Root Canal Demonstration | Core Build Up Procedure

What's up KZbin, Dr. Sami Shahhal here & today I want to make a technique video illustrating how I approach core build ups after root canal therapy. I absolutely love the rubber dam when working on root canal treated teeth because it ensures the canal is free of oral bacteria during our procedure. I also believe it makes it safer for our patients as I don’t have to worry about the tongue or cheek getting too close to my diamond bur.
Currently, you can see me carefully removing the temporary filling or IRM from the canal. I do my best to stay away from natural tooth structure until recovering the cotton pellet that is placed immediately over the canal orifices. As you can see, the decay was pretty expansive & the endodontist did his best to clean out the tooth during root canal therapy. However, I prefer to go over some of the compromised areas with a round carbide bur on slow speed to ensure that the tooth is completely free of decay. I typically place posts If I have 2 or more compromised walls; however, in this case we have adequate tooth structure to go ahead with a simple core paste build up procedure.
Air abrasion therapy, helps me enhance the dentin surface roughness & establish a higher bonding strength to my filling material. I then place a Phosphoric Acid Etchant in the canal for 15 seconds followed by a thorough wash & dry. You can definitely see a frosty look to the enamel if done correctly. The dual cure bonding agent saturates the canal & is thinned to once again increase bond strength. I slowly place core paste starting from the base of the canal to the cavosurface margin in order to minimize the creation of voids. After the build up is set, we can proceed to our crown preparation.
So, I hope this video helps patients better understand the build up procedure. If you have any questions or requests please let me know in the comment section below. I love sharing cases with this community.
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[@moonbunnycakes]

Wow. I had this procedure done and can't believe it was that deep. I didn't feel a thing and it was painless. Dentists are amazing. So great to see the process.

[@LilyEvans1996]

I am so happy to hear it did not hurt. I have one scheduled and I am scared

[@CarlitosHyperPR]

Same I got a root canal and I didn’t feel anything, now I just gotta get the core build up

[@ladyyyKD]

Thank you for all your videos! You make understanding everything in dentistry easier! :)

[@SmileInfluencers]

Thanks Kadee!

[@gracielarodriguez4653]

THANK YOU FOR THIS VIDEO! YOU ARE SAVING MY LIFE WITH AN ASSIGNMENT!

[@dummyaccount4115]

Mesej yang jelas, struktur yang jelas, mudah difahami, terima kasih

[@JJ-ev5mp]

can we eat strong food item on this post core tooth ?

[@DrGregAsatrian]

Excellent work & loving this new footage.. looks great

[@vigilancedesign3321]

H Dr - Not sure if you'll see this but I had an RCT on a molar and since a lot of the tooth structure is gone, the dentist recommends a post in the core build up. He wants to use titanium. Do you know what the best material for post is? Zirconia? Glass fiber? Titanium or stainless steel? Thanks

[@steliosv2327]

Um it looks really interesting but does it hurt? I have to go to a dentist to build one of my down and back teeth that broke some years ago and i did not wanted to go to a dentist ( by the way this happened in the sixth grade) so yeah... I think i am ready to do a build up on that tooth

[@joealbert7916]

Can we cement fibre post using dual cured injectable composite such as charmcore?

[@glennandthefilamfam]

I was wondering, is the build up procdure material like a liquid that turns solid? I just had it a root canal done yesterday, and had a gentle wave procedure done. It was painless, of course my mouth was also numb.

[@Jcccc777]

What happens if your missing 25 of the side wall of the tooth? Can you still perform a buildup w crown?

[@77khafan]

thank you for this but the question is what kind of composite is it?

[@maxb2405]

Clean work as always

[@courtneycarballo6343]

New DA here. Can anyone explain more in detail what exactly B/U is and when it’s required? When recording diagnosis with my dr. I always ask when it’s a crown if it’s a b/u too. I feel like he thinks I’m dumb, 😂. Is it only required after RCT or what determines the need for this procedure? Thanks

[@lavaniadelrey2807]

How are you now

[@kanikasaini7287]

Do you add a separate crown on top after cleaning the teeth and filling it ?

[@jaimevillanueva7180]

Is there's hope if one dentist messed up my tooth by filing it down to much almost to the gum line? I'm so upset I only went to this dentist because I was in pain and my dentist was not around and now I regret it I might lose my tooth because theres not enough tooth for a crown.

[@courtneycarballo6343]

Not a dentist but an assistant. Most likely it can be saved with a root canal and this procedure and then a crown. There’s always hope, just get a second opinion. If the tooth isn’t salvageable, they can do a bridge or an implant crown.

[@christopherbebeau3357]

great quality

[@stevenlu8570]

Nice video! Sounds like you have a new mic. ASMR dental videos now haha

[@poojagoregaonkar6897]

Is this painful

[@SmileInfluencers]

Pooja Goregaonkar a core build up procedure is typically performed after root canal therapy which means that the nerve has been completely removed from the mouth. However, sometimes we need a bit more medicine to make the patient feel comfortable during the procedure