Wow, thank you! So glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Great video, Sir! I am happy to see your videos as a fresh graduate. It is a brilliant video I have to say, but the very best parts are when you talk about patient conversation. Very nice to hear from someone experienced. Regards from Brazil!
Thank you. In September 2017, we will begin presentation of comprehensive cases for those of you who wish to take your procedures and practices to the highest level. Those presentations will include complete comprehensive cases of full mouth restoration, increasing vertical dimension in severe wear cases, treatment of TMJ and myofacial pain cases, implant supported removable and non-removable denture cases, how to perform a comprehensive dental examination and consultation and everything else we do in our private dental practice.
As a curious & interested patient (26 with failed root canal, and infection flare up 5 mo after second root canal), I found this had the level of detail that I was looking for the day after my surgery, though I had curettage / planing with retrograde root canals. Most fascinating. Thank you
Wouldnt you suspect that the infection leading to recurrent apical periodontitis may be coming from coronal leakage on the distal margin of the tooth? See 2:23. I think most experts and studies suggest that Endo prognosis at the end of the day comes down to two factors; 1. effective debridement and disinfection of the root canal space, and 2. a high quality coronal seal. Is there any plan to remove and replace that crown? Awesome to see a GP doing something like this though, very nicely done. Also thank you for showing everyone the PRF technique outside of perio.
Thanks for the comments. I love discussion. I agree in most cases, but I suspect the tooth may be fractured. The patient and I are trying to save the tooth as long as reasonably possible to avoid another implant (note adjacent implants), but we elected not to go to the expense of replacing the crown and post since the long term prognosis is guarded and an implant is probably in the future if it is cracked. The existing post and crown were placed 15 years ago.
Yev Davydov.....on your number "2", I'm sure you meant "a high quality "apical" seal?? ( of the root canal?) If you look at the pre-op radiograph, @1:56 , it is not at all surprising that this endo failed; the post space is over prepared, with several millimeters of "dead" space where there is no gutta percha, nor post/cement. Also, the overall apical gutta percha left after post preparation looks maybe 2.5-3 mm ( estimated). I was taught in school to make sure there was a bare minimum of 5 mm of gutta percha at the apical for a good seal, and this is not even close. Lastly, I don't believe I've ever seen an endo fail from coronal leakage of a crown. You would get debonding of the crown, or crown/post complex, or recurrent decay in a case of coronal leakage, way before an endo failure.
Thank you. I have been fortunate to have a lot of training in restorative dentistry and surgery from excellent mentors and have had over 40 years of private practice experience. Also, I have been teaching complex dentistry for 35+ years. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
I have multiple cameras, both regular cameras for still shots, video cameras as well as a film studio. I have used Nikon cameras and now have a Cannon with extended lens for diagnostic photos. For years I offered a package for dental cameras with all the different things needed, but dentists did not purchase them so we discontinued them. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
How do you make sure that all granulation tissue is removed from the socket? And in case if a remnant of granulation tissue remains wont it spread again?
Thanks for this video. Early in my career I used amalgam as the root filling material. About 20 years ago I switched to using MTA. Seeing how convenient it is to apply the Brasseler Bioceramic Root Repair Material prompts me to purchase some. I will also try your tip about spinning the blood longer to obtain larger amounts of PRF. For some patients 8 minutes does not yield enough. I have heard some say that one can spin the blood too long causing more of the platelets and growth factors to migrate to the blood clot at the bottom of the tube leaving less of "the good stuff" in the yellow fibrin. The 1 week healing result looks great. Thanks again for sharing.
Sir what are the causes of such granuloma that forms at the apex of the root that requires apicectomy? Is it due to root canal failure or can it be also caused due to perio conditions?
what's the success rate of the hole closing/ healing? I've heard it doesn't always close making it less likely to get a implant later? a bone graft typically solves the problem. just wondering how often it doesn't heal right. or, even nerve damage as a result.
Great work and very nice healing result, Dr.! My question to you - what is your result using PRF vs BG or the combination of both to fill and heal that bony defect ?
My experience is they both work well in situations like this one. I really like PRF, and have made some videos on PRF socket healing following tooth extraction (You can view both PRF and artificial bone graft bone healing in the video library of DentistryMasterClasses.com.) Often the primary limiting factor is some patients have such poor veins it is difficult, or nearly impossible, to find veins in the anticubital fossa from which to draw blood for PRF. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thanks for the wonderful video. In your case after injury and RCT why was apicoectomy needed years afterwards was it reinfection or original infection persisted? Also 8-10 years after apicoectomy you needed extraction due to infection or fracture of the teeth?
