During the solar eclipse Dr. Nasseh makes some analogies with the extent of scientific predictions and in physics and that one sees in endodontics as a field.
.I really like how you weaved Endodontics into the Solar Eclipse. Advancements in Dentistry always seem like the Sun, bright and obvious- everything is marketed towards products or tools cutting chair time or costs, at least here in Egypt. I run a dental supplies business and see that not enough research is being made and not much follow up or control studies- all due to dentists being a one man show most of the time. The lucky ones work in a group clinic that can or may do meetings to go over things they've discovered or learned through their patients. And the very lucky ones can further their studies or attend conferences, usually backed up by dental supplies companies for marketing purposes. So I love how you used the eclipse, because what seems like Advancements in Dentistry may be like the Sun, Bright But the moon can just easily overshadow that brightness and dim it's light when it comes to infection control for instance. You could predict weather and movements within the solar system, movements of stars, fixed stars, galaxies and discover new ones too, but I am really sad to say that I do not think there is really much information we have on the complex human body. I am not a doctor or dentist, but just watching how relaxed some doctors are about infection control, especially after CoVID and the many more diseases we will discover, I think we need some reminders and doctors should be able to regroup on a local level even to go over their science.
Very well said! I'm glad you're also in the industry and see the level of problems that arise when science and capitalism mix. Now that I'm retired, I hope to discuss these areas more often. Thanks!
In my opinion, We not only need knowledge of Dentistry, we need to learn pathology, more basically scientific and relationship with endo . Like an orthodontic need to learn alot of physical and relationship with tooth movement.
I agree 100%. So much is simplified if we just go back to our basic sciences, Chemistry, Bio, and physics in undergrad and all that histology, anatomy, path, etc. in predoc! Cheers! :)
Hello doctor, I've been following your clips for a long time, and I would like you to answer the following question, it's incredibly important to me, I believe all my colleagues too: I also watched a clip about apical gauging, and saw that you said that the MAF should be the instrument that reaches 2mm from the apex. However, what to do when we encounter an apex diameter that exceeds, for example, 70? should we go to 80 or 90? Or in cases with such an apex, an adequate irrigation protocol should be done and the apex should not be expanded additionally? I believe that we can get "tug back" with bigger instruments also. Thank you very much in advance, I wish you all the best. I know it's off topic, but honestly I never quite understood it. Thanks again!
Yes you can certainly use a size 80. But you can also use 3D instruments or even calcium hydroxide in two visits. I do have a number of cases and tutorials on this topic and should probably do it one day. Cheers! :)
Words of wisdom from a master :-) In few cases, despite everything done correctly, good biomechanical preparation, enough use of irrigants, and even use of antiinflammotory drugs to subside acute inflammation, the tenderness doesn't go, what we can call such a case, it's beyond repair, or patients immunity is low, or the bacteria has entered to the point in root canal system where it can't be disinfected?? What's your view on this master?
Thank you. Well, if the source is microbial and not neuropathic, usually apiceoctomy and a good retreofill will address the problem proving that non-surgical removal of all bacteria in all aspects of the canals is not always possible through the canal, dispite our best efforts (not 100% of the time; but based on studies, +90% of the time). This is why we need to follow up to clear any potential problems persist so it can be addressed.
@@AANasseh Thank you so much Sir for your valuable comments, I have been your dedicated and keen student over the years since you started posting on CZcams,viewed every single video of yours which made me learn,evolve and become a better dentist,will always be thankfull to you for sharing your vast knowledge and helping dentists all over the world,Sir during my 12 years of endodontic practice, I faced 2-3 cases out of thousands of root canals I performed, where despite all efforts, the tenderness didn't went away,all those cases were those with chronic infection, otherwise I developed a irrigation protocol for myself in chronic cases where I recall patient continuously for 5 days for 20 minutes for copious irrigation after completing bmp on first visit, and place calcium hydroxide for a week on the day the tooth becomes asymptomatic after repeated irrigations, in almost all cases the tenderness went away even most severe cases after so much of irrigation with sodium hypo, saline,Chlorhexidine and i even tried irrigating with 10% betadine which surprisingly gave success in speedy recovery in many cases. Except these few ones about 2-3 I mentioned where all efforts went in vain, and had to inform patient about the prognosis and possible treatment of apicoetomy which could be done to save the tooth , though all of these patients opted for extraction and go for bridge...
Sir..plz make a video on working width. I am an endodontist but still I am working with other respected docs who either strongly believe in 4 percent or 6 percent. Kindly also make a video on correlation with root fracture with taper.
Vlad, Tibet is a lovely place, but Wisdom is only one step away, hiding in small garden, or floating in a good conversation. The longest trip is within.
Many times there have been cases when everything goes wrong, but we must believe in the principles of endo. Anatomy is the main thing.
Your best video yet. So accurate.
Thanks. You are raising the right guestion.
