In necrotic case if debris are pushed and bmp is all done with closed dressing, so to avoid swelling and to clear pushed debris or bacteria antibiotics can help? And is it necessary to give antibiotics in necrotic cases?
Sir during bmp there is dentinal debris mixed with very little amount of blood (slight pink) seen on tip of k file. What does it says is it pulpal remanents or file is beyond apex.pt has no pain during bmp
Bacterias are present in dentinal debris on wall which are difficult to remove. Use your file to check the firmness on canal wall to make sure that all debris is removed as you do for caries removal from excavator. Calcium hydroxide should be given if you are not sure.
Sir if accidentally it is pushed and patient feels pain.What to do in second appointment.how to flush out all which has been already pushed. How to proceed
We have a protocol at my senior's clinic ...that we prescribe antibiotics, analgesic , antiacidic drugs bid 3days after access opening What do you think about this sir ? Is this correct?
@@Endocrisps thanks sir any recommended book where pulp extripation is well covered . Sir except over instrumentation is there any other major cause of pain after bmp in vital teeth.
This theory explained a lot of some mysterious cases of mine done early practice life. Thanks Sir, Love from Bangladesh ❤️ Please accept my friend request on Facebook 🙂 Thank you 😊
Sir your every video is enlightening..Really …you explain so precisely and neatly
Thankyou🙏
Fabulous explanation with applied knowledge
Thankyou🙏🙏
best...marvelous explanation....
Very informative video sir 🙏the end result is copius irrigation with sodium hypochlorite
Thankyou🙏🙏
Samjhane ka tareeka apka ek number hai
🙏🙏
Great explaination
This is what I was waiting for
🙏🙏
Hello Sir !!
Why is there pain during obturation (when Gutta percha reached at apical 3rd area ) while BMP is completed??
Recently it happen with me.....very nice sir....thanks a lot.
🙏🙏
Thank you sir ,you are doing great job.
🙏🙏🙏
Thank you sir ....that was very informative....
How many days we wait for obturation???
🙏🙏
Superb. Sir....Please make one video on pain after obturation
Sure🙏🙏
In necrotic case if debris are pushed and bmp is all done with closed dressing, so to avoid swelling and to clear pushed debris or bacteria antibiotics can help? And is it necessary to give antibiotics in necrotic cases?
Yes antibiotics will definitely help if you have pushed debris.
But antibiotics are not necessary for all necrotic cases.
Sir during bmp there is dentinal debris mixed with very little amount of blood (slight pink) seen on tip of k file. What does it says is it pulpal remanents or file is beyond apex.pt has no pain during bmp
Mostly out of apex
@@Endocrisps thanku so much sir. Your answers makes my concept about RCT more clear.
After this what is process?
Hello sir !!!
How to manage pain during RCO opening. ?
Please give your opinion.
Intra-Pulpal anaesthesia
Is it better to give caoh closed or closed without caoh sir. Because there is no tool to calculate if all microbes inside tooth is removed?
Bacterias are present in dentinal debris on wall which are difficult to remove. Use your file to check the firmness on canal wall to make sure that all debris is removed as you do for caries removal from excavator.
Calcium hydroxide should be given if you are not sure.
Sir how would we confirm that dentinal tubules are free of bacteria?
Only histopathologically.
But with experience, you will get to know that you have cleaned canal well👍
Sir if accidentally it is pushed and patient feels pain.What to do in second appointment.how to flush out all which has been already pushed. How to proceed
Do copious irrigation 👍
We have a protocol at my senior's clinic ...that we prescribe antibiotics, analgesic , antiacidic drugs bid 3days after access opening
What do you think about this sir ? Is this correct?
Not required in all cases🙏
Sir so can we irrigate with sodium hypochlorite in case where there is periapical abscess in the first
Visit?
Only contraindication is frank pus discharge from canal.🙏
Ok got it sir ,,thank u🙏
Sir this is for non vital teeth with periapical pathology but how to minimize pain after bmp in vital teeth
If you are facing pain issue in vital teeth, then you need to read basics. In vital cases main cause of pain is to flaw in pulp extirpation
@@Endocrisps thanks sir any recommended book where pulp extripation is well covered . Sir except over instrumentation is there any other major cause of pain after bmp in vital teeth.
No other cause
What do you mean by the term " BMP "
Biomechanical preparation
Can occlusion reduction help?
Yes
Sir whenever i give formocresol closed dressing patient complains of pain.Why is it sir.,?
Should i give caoH instead,,?
Yes calcium hydroxide
Thanks for the reply sir.
I like all ur videos.Thanks for explaining endo in a easy way,n clearing all our doubts.
I did access opening and bmp in 46
Patient having pain in on biting or when opposing tooth touches
What to do sir please help
Relieve occlusion 👍
@@Endocrisps occlusion relieved before
I suspect I have crossed apex during bmp
Now how to relieve pain
Pain on biting, that means occlusion not relieved properly, check again
Should we use concentrated sodium hydroxide?
Upto 3%
No benefits above that👍
Sir prior to treatment can we give antimicrobial drugs to kill or neutralize the bacteria.
Antibiotics will work only in periapical area not within canal.
Polymorphoneuclear lucocyte neutralize the invading bacteria and form pus. Correct na sir. 🙏
Correct👌
Tnx sir ❤️
🙏🙏
This theory explained a lot of some mysterious cases of mine done early practice life.
Thanks Sir,
Love from Bangladesh ❤️
Please accept my friend request on Facebook 🙂
Thank you 😊
🙏🙏
By what name you have sent Friend request?
@@Endocrisps
Foysol Zaki
🙂