My maxillary cuspid tooth fractured horizontally 40 years following the original endo procedure and about 10 years following apicoectomy, necessitating extraction and implant placement.
Thanks. I have tried to make the videos very informative and real. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thanks Dr. Cutbirth for creating and sharing. What kind of dentists can perform Apicoectomies? Is this a painful procedure and what is the recovery like?
General dentists trained in surgery or endodontists or oral surgeons. Should not be painful and not much recovery time. You should be able to go to work or school the next day. Just a bit sore from the incision.
@@centerforard Thank you so much Dr. Cutbirth for taking the time to reply back to me. Thanks also again for creating and sharing these wonderful videos to educate lay ppl like me. You are brilliant! Knowledge is power.
I do not know what you are referring to. This was the Brasslier Root Repair material. (flowable). Watch the picture of the material on the video. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Hello sir ! Doubtlessly you are a great teacher and i learn alot from your videos, but since im a beginner dentist so i hesitate a little bit for such procedures. Sir few days ago a patient came with a previously RCT treat 21 and 22 and had crown on them. And now she was complaining of swelling and minor pain right at the apex of incisors, when i took her peri apical xray, i found big radiolucency involving both 21 and 22 from apex up till the middle of root, i consulted many doctors here and they said it might be a granuloma and needs apicectomy. Sir is it possible for me to send you a xray to further guide me how to deal this case? I will be waiting for your response Thanks in advance
Sorry, I cannot diagnose without examining the patient. If you are uncomfortable with the procedure, you might want to refer the patient to an Endodontist or oral surgeon for the apicoectomy. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
This guy is a literal G (gangster). Much respect GODFATHER. I hope we never have to meet. You know your in trouble if you have to go to that level treatment. Amazing work
Glad the video was helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Doc. I had a root canal when I was like 12 or 13 years old because I felt down playing with my brother. I am 37 years old now, and I have a small hole in where I remember that root is. No pain. Do you think I may need this?
Is it normal to develop chills and feel warm all over the body 2 days later after this surgery? Also I do still have tooth pain and more pain than even before the surgery.
Dear Steven T.Cubirth, i have a question. I had 2 apicoetomy on my 1 and 2 (left side of face) and both failed, so i had extraction with bone augumentation and 8 months later i had 2 implants placed. Now 1 year later, i have peri-implantitis caused by my right 1-2 (right) so it is now (doctors said) needed to do a 4 tooth surgery of my 1-2--1-2 and with PRF method to save implants and to close the process on my right 1-2. Is this really needed, would it be better to remove implants instead?.
Wow! What a mess! I would not even attempt to recommend treatment without examining you and understanding the circumstances. Good luck! Where are you having this done?
In friday next week. Thank you a lot. They will take my blood and put membrane over both implants and i guess do also on right sided 1-2. Both professor and 2 surgeons said that this is only option unless i want implants removed now, and later replaced after bone recovery. As they said, they think my process and peri-implantits was caused by other 2 tooth that 6 months previously on CBTC scan showed no process. On new scan of CBTC it showed process on implants and also on my normal teeth right next to them.
Also i need to add, they said that my 11-12 implants got process because of that new process from 21 and 22. So even if they remove 11 and 12 they said, they need to clean 21 and 22 before replacing implants.
Hi Mr.Steven, it is 1 day after my surgery now. I had 11, and 12 apicoetomy and also i had 21,22 implantoplasticae with PDT and PRF smart bone. So surgery of my 11,12,21,22. It did not hurt, i got many shots and also they included LLT theraphy. They said i should be really good after this procedure, and they said after they opened my 4 tooth that everything was much better then my CT scan showed. I am now in my 2nd day of recovery.
Thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Dr. Can you please advise. Having this done on Friday top tooth 8. What are your recommendations for recovery? I work in delivery and lift alot. Can this cause any issues with healing? I only have 1 day off for recovery so now I'm concerned I might need more off time after watching the procedure, looks intense. Thanks
I agree the crown root ratio is not ideal. That is why it is important to inform the patient, just like I explain in the video, that the chances of the tooth surviving 10 years is 50%. Think about it. The other option is to extract the tooth immediately and place a bridge or implant. I personally would rather take a chance on the apicoectomy. It is a much simpler, one appointment procedure and much less expensive. I explain in the video I had a similar situation myself with my maxillary left cuspid. My tooth survived approximately 10 years after the apicoectomy. In the case in the DM video, I performed the apicoectomy approximately 5 years ago and the tooth is still doing well. Communication with the patient is sooooo important. What do they want to do? What chance do they want to take? Be sure to write it down and have them sign it so their problem does not become your problem. Life is a calculated risk!
Thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
I know nothing about density. I do know he is a snappy dresser. My compliments on the jacket and tie good sir. I'm going out on a limb and assuming you have fine taste in boots as well.
one of the best dental educational channel on youtube
I agree. This man is brilliant.
You have no idea how much you have transformed my dentistry. You are an elite Dentist Steven, many thanks for these fantastic educational videos!
Wow, thank you! So glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Great video, Sir! I am happy to see your videos as a fresh graduate. It is a brilliant video I have to say, but the very best parts are when you talk about patient conversation. Very nice to hear from someone experienced. Regards from Brazil!
Natã Cavalcante what he said!! sir you're a legend.. thank you
Thank you. In September 2017, we will begin presentation of comprehensive cases for those of you who wish to take your procedures and practices to the highest level. Those presentations will include complete comprehensive cases of full mouth restoration, increasing vertical dimension in severe wear cases, treatment of TMJ and myofacial pain cases, implant supported removable and non-removable denture cases, how to perform a comprehensive dental examination and consultation and everything else we do in our private dental practice.
As a curious & interested patient (26 with failed root canal, and infection flare up 5 mo after second root canal), I found this had the level of detail that I was looking for the day after my surgery, though I had curettage / planing with retrograde root canals. Most fascinating. Thank you
Wouldnt you suspect that the infection leading to recurrent apical periodontitis may be coming from coronal leakage on the distal margin of the tooth? See 2:23. I think most experts and studies suggest that Endo prognosis at the end of the day comes down to two factors; 1. effective debridement and disinfection of the root canal space, and 2. a high quality coronal seal. Is there any plan to remove and replace that crown? Awesome to see a GP doing something like this though, very nicely done. Also thank you for showing everyone the PRF technique outside of perio.
Thanks for the comments. I love discussion. I agree in most cases, but I suspect the tooth may be fractured. The patient and I are trying to save the tooth as long as reasonably possible to avoid another implant (note adjacent implants), but we elected not to go to the expense of replacing the crown and post since the long term prognosis is guarded and an implant is probably in the future if it is cracked. The existing post and crown were placed 15 years ago.
Yev Davydov.....on your number "2", I'm sure you meant "a high quality "apical" seal?? ( of the root canal?) If you look at the pre-op radiograph, @1:56 , it is not at all surprising that this endo failed; the post space is over prepared, with several millimeters of "dead" space where there is no gutta percha, nor post/cement. Also, the overall apical gutta percha left after post preparation looks maybe 2.5-3 mm ( estimated). I was taught in school to make sure there was a bare minimum of 5 mm of gutta percha at the apical for a good seal, and this is not even close. Lastly, I don't believe I've ever seen an endo fail from coronal leakage of a crown. You would get debonding of the crown, or crown/post complex, or recurrent decay in a case of coronal leakage, way before an endo failure.
You are the greatest Profesor Doctor !!! ( and trust me i saw manny doctors on the internet)
Thank you. I have been fortunate to have a lot of training in restorative dentistry and surgery from excellent mentors and have had over 40 years of private practice experience. Also, I have been teaching complex dentistry for 35+ years.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
What kind of camera do you use to record the procedures doctor. any suggested brand?
I have multiple cameras, both regular cameras for still shots, video cameras as well as a film studio. I have used Nikon cameras and now have a Cannon with extended lens for diagnostic photos. For years I offered a package for dental cameras with all the different things needed, but dentists did not purchase them so we discontinued them.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
Thank you Dr. Steven.
Question- How do we differentiate the granulation tissue from healthy tissue?
What does granulation tissue look like?
Thank you.
The granulation tissue is soft tissue. Once it is curvetted away, you will be down to hard bone unless the tooth root is in the sinus.
How do you make sure that all granulation tissue is removed from the socket? And in case if a remnant of granulation tissue remains wont it spread again?
I don't know how I ended up here, Doc. But, very great work, sir.
Thank you.
Thanks for this video. Early in my career I used amalgam as the root filling material. About 20 years ago I switched to using MTA. Seeing how convenient it is to apply the Brasseler Bioceramic Root Repair Material prompts me to purchase some. I will also try your tip about spinning the blood longer to obtain larger amounts of PRF. For some patients 8 minutes does not yield enough. I have heard some say that one can spin the blood too long causing more of the platelets and growth factors to migrate to the blood clot at the bottom of the tube leaving less of "the good stuff" in the yellow fibrin. The 1 week healing result looks great. Thanks again for sharing.