.I really like how you weaved Endodontics into the Solar Eclipse. Advancements in Dentistry always seem like the Sun, bright and obvious- everything is marketed towards products or tools cutting chair time or costs, at least here in Egypt. I run a dental supplies business and see that not enough research is being made and not much follow up or control studies- all due to dentists being a one man show most of the time. The lucky ones work in a group clinic that can or may do meetings to go over things they've discovered or learned through their patients. And the very lucky ones can further their studies or attend conferences, usually backed up by dental supplies companies for marketing purposes. So I love how you used the eclipse, because what seems like Advancements in Dentistry may be like the Sun, Bright But the moon can just easily overshadow that brightness and dim it's light when it comes to infection control for instance. You could predict weather and movements within the solar system, movements of stars, fixed stars, galaxies and discover new ones too, but I am really sad to say that I do not think there is really much information we have on the complex human body. I am not a doctor or dentist, but just watching how relaxed some doctors are about infection control, especially after CoVID and the many more diseases we will discover, I think we need some reminders and doctors should be able to regroup on a local level even to go over their science.
Very well said! I'm glad you're also in the industry and see the level of problems that arise when science and capitalism mix. Now that I'm retired, I hope to discuss these areas more often. Thanks!
In my opinion, We not only need knowledge of Dentistry, we need to learn pathology, more basically scientific and relationship with endo . Like an orthodontic need to learn alot of physical and relationship with tooth movement.
I agree 100%. So much is simplified if we just go back to our basic sciences, Chemistry, Bio, and physics in undergrad and all that histology, anatomy, path, etc. in predoc! Cheers! :)
Hello doctor, I've been following your clips for a long time, and I would like you to answer the following question, it's incredibly important to me, I believe all my colleagues too:
I also watched a clip about apical gauging, and saw that you said that the MAF should be the instrument that reaches 2mm from the apex. However, what to do when we encounter an apex diameter that exceeds, for example, 70? should we go to 80 or 90? Or in cases with such an apex, an adequate irrigation protocol should be done and the apex should not be expanded additionally? I believe that we can get "tug back" with bigger instruments also.
Thank you very much in advance, I wish you all the best.
I know it's off topic, but honestly I never quite understood it. Thanks again!
Yes you can certainly use a size 80. But you can also use 3D instruments or even calcium hydroxide in two visits. I do have a number of cases and tutorials on this topic and should probably do it one day. Cheers! :)
Thank you very much doctor, i really appreciate your response, all the best!
Interesting and quite profound. Issues with research hard to solve.
Same questions here. 8 years of endo and still frustration from time to time
Words of wisdom from a master :-)
In few cases, despite everything done correctly, good biomechanical preparation, enough use of irrigants, and even use of antiinflammotory drugs to subside acute inflammation, the tenderness doesn't go, what we can call such a case, it's beyond repair, or patients immunity is low, or the bacteria has entered to the point in root canal system where it can't be disinfected?? What's your view on this master?
Thank you. Well, if the source is microbial and not neuropathic, usually apiceoctomy and a good retreofill will address the problem proving that non-surgical removal of all bacteria in all aspects of the canals is not always possible through the canal, dispite our best efforts (not 100% of the time; but based on studies, +90% of the time). This is why we need to follow up to clear any potential problems persist so it can be addressed.
@@AANasseh Thank you so much Sir for your valuable comments, I have been your dedicated and keen student over the years since you started posting on CZcams,viewed every single video of yours which made me learn,evolve and become a better dentist,will always be thankfull to you for sharing your vast knowledge and helping dentists all over the world,Sir during my 12 years of endodontic practice, I faced 2-3 cases out of thousands of root canals I performed, where despite all efforts, the tenderness didn't went away,all those cases were those with chronic infection, otherwise I developed a irrigation protocol for myself in chronic cases where I recall patient continuously for 5 days for 20 minutes for copious irrigation after completing bmp on first visit, and place calcium hydroxide for a week on the day the tooth becomes asymptomatic after repeated irrigations, in almost all cases the tenderness went away even most severe cases after so much of irrigation with sodium hypo, saline,Chlorhexidine and i even tried irrigating with 10% betadine which surprisingly gave success in speedy recovery in many cases. Except these few ones about 2-3 I mentioned where all efforts went in vain, and had to inform patient about the prognosis and possible treatment of apicoetomy which could be done to save the tooth , though all of these patients opted for extraction and go for bridge...
Sir..plz make a video on working width. I am an endodontist but still I am working with other respected docs who either strongly believe in 4 percent or 6 percent. Kindly also make a video on correlation with root fracture with taper.
1st comment, cheers🎉
You want to know the truth. The travelling to Tibetan heip you to be clever. People tell you how to to.
Ernst Muldashev great doctor did it meny time.
Vlad, Tibet is a lovely place, but Wisdom is only one step away, hiding in small garden, or floating in a good conversation. The longest trip is within.