Just wonderful.Each and every video at Dr.cutbirth channel happen to be amazing.
@centerforard
3 жыл бұрын
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
@sasaboy8311
3 жыл бұрын
Dr. Cutbirth, your amazing, simple yet thorough explanation and teaching is a joy, your evidence-based methods in real-life dentistry are so valuable, I just wish to have you here in Scotland, I hope one day I will be able to attend one of your hands-on courses,, best regards.
@centerforard
3 жыл бұрын
Glad you like the videos. You probably know, St. Cuthbert, a monk, christianized Scotland back in the day. Scotland is one of my favorite countries. I have a very good dental friend, Dr. Frank VanShock, who practiced in Edinborough. Frank is now retired, but he and his wife Enga are wonderful people. 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.
@JWJauod
3 жыл бұрын
I wish I could afford your dedication to this mastered craft of which you're life has been built upon.... Keep it up doc
@centerforard
3 жыл бұрын
Thank you. You are very kind. Are you a dentist? If so, where do you practice?
@aleksandrshibko4211
2 жыл бұрын
Thank you Dr Cutbirth for another great presentation. It's informative , practical and clearly explained.
@centerforard
2 жыл бұрын
Thank you. Glad you like the videos. 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
@loco79PL
3 жыл бұрын
Have you really never had a hard time anesthetizing a patient doc? Maybe your technique is perfect but I actually sometimes struggle especially with lower molar pulpitis, patients are feeling numb literally everywhere, lip and jaw til midline, tongue, ofc including intraligamental injection, they are so numb I could cut their jaw in a half, but when I'm getting close to the pulp they feel pain or discomfort until I can perform intrapulpal shot. Ofc most of them dont feel anything but still this is not 100%. Same thing with periodontitis purulenta, sometimes its hard to extract the tooth painless in such situation, while in the same time other patients with much larger abscess dont feel anything but pressure. Dentistry is still weird thing to me after 10 years of practice :) Anyway, thanks for sharing your knowledge, greetings from Poland doc
@centerforard
3 жыл бұрын
The intraligamental injection is the key, given at different locations around the tooth, with firm pressure in the sulcus with the bevel of the 30 gauge needle turned toward the tooth. Be sure the anesthesia is being administered into the sulcular tissue, i.e., the periodontal ligament, and not squirting out into the patient's mouth. I cannot ever remember not being able to anesthetize a tooth with this technique. Infiltration or a mandibular block alone with normally not be effective.
@alialjanabi5244
3 жыл бұрын
You are the best doctor, thank you doc steven,
@centerforard
3 жыл бұрын
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.
@akshayyadav167
3 жыл бұрын
Sir i loved endo since i was in my final year of dental college and i loved it even more after i saw your vidoes and doing root canals . I hope to meet u some day and learn from you
@centerforard
3 жыл бұрын
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
@akshayyadav167
3 жыл бұрын
@@centerforard sir i want to subscribe to your classes but I'm practicing in rural india and we charge roughly 20 dollars for a root canal so i won't be able to subscribe
@safourasalami
3 жыл бұрын
So exciting watching this endo! Dr. Thank you for your useful explanations 🙏
@centerforard
3 жыл бұрын
My pleasure. 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
@DailyMeditation365
3 жыл бұрын
1. Why would you not placed a buildup right after completing the endo? 2. Why not scout for the MB2? I think a CBCT will become the SOC for endo 3. Any advice on how to clean the pulp chamber after searing the master cone? I used BC sealer last week on a 2 canal pre-molar and it was a mess. I used a cotton pellet soaked in alcohol to get everything cleaned up, but I'd like to get more proficient. Great video!
@centerforard
3 жыл бұрын
I did place an IRM build up immediately upon completion of the endo. I always try to find the MB2, but often it is not findable. If you are placing an IRM build up, you do not have to remove any small amount of sealer from the pulp chamber.