Don't worry about over spinning if the PRF yellow part has not formed by spinning 8 minutes. Spin it 16 minutes and the PRF clot should form.
Excellent way to teach. This is the way i feel and i practice this profession, also my father who is my teacher.Thanks for all the tips.
You are welcome. Hope you are subscribed to DentistryMasterClasses.com. The best material.
Sir what are the causes of such granuloma that forms at the apex of the root that requires apicectomy? Is it due to root canal failure or can it be also caused due to perio conditions?
Normally a root canal failure, often an accessory canal or a canal that was sclerotic and could not be filed and filled completely.
I had a root canal and a retreat failed...Why not just do this first?
95+% of root canals are successful without having to perform this surgical procedure.
what about crown/root ratio?
and suturing technique led to the scar formation
Sorry, I do not know what you are referring to or asking.
what's the success rate of the hole closing/ healing? I've heard it doesn't always close making it less likely to get a implant later? a bone graft typically solves the problem. just wondering how often it doesn't heal right. or, even nerve damage as a result.
I have never had this procedure not heal well. It should normally heal very well unless there is some underlying condition I cannot think of.
Great work and very nice healing result, Dr.! My question to you - what is your result using PRF vs BG or the combination of both to fill and heal that bony defect ?
My experience is they both work well in situations like this one. I really like PRF, and have made some videos on PRF socket healing following tooth extraction (You can view both PRF and artificial bone graft bone healing in the video library of DentistryMasterClasses.com.) Often the primary limiting factor is some patients have such poor veins it is difficult, or nearly impossible, to find veins in the anticubital fossa from which to draw blood for PRF.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Click here to subscribe:
membership.dentistrymasterclasses.com/purchase/?plan=513
I just had this done today and an extraction of the adjacent tooth. Very informative video Doc.
Thank you.
Great video doctor thanks
Glad you like the video. Subscribe to DentistryMasterClasses.com for the really good stuff.
Thanks for the wonderful video.
In your case after injury and RCT why was apicoectomy needed years afterwards was it reinfection or original infection persisted?
Also 8-10 years after apicoectomy you needed extraction due to infection or fracture of the teeth?
My maxillary cuspid tooth fractured horizontally 40 years following the original endo procedure and about 10 years following apicoectomy, necessitating extraction and implant placement.
you deserve half of my dental school tuition.
Thanks. I have tried to make the videos very informative and real.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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Thanks a lot for sharing your experience with us
You are welcome.
Thanks Dr. Cutbirth for creating and sharing. What kind of dentists can perform Apicoectomies? Is this a painful procedure and what is the recovery like?
General dentists trained in surgery or endodontists or oral surgeons. Should not be painful and not much recovery time. You should be able to go to work or school the next day. Just a bit sore from the incision.
@@centerforard Thank you so much Dr. Cutbirth for taking the time to reply back to me. Thanks also again for creating and sharing these wonderful videos to educate lay ppl like me. You are brilliant! Knowledge is power.
This was the BC sealer (flowable), which should’ve been capped with the RRM (packable) which is known as the lid technique.
I do not know what you are referring to. This was the Brasslier Root Repair material. (flowable). Watch the picture of the material on the video.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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membership.dentistrymasterclasses.com/purchase/?plan=513
Hello sir !
Doubtlessly you are a great teacher and i learn alot from your videos, but since im a beginner dentist so i hesitate a little bit for such procedures. Sir few days ago a patient came with a previously RCT treat 21 and 22 and had crown on them. And now she was complaining of swelling and minor pain right at the apex of incisors, when i took her peri apical xray, i found big radiolucency involving both 21 and 22 from apex up till the middle of root, i consulted many doctors here and they said it might be a granuloma and needs apicectomy.
Sir is it possible for me to send you a xray to further guide me how to deal this case? I will be waiting for your response
Thanks in advance
Sorry, I cannot diagnose without examining the patient. If you are uncomfortable with the procedure, you might want to refer the patient to an Endodontist or oral surgeon for the apicoectomy.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month.
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membership.dentistrymasterclasses.com/purchase/?plan=513
This guy is a literal G (gangster). Much respect GODFATHER. I hope we never have to meet. You know your in trouble if you have to go to that level treatment. Amazing work
Glad the video was helpful.
Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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This was interesting to watch while eating dinner
Good for you!
Doc. I had a root canal when I was like 12 or 13 years old because I felt down playing with my brother. I am 37 years old now, and I have a small hole in where I remember that root is. No pain. Do you think I may need this?
I suggest you have a dental examination and find out.
@@centerforard thank you very much for the answer. I will visit the dentist.
great work sir, lots of respect for you
It's my pleasure. I hope you are subscribed to DentistryMasterClasses.com. That is the really good material.
