I'm sorry but it made me angry at the presence of pulpal remnants, that I'm supposed to enlarge the canals, that doesn't help .. the patient is in pain, he's feeling pain whenever I insert any file close to the WL, so telling me to insert the bigger file would also cause him pain and cause him to retract himself and so I can't remove the remnants so problem not really solved
I took an Xray and I was about 2-3mms short of the apex, I'm now starting to doubt that the anesthesia was delivered correctly because that's the only possible explanation, the patient experiences this unusual very sharp pricking pain as the file goes deep, so I think that indicates remaining pulp tissue as you said but I'm now thinking that if the anesthesia was completely successful then he wouldn't have felt that pain, or am I wrong?
@@ahmeddebeiky5877 don’t blame yourself! Sometimes in the apical one third, there may be an accessory canal/ canals present, which might be having little bit of pulp in it/ them. That can be the cause of pain. The apical anatomy is pretty complex. Sometimes there is a Delta of very fine accessory canals present. My personal experiences is that if you irrigate well with hypochlorite these remnants eventually get necrosed and stop bothering. But this takes time and the patient needs to be reassured that you are in control and can manage. All d best!
Mam sometimes we could not find the reason of pain while inserting file in a root canal after b.m.p whether the pain is due to pulp remnant or trauma to periodontal ligament How to differentiate between these two types of pain
If the canal is apparently clean without a pulpal remnant, then let the tooth rest after giving calcium hydroxide dressing. Sometimes the waiting period can be as long as 3 to 6 weeks also
Thank you ma'am....for such a crystal clear concept please make more videos on endo topics.
God bless you with perfect health and happiness 😊
Thanks for such lovely blessings!
ma'am very well explained,i found things meaningful 😊
Thank you mam, beautifully explained, make more videos on endo topics
Wish i had teachers like u. Ur students are damn lucky mam
Thanks 😊 I am glad u found it useful
I like your videos. They are simple, precise and informative. Greetings from Ghana. I hope to learn more and use the info into my practice.
I am glad you found the information useful. Thanks for the encouragement.
Hats off to u ma'am....very much informative...thanxxx for
Sharing.
Nice.very informative👍
Your videos are very informative. Please make more of such videos.
Thanks 😊
Suggest any topic …
@@sumeetasandhu crown preparation? Of each tooth for all PFM and ceramic kid of teeth.
@@sumeetasandhu please make a video on why patients complain of pain after crown placement
Great lecture 🎉
Very informative video mam👌🏼🌺
Thanks 😊
Excellent video🔥
Very detailed
Very informative 😊
Thanks it was really helpful
Thanks for the video madam.But it would be better if you are in the video....
Thank you for the video
❤❤
Thank yu so much mam 🙏
Thanks mam🙂
Ma'am please do video on re RCT procedure.
Ma’am can u do a video on most commonly prescribed drugs in dentistry
Kindly make a video on Apical Gauging as well.
I'm sorry but it made me angry at the presence of pulpal remnants, that I'm supposed to enlarge the canals, that doesn't help .. the patient is in pain, he's feeling pain whenever I insert any file close to the WL, so telling me to insert the bigger file would also cause him pain and cause him to retract himself and so I can't remove the remnants so problem not really solved
Recheck d working length. It shortens as the canal gets prepared. Quite possible, your are over-instrumenting and going beyond the apical foramen.
I took an Xray and I was about 2-3mms short of the apex, I'm now starting to doubt that the anesthesia was delivered correctly because that's the only possible explanation, the patient experiences this unusual very sharp pricking pain as the file goes deep, so I think that indicates remaining pulp tissue as you said but I'm now thinking that if the anesthesia was completely successful then he wouldn't have felt that pain, or am I wrong?
@@ahmeddebeiky5877 don’t blame yourself! Sometimes in the apical one third, there may be an accessory canal/ canals present, which might be having little bit of pulp in it/ them. That can be the cause of pain. The apical anatomy is pretty complex. Sometimes there is a Delta of very fine accessory canals present. My personal experiences is that if you irrigate well with hypochlorite these remnants eventually get necrosed and stop bothering. But this takes time and the patient needs to be reassured that you are in control and can manage.
All d best!
Do more videos ma'am in cons & endo
Thanks 😊
thanks maam
Hello Mam how to deal with perforation,please make a video on that.. Thank you🙏
Good idea!
Will do
Thank you
can we use cholorhexidine mouth wash for irrigation or there is specisl prepration of solution for irrigation?
No not mouthwash
It’s easily available endodontic irrigant
Should we use formocresol in between the appointment
Not after every appointment. In fact it is needed only in the first appointment that also if complete pulpectomy has not been achieved
Mam sometimes we could not find the reason of pain while inserting file in a root canal after b.m.p
whether the pain is due to pulp remnant or trauma to periodontal ligament
How to differentiate between these two types of pain
If the canal is apparently clean without a pulpal remnant, then let the tooth rest after giving calcium hydroxide dressing. Sometimes the waiting period can be as long as 3 to 6 weeks also
@Sumeeta Sandhu thank you very much mam for your kind and precious reply