@toothcareatalluredentalcar8425
3 жыл бұрын
Superb Doc - Dentist from India
@centerforard
3 жыл бұрын
Glad you like the videos. 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
@drlb3018
2 жыл бұрын
All Respect Doctor 🙏
@centerforard
Жыл бұрын
Thank you. 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 $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
@rajitharanvijayasekaram5862
3 жыл бұрын
Dear Steven, loved your descriptive video, just a minute clarification, you've finished with a .30 2% taper file right, so are you obturating with a .30 2% gp ? If so, is the coronal shaping with that file sufficient ?
@centerforard
3 жыл бұрын
I normally open the coronal part of the canal with a 35 endo. rotary file. 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
@asdjo5116
3 жыл бұрын
Thanks dr for your great video iwant to know your irrigation protocol thanks alot doctor
@centerforard
3 жыл бұрын
After using the single rotary drill for a while, I am now preferring multiple size rotary drills because the obturation of the canals is denser in the coronal part of the canal when the coronal part of the canal has been widened . I use 3:1 water to NaOCl. I use local anesthesia administered with a 30 gauge syringe to rinse the NaOCl out of the canals. No pressure in the canal during irrigation. I believe I cover this in detail in the endo videos. 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.
@asdjo5116
3 жыл бұрын
@@centerforard thank you very much doctor i am very happy for your reply thanks alot
@centerforard
3 жыл бұрын
Welcome.
@khalidahmed5903
3 жыл бұрын
Thnx doc. Amazing episode as usual. Btw doc can u do a video about how to diagnosis cracked tooth syndrome and treatment.
@centerforard
3 жыл бұрын
Basically, have the patient bite on a cotton tipped applicator on all the teeth on the side where the pain to biting is coming from. 99% of the time they will be able to isolate the tooth causing the problem by biting on the CTA on that tooth. The treatment is either endo and a crown or, if the crack is into the furcation of a molar or bicuspid tooth, probably extraction and implant or bridge.
@khalidahmed5903
3 жыл бұрын
@@centerforard Thnx so much doc.
@cesurkengerli5277
3 жыл бұрын
Thank you so much for sharing dear dr.
@centerforard
3 жыл бұрын
My pleasure. 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.
@kameronzimin924
3 жыл бұрын
That is a very deep crack that looks like if goes through the furcation. I was always taught that if the crack goes deep enough to get to the furcation that the tooth is hopeless prognosis. Do have any reasoning or literature to suggest otherwise? I really like your videos by the way, very informative.
@centerforard
3 жыл бұрын
Common sense. If it is my tooth, and I cannot separate the segments with an instrument placed in the crack and gently torqued, then I am going to explain the situation to the patient and let him make the decision, if I think the tooth has a 50/50 chance or better of being savable. You are only talking about money. It is very difficult to tell how far into the tooth the crack goes. If the patient can afford to take the chance on saving the tooth with endo and a crown and realizes the tooth could possibly be lost if the crack is into the furcation, then let him make that decision. Be sure to write down your discussion and have the patient sign it. I, personally, would prefer to have endo and a crown vs. extraction, grafting and an implant if the endo/crown had a 50/50 or better chance. What would you do if it was you or your family? You are certainly not wrong to extract the tooth and place an implant. It is just a much bigger procedure.
@asdjo5116
3 жыл бұрын
Thanks dr iam very happy in watching your great videos and i want to know your opinion about a pulpotec product from pD
@centerforard
3 жыл бұрын
Glad you like the videos, but I am not familiar with the pulpotec product. 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
@asdjo5116
3 жыл бұрын
@@centerforard thanks doctor
@apoorvpatel6286
3 жыл бұрын
Great videos. Thanks. Quick question.. you mentioned if tooth is hypersensitive, and you do root canal and then crown. If possible, Can't we try solving that sensitivity problem with filling at first. if filling/direct or indirect pulp capping solved problem, can we do crown without root canal? Will it be any issue later on in that case!! Appreciate your opinion. Thanks again.
@centerforard
3 жыл бұрын
Sure, you can try anything. In my 40 years of experience, I have tried everything on hypersensitive teeth, sometimes waiting up to 2 years trying desensitizers, bonding agents, composites, night guards. I do not ever remember a hypersensitive tooth that did not end up having endodontics simply because the patient got tired of dealing with "trying" things that did not allow them to eat and drink cold, hot and/or sweet things on that tooth. Emotional energy (both the patient's and the dentist's) has a dollar value.
