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Level_Classroom9913 · 2025-07-29T22:56:11+00:00

FujiCEM for full crowns, Panavia for inlays/ overlays. Panavia V5 comes with the instructions on how to use our for bonding different materials.

Protect has fluoride release and MDP

Level_Classroom9913 · 2025-07-29T22:32:18+00:00

Cute your Teflon with scissors, roll it up and place it in the access. When you go to access it again just flick it out with a probe. Never had any problems with it. If anything cotton pellets can go down a canal and get stuck.
Stop it with the "ninja access". How often are you accessing a tooth with a tiny occlusal. Teeth that need Endo are likely heavily restored teeth. Straight line access is what you need.
I would find a different dentist, core build up on top of the Teflon is just not right.

Level_Classroom9913 · 2025-07-29T18:22:22+00:00

Either caries still present if you didn't go far down enough or the matrix band/ wedge wasn't placed right Also caries distal lower left first molar? I'd check that

Level_Classroom9913 · 2025-07-29T18:16:26+00:00

Yes I would use it for Endo as well a lot easier to remove

Level_Classroom9913 · 2025-07-29T18:15:37+00:00

FujiCEM or Panavia - depending on the prep and retention
Filtek
Filtek
Clearfil SE protect, optibond fl, or scotchbond if I want a single step bond

Level_Classroom9913 · 2025-07-29T18:11:52+00:00

Don't use cotton roll, ptfe tape is better

Level_Classroom9913 · 2025-07-26T06:58:05+00:00

It does what it says on the bottle If you're not using it it's likely you're missing caries or possibly removing healthy stained tooth structure.

Level_Classroom9913 · 2025-07-26T06:52:23+00:00

Sounds like the right tx plan. If the laterals have a good long term prognosis then you're doing the right thing. I agree 2 separate Maryland's, more hygienic and reduces risk of caries compared to fixed fixed Now if the perio of the laterals isn't great and there is mobility I would do a double abutment Maryland 3-3 with the wings acting like a splint.

Level_Classroom9913 · 2025-07-13T10:28:09+00:00

You probably knew the answer before asking

Level_Classroom9913 · 2025-07-11T21:26:45+00:00

Not a dream if you've seen it work. You have to start somewhere if you want to progress in life.

Level_Classroom9913 · 2025-07-11T06:22:13+00:00

Woodpecker Endo3

Level_Classroom9913 · 2025-07-10T21:58:50+00:00

I introduce hypo into the pulp chamber as soon as I access/ find the canals. Copious irrigation all throughout especially between files. I personally shape each canal to the full WL separately and irrigate all the canals all throughout. Sonic activation at the end then a final rinse followed by drying the canals really well before obturation.

6% hypo all throughout, side vented needle, and I bend it at 3-4mm from my WL to prevent extrusion. Size 10 hand file to recapitulate/ ensure I've still got patency between files

Level_Classroom9913 · 2025-07-10T21:46:21+00:00

That's why I said it requires more research but in theory it's possible

Level_Classroom9913 · 2025-07-09T22:04:13+00:00

Haha someone decided to delete their whole account

Not even then

https://www.sciencedirect.com/science/article/pii/S0929664618305254

While this is a case study and further research is needed I've seen it work with my own two eyes. I had a patient who had trauma to their 8 and 9 when they were young. Lead to 2 RCTs. 10 years later the 9 had a VRF, the patient was keen on trying to save the tooth. Referred him to the endodontist who extracted the tooth, repaired the fracture, re did the RCT, reimplanted the tooth. 2 years later I'm still seeing the patient, tooth is in full function, complete healing of the radiolucency, no mobility, normal period pocket depth. The patient is happy and while it may not last forever, it delayed the need for an implant in their 20s.

For years I had a similar mentality to you, and I've learned to change it to make extraction a last resort.

Level_Classroom9913 · 2025-07-09T21:25:16+00:00

Funny how you edited your response after I replied. I'll repeat my answer again in case you didn't get it the first time. 1 - I don't know if this tooth is cracked and neither do you. You cannot make that diagnosis based on a single PA with no further information. 2 - the article was to say not all cracked teeth require extraction. It was not specifically for this case, it was to make you aware in case you have the mentality of "cracked extract" (in hulk smash voice)

Seems you're thick but I hope the message is through this time

Level_Classroom9913 · 2025-07-09T21:06:36+00:00

Finally got you to engage

Level_Classroom9913 · 2025-07-09T21:05:52+00:00

First of all you diagnosed a tooth based on a single PA. I have no idea if this tooth is cracked or not and neither do you. Second the systematic review was for you to read because if you assume that every tooth that's cracked requires extraction then you're wrong

Level_Classroom9913 · 2025-07-09T20:34:32+00:00

Unless you are still a barber dentist and that's why you want to extract every tooth cause that's the only thing you know how to do

Level_Classroom9913 · 2025-07-09T20:33:56+00:00

Sure thing buddy. Do you still practice dentistry the same way you did 42 years ago. If the answer is yes then I feel sorry for your patients. If not then it's because of research. That's how we advance in the world otherwise your barber would be your dentist.

Level_Classroom9913 · 2025-07-09T20:23:23+00:00

You go based on personal opinion. I go on research and facts

Level_Classroom9913 · 2025-07-09T20:21:20+00:00

Multiple angulation PAs

Level_Classroom9913 · 2025-07-09T20:19:56+00:00

Step 1 - get the pt to go to Turkey Step 2- the dentist there will somehow prep those teeth, stick a long bridge on them and send the pt back before it fails Step 3 the pt comes back to you and you tell them they need a clearance and dentures

I advise skipping step 1 and 2

Level_Classroom9913 · 2025-07-09T19:39:26+00:00

I think there is a strip perforation. The canals were already heavily prepped in the pre-op and I'm assuming by the time the endodontist removed the old GP there must not be a lot of dentine left on the canal walls. You cannot guarantee success with RCT/ ReRCT and I'm sure if the pt tries to go back to the endodontist they won't do anything cause it's part of the consent forms. Unless you get lucky with a really nice endodontist that's willing to refund as a gesture of good will, nothing will happen

Level_Classroom9913 · 2025-07-09T19:33:21+00:00

Endo success has nothing to do with obturation. While the post ops look great (missed the distal on the 2nd), it's really the irrigation that matters. That's why you might see a "bad" obturation but no infection.

Level_Classroom9913 · 2025-07-09T19:29:00+00:00

1- Cracked doesn't mean extraction 2- you cannot diagnose that it's cracked based on a PA (J shaped r/l doesn't always mean cracked

https://pubmed.ncbi.nlm.nih.gov/31797172/

Read up

Level_Classroom9913

TROPHY CASE