The Role of Efficiency in Endodontic Care: From Dominican Republic!
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- čas přidán 6. 01. 2024
- During a Christmas Holiday trip to Dominican Republic, Dr. Nasseh discusses efficiency of care and its role in daily clinical practice during root canal therapy procedures.
Let me know what prevents you from being efficient in your clinical practice and what kinds of things help you be more efficient? BTW, did you feel this video was too slow? In the past some people say I speak too fast... I'm trying to slow down a little! 😂 Let me know! ❤
@@PhuocHaiDentistIt means that the clamp is put on the tooth behind the tooth being accessed. This way you can take a radiograph during access and see your progression (the clamp won’t block the X-ray image!) . :)
My efficiency developed most from shadowing my endodontist friend, referring out cases that I know I can't complete safely or efficiently, and choosing a system which I have stuck to. In my case it was Wave One Gold. I also love EndoSequence BC Sealer, another product that makes my life much easier and predictable
This is a beautiful video with many gems. The presentation was also superb. Excellent doctor!
Keep up with the amazing work and content. It’s truly useful and informative and to the point!
Such beautiful cinematography! Thank you for sharing.
What a nice way of presenting a lecture!! Very nice background and the Video is very much helpful. Thanks again.
Beautiful video Dr. Thanks a lot❤
Fantastic video doc thank you
thank you for the amazing video! I've learnt a lot 😍
Thanks a lot.
I wish you good vacation.
Great video Dr. Nasseh on a topic that isn't covered enough. I had a quick questions: What do you think of the Eddy by VDW? It seems comparable to ultrasonic irrigation in most peer reviewed articles and slightly more convenient due to the reduced risk of ledging.
Yes it works too... anything that improves agitation should work better than mere passive positive pressure irrigation. The question is if it's clinically significant and that, like most other devices' impact, is what's missing from the literature. Ultrasonics are more versatile since they can be used for multiple application but I would definitely recommend sonic if not using an ultrasonic.
@@AANasseh Thanks for the reply!
Great video. Thank you.
I think I saw most of your videos. Have you ever shared your desinfection protocol? I can't imagine lower molar endo in 27 min. I use hypochlorite for 20 minutes. Even though in Europe many clinicians recommend 30min.
I think I shared the protocol in my trip to Pensacola Florida video. czcams.com/video/yXc92zsU5FU/video.htmlsi=osa9JWgUGiLdWG11
If you know where the canals are from the CBCT and have a protocol to get down efficiently, and if you activate and agitate vigorously with ultrasonics you will be catalyzing the rate of reactions and will have good results more efficiently. The 30 or 45min claims for hypo are for people doing passive irrigation and even that's questionable as the number is not based on actual controlled clinical studies. Cheers.
Really great video! Thank you!
Are there any specific techniques that you can recommend to allow for more efficient working length determination in calcified canal systems? That is often my rate limiting step.
Apex locators and crown down are obviously important concepts. If you're talking about how to get down canals, I have an oder video on that topic: czcams.com/video/nQFYm5ACNfk/video.html
Hi doc,
Do you suggest any premedication, particularly for hot tooth cases & general cases too?
Becoz achieving anesthesia is my rate limiting step at times.
It's a good idea to have patients whose medical history allows to take 400mg of ibuprofen and 500mg of acetaminophen 1 hour prior to the procedure. This would help with post op pain and a number of other issues. Of course, you have to make sure the patient doesn't have any contraindications to either med. I do that for all patients who can take it in my office and have been doing it for the past 20 years! Also, good anesthesia technique is also an important topic.
@@AANasseh Thank you so much doc🙏
The effectiveness depends on the patient. One сase. One man , he came to the office one year later remember own gums has three times inflammation and he used antibiotics. We saw XRay picture 7 mm. bone destruction.. When he finds out the price of treatment 20000 rub. no it's better to extract my tooth for 3000 rub. Is it the efficiency? '😂
Well... it's no doubt the most efficient way to get rid of infection. The catch is that you no longer have your tooth and will have to chew with gums... clearly, RCT is not the treatment for everyone. Keeping one's teeth after neglecting them for so long is a luxury.... the reality is that it doesn't have to be a luxury as it can be avoided nearly all the time by taking better care of our teeth and acquire a better diet and lifestyle. But that's harder for patients to listen to than complain about the costs. :/