@hama4291
3 жыл бұрын
In the literature they say that even if you completely remove Zoe cement, the eugenol will stay in the dentin tubules and affect the bonding strength of any resin material, but I really like it because of the sedative effect and the coronal seal, especially if Im doing 2 visits filling for a deep caries pulp capping with cold symptoms, more especially if I need cusp coverage which would trigger more hyperemia. Would like to know your opinion in such cases.
@centerforard
3 жыл бұрын
I have used IRM as a base for 40 years without any known issues with the overlying composite, so long as the IRM is set completely prior to composite placement. It may not be perfect based on studies, but it is easy, practical and effective.
@joirolle5658
3 жыл бұрын
hi dr. i was taught that EDTA should be used as a penultimate rinse when doing endodontic tx followed by final hypochlorite rinse. how come you've never mentioned this
@centerforard
3 жыл бұрын
I have never used EDTA. Not to say it is bad, I have just never used it. I always keep the canals full of fluid when filing. 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
@garygary9310
3 жыл бұрын
I wish I lived close to your practice.... I need a replacement of a crown but my dentist uses Novocain that wears off too fast ... I can’t tell you what he uses but by the time they fabricate the crown 3 hours about... my gum is not numb
@centerforard
3 жыл бұрын
Sorry.
@anasirqalinle2980
3 жыл бұрын
Thank you sir Am BDS gratuated student last year I wish attend your Online courses If you do From Somalia Hargaisa
@centerforard
3 жыл бұрын
I directed a hands-on teaching center in Dallas for 20 years, but it closed last year. Now, I am only doing online videos. 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
@Elguapo93
3 жыл бұрын
How much more difficult is it doing a root canal through a porcelain crown as opposed to enamel? I had an appointment today with a dentist and he seemed to have made a big deal about doing it through the crown. And wanted to take the crown off.. no way is that happening when it’s possible to drill through the crown. So he referred me to a specialist.
@centerforard
3 жыл бұрын
The root canal is normally more difficult through a crown. Also, the crown is damaged making the hole in the top and normally must be replaced at some point.
@GST.160
3 жыл бұрын
I need to find out if any of my patients have named their children after me.
@centerforard
3 жыл бұрын
Ha, ha, I hope they have!
@celts03
3 жыл бұрын
Really practical guy. You get CE credits with this?
@centerforard
3 жыл бұрын
Not yet. Giving CE credits are a pain in the butt. We are studying it.
@MegaMilo1991
3 жыл бұрын
Hey doc should you Not be able to fill the canal completely Because you got to Full work length with k 10 and apex locator?
@centerforard
3 жыл бұрын
As the chairman of the endodontic dept. at Baylor Dental College told us, you can fill a canal with "horse manure" if you clean it well and the endo. will work. Definitely try to fill the canal to within 0.5mm of the apex, but sometimes life gets in the way and it just does not happen. Be sure you have cleaned and irrigated the canal well.
@MegaMilo1991
3 жыл бұрын
@@centerforard hey thank you for the quick response. But i mean did u not reach an area with a k10 file with the apex locator 0.5 mm away from the apex? so should it not also be possible to get down till there with rotary ?
@centerforard
3 жыл бұрын
Yes, you will normally be able to access to the same length as with the #10 hand file, unless the canal is really tiny.
@DrTou
3 жыл бұрын
Hello Dr. Cutbirth. Love the videos, very informative and straight to the point, helped me out a lot during my starting days as a general dentist. I'd like to ask, what is your opinion on Epoxy Resin sealants in comparison to BC sealers, and the difference in application of both. Unfortunately BC sealers are not widely available in Hungary. Though, I would love to get my hands on some after reading lots of published research regarding the advantages of their use. Thank you !
@centerforard
3 жыл бұрын
Sorry, I know nothing about epoxy resin sealers. Do you have access to Brassilier products? They supply RealWorld Endo products, including the sealer.
