is it??

[@DrShahid-Shafi]

Xp shaper file from FKG. They also have Xp finisher file. This file is straight when outside the canal as soon as you insert the file inside the canal, the temperature change makes it wavy. The concept behind this is that root canals are not cylindrical, they are irregular, so the files tries to scrap as many portions of the canal as possible.

[@centerforard]

Real World Endo. makes the rotary files I use. The "curvy" file can perform all of most of the canal filing with that single file. I normally include at least a #30 or 35 additional rotary file to open the coronal part of the canal a bit more. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@syedbahauddin8486]

@@DrShahid-ShafiThanks doc

[@syedbahauddin8486]

@@centerforardThanks a lot for the response

[@gourabsarker9552]

Sir what is the gross revenue of your dental practice and overhead costs look like? Plz reply. Thanks a lot.

[@VidaV]

Nice try IRS

[@smoothestdew]

847 million trillion

[@doctorprotein2807]

He released that info a few videos back

[@centerforard]

Dentistry has been very good to me and my family. I am presenting a second webinar July 26 to the subscribers of DMC.com on my practice method, in particular on how to double, triple, quadruple your dental practice without "selling."

[@andreasfromsanandreas1268]

is this woman at the end your daughter?

[@centerforard]

Yes, one of them. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513