Is it normal to develop chills and feel warm all over the body 2 days later after this surgery? Also I do still have tooth pain and more pain than even before the surgery.
I suggest you return to your dentist and let the dentist check you.
Dear Steven T.Cubirth, i have a question. I had 2 apicoetomy on my 1 and 2 (left side of face) and both failed, so i had extraction with bone augumentation and 8 months later i had 2 implants placed. Now 1 year later, i have peri-implantitis caused by my right 1-2 (right) so it is now (doctors said) needed to do a 4 tooth surgery of my 1-2--1-2 and with PRF method to save implants and to close the process on my right 1-2. Is this really needed, would it be better to remove implants instead?.
Wow! What a mess! I would not even attempt to recommend treatment without examining you and understanding the circumstances. Good luck! Where are you having this done?
In friday next week. Thank you a lot. They will take my blood and put membrane over both implants and i guess do also on right sided 1-2. Both professor and 2 surgeons said that this is only option unless i want implants removed now, and later replaced after bone recovery. As they said, they think my process and peri-implantits was caused by other 2 tooth that 6 months previously on CBTC scan showed no process. On new scan of CBTC it showed process on implants and also on my normal teeth right next to them.
Also i need to add, they said that my 11-12 implants got process because of that new process from 21 and 22. So even if they remove 11 and 12 they said, they need to clean 21 and 22 before replacing implants.
Wow! I did not decipher all you are trying to tell me, but good luck.
Hi Mr.Steven, it is 1 day after my surgery now. I had 11, and 12 apicoetomy and also i had 21,22 implantoplasticae with PDT and PRF smart bone. So surgery of my 11,12,21,22. It did not hurt, i got many shots and also they included LLT theraphy. They said i should be really good after this procedure, and they said after they opened my 4 tooth that everything was much better then my CT scan showed. I am now in my 2nd day of recovery.
Always the best explication best regards
Thank you.
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Dr. Can you please advise. Having this done on Friday top tooth 8. What are your recommendations for recovery? I work in delivery and lift alot. Can this cause any issues with healing? I only have 1 day off for recovery so now I'm concerned I might need more off time after watching the procedure, looks intense. Thanks
You should do fine. Avoid overheating and keep ice water in your mouth.
I can’t imagine how that infection and blowout felt ):
Much better once the infection was relieved.
thanks very very much Dr God bless you
You are welcome.
Remaining root length not sufficient for support the tooth
I agree the crown root ratio is not ideal. That is why it is important to inform the patient, just like I explain in the video, that the chances of the tooth surviving 10 years is 50%. Think about it. The other option is to extract the tooth immediately and place a bridge or implant. I personally would rather take a chance on the apicoectomy. It is a much simpler, one appointment procedure and much less expensive. I explain in the video I had a similar situation myself with my maxillary left cuspid. My tooth survived approximately 10 years after the apicoectomy. In the case in the DM video, I performed the apicoectomy approximately 5 years ago and the tooth is still doing well. Communication with the patient is sooooo important. What do they want to do? What chance do they want to take? Be sure to write it down and have them sign it so their problem does not become your problem. Life is a calculated risk!
This channel is so good
Glad you like it. Subscribe to DentistryMasterClasses.com for the really good stuff.
very informative and interesting
Thank you.
great video thank you doctor
Thank you.
Awesome 👏
Thank you.
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Just feel the healing !
Great! The patient did heal ideally.
very usefull. efficient vedio sir. u put so good points in ur vedio.
grt
thank you.
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I know nothing about density.
I do know he is a snappy dresser.
My compliments on the jacket and tie good sir.
I'm going out on a limb and assuming you have fine taste in boots as well.
You are kind.
sir. two points
1. why didnt you do soft tissue grafting before suturing
2. why one of assisstants wearing watch!
Looks very painfull
No, it is not because the patient has local anesthesia and, normally, IV sedation.
Thank you sir , very very very efficient vedio
Thank you.
Excellent & Brilliant Sir.... Very much informative and explained well sequentially.... Learned a lot
Wish you Good Luck
Glad you like the videos. Subscribe to DentistryMasterClasses.com for the really good stuff.
thx
Welcome!
Why in the world would you put yourself through something like this? I’m so thankful I’ve only had one cavity in my 49 years of life.
Good for you. There are so many things we can do dentally to restore teeth these days.
I know it costs 500 to remove a tooth though 😢
You say Brassler like no one else
Ha, ha, thank you, I think! Do you think I have a bit of a British accent?
Instalike
thank you.