@CJ-xk5ci
3 жыл бұрын
I'm 100% certain that, in school, my endo faculty would have failed me for improper isolation if I would have set my rubber dam as shown in the video. What are your thoughts on isolating only the tooth requiring endo vs the one-distal, two-mesial set up shown in this video?
@centerforard
3 жыл бұрын
Most dentists do not use rubber dam for anything. Not for anything! We're not talking about dental school here. We are talking about real practice and this is a very, very good method for rubber dam that dentists will use because of the many reasons I I give you. The tooth is well isolated and you have an assistant helping you. Sometimes dentists get caught up in a certain procedural method and forget to focus on the objective. This technique may not be by the book "perfect," but it is very, very close to ideal.
@bilalakbar2691
3 жыл бұрын
Hello sir you use h file to create glide path but normally we use k file can you explain which is better to make glide path?
@bilalakbar2691
3 жыл бұрын
One more question sir canals r sclerotic 4 to 5mm then how apex locator is giving 0.5 reading?
@centerforard
3 жыл бұрын
Either K type or Hedstrom hand file is fine. I just personally prefer the Hedstrom because it cuts better.
@centerforard
3 жыл бұрын
I find that the Brasseler "scout" rotary file is magic for accessing small canals. If the canal is sclerotic, the apex locator may not be definitive and you may need to take a pa radiograph with a hand file in the canal to confirm the length like we did before apex locators.
@AstroShiraj
2 жыл бұрын
I respect you 😢y some dentist don't feel the pain of patients
@centerforard
2 жыл бұрын
Thank you. Glad the videos are helpful.
@ashleygaldamez8136
2 жыл бұрын
i wanna work for u
@centerforard
2 жыл бұрын
Terrific.
@ahmedzxx
3 жыл бұрын
I Find this dude more beneficial than CE courses
@centerforard
3 жыл бұрын
Thank you. It is real dentistry in a real, full time dental practice. 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.
@mandarjoglekarDentist
3 жыл бұрын
Am I the only one here who thinks that MB2 is missed here? or at least it needs removal of the dentine shelf to look for MB2?
@centerforard
3 жыл бұрын
You can drive yourself crazy looking for MB2 canals and, possibly, damage a molar tooth, not to mention removing valuable tooth structure. I look for them, but do not spend a lot of time looking for them if they are not pretty obvious. As I am sure you know, most of the time MB2 joins the MB canal so it is taken care of most of the time when you clean and obturate the MB canal. In 40 years of practice, I am not aware of a post op problem from not cleaning and obturating a MB2 canal. I have some videos on cleaning and filing MB2 canals. Thanks for your comment. 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
@craigberry621
3 жыл бұрын
As an educator it’s a big responsibility to make sure the information your providing is current. Most of the techniques, actually almost all of them, are completely outdated. From using size 8 round burs , not even ATTEMPTING to find an mb2 , using hedstrom files, straight line access, the list goes on and on and on. Not only is this information outdated but detrimental to the success rate of the procedure. Hopefully you can modernize your understanding of modern day Endodontics before attempting to teach others.
@centerforard
3 жыл бұрын
Dr. Alex Fleury, a renowned Dallas endodontist and international speaker, taught the endo courses at my teaching center in Dallas for many years along with other endodontists. Straight line, direct access to canals was one of the endodontists primary teaching points. I always attempt to find the MB2 canal but, as you should know if you perform much maxillary molar endo, it is often not findable. To my knowledge, I have never in 40 years of practice had not finding the MB2 canal negatively affect the outcome of an endodontic procedure. I'm not sure about your reference to #8 round burrs. I normally use #6 slow speed round burrs to clean out the pulp chamber once accessed with a high speed course diamond. K type files are fine if that is what the dentist prefers. The #10 hedstrom files more effectively in my opinion and the opinion of many of the endodontist I work with. You should not over file with the hedstrom or you could remove the curve of the canal. Are you an endodontist? How many years have you been in practice? Do you disagree with the RealWorld Endo rotary system? I have been using the system described in the video successfully for many years. If anyone has a better method, I am always ready to learn something new.
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