Management of the Open Apex Case - MTA/Calcium Hydrox Delivery: Advanced Endodontics скачать в хорошем качестве

Management of the Open Apex Case - MTA/Calcium Hydrox Delivery: Advanced Endodontics

All content has been transcribed from original audio recordings. As a result, transcribed text may contain certain grammatical, spelling, or other language artifacts which don’t reflect the original audio recording. Please refer to the audio for the most accurate information and messaging. Any reproduction of the video content, audio, or transcribed text is strictly forbidden. https://www.endoruddle.com/jit/detail... "Management of the Open Apex Case: MTA/Calcium Hydroxide Delivery" represents another Ruddle Breakout Session release from a recent Santa Barbara Hands-On Seminar. Breakout Sessions between Cliff Ruddle and attendees offer additional, educational information about our seminar experience and the topics explored during the courses! These videos give you further details about how your personal time with Dr. Ruddle may be spent and/or the overall interaction among colleagues. They also represent informative, standalone segments that may be watched at your leisure and at no charge. * hmm 21 years yes so I do card is run I feel it's okay if it's sealed it'll work and now I have to fill this one of course it's not open this is the one you told me about yes you know here must be mm-hmm looks looks like it's kind of across the canal could actually go out like this there could be some resorption from that chronic lesion have you have you ever thought about filling this with mpa yes that's what I want to do I think I wouldn't fill it with a better virtue I think I'd fill with MTA began to make a barrier no no not necessarily the MTA likes moisture it needs moisture on the periapical side to drive the the cement that hard so if you use Cal coat or some barrier it's going to be bone dry and you're gonna move your mud up against that bone-dry barrier and you're not going to get a good set so what I think you could do is do you have my tape on retreatment yes okay I use like spinal tap needle I can carry MTA in and put it up into this area you can't just put it here you have to get it up to about here you can use gutta-percha you can snip it and you can use it as a plug so in a curved route you can like push MTA around the curvature with a flexible poem so once you get your MTA you'll drop it off in here you can then begin to push it up and up and up and when you get it into this area use the endoactivator and you can you vibrate the mud and it'll make it move and so you don't pack the mud if you packed it when you're using the cone you're only like a like a bunch of dogs shepherd the sheep you're like shepherding the MTA up into your narrowing diameters so that you can use a spinal tap needle you can carry little cylinders of MTA legal foam and you clips and you can leave it you can leave it you know right in here and in here and then take your gutta-percha cone that's been trimmed so you have a pretty good cross-sectional diameter and begin to push the cone that the mud up sometimes as you push against the mud you squish out the liquid and now it won't move so you can take a file dip it in some water and go back up in your mud and rehydrate or you can use a syringe and like that like a drop mm-hmm and then just touch the side of the canal and it'll run up and that's enough I mean don't go like this if you can also for instance yeah you can do that's indirect ultrasonic now I used to do that more when we were using metal instruments though with the endoactivator in a nylon instrument I'm not doing that quite as much because now I can I can go around a curve whereas with metal it was too dangerous so we'd put a flexible file around the curve then we would touch the file with ultrasonics and get indirect ultrasonics and you can get movement so I would say with no barrier I have lots of cases that I've treated over the years where the tooth can look like this and you open it up and you do your access I can lay some cylinders of MTA in here I can start getting in here with a gutta-percha cone and I can start pushing this up until I have it in here\ then hit it with an endo activator bar and it'll slump and it will almost look like you are perfect because this has got a lot of granulation tissue this is almost like a barrier and so it will appear often times that you have lifted a flap you have cure read it out the surplus and it looks perfect it's not that you did that but it appears that you did that and that's because you're using vibration versus mechanical packing if you if you pack you can push the mud everywhere I think the reason I like MTA and here is if it ever has to go to surgery and you have your lateral incisor and you have your wide-open central with the big canal and then you've got this big lesion if you have mud in here all the way now you're just doing an a picot ectomy that's a lot easier than trying to do a reverse prep and trying to reverse seal the canal you would just simply be doing an apical academi so that's an MTA