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🌹اللهم صل ع نبينا محمد🌹 مرحبـــا بكـم بقناتنا شروحات محاضرات طب الاسنان لكل ما يخص طب الاسنان رابط قناة سنة اولى وثانية @dent_first_and_second @Thirdstagedentistrybot بوت القناة
#Endodontic
المحاضرة ال21
● Open apices management
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#Endodontic
المحاضرة ال19
من أرض #اليمن_الحبيبة 🇾🇪 رفقة الدكتور إسلام السقاف
في محاضرة عن نجاح وفشل علاج العصب 🔥🔥
/channel/dentistry_lecture
#Endodontic
المحاضرة ال17
الRegeneration مع د/عادل عبد الواحد
FUE Microscopic Center
Specialized Endodontic Program-FUE
/channel/dentistry_lecture
#Endodontic
المحاضرة ال15
● How to manage the unusual canal anatomy , perforation , open apex
#Endodontic
المحاضرة ال13
● Endodontic retratment from A to Z
#Endodontic
المحاضرة ال11
● Irrigation from A to Z
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#Endodontic
المحاضره التاسعة
● Requisting CBCT or not ?
#Endodontic
المحاضرة السابعة
● Open discussion on endodontic treatment
#Endodontic
المحاضرة الخامسة
Broken file retreive & Bypass
/channel/dentistry_lecture
اللهم صل وسلم وبارك على سيدنا محمد
قَالَ رسولُ الله ﷺ : إنَّ مِنْ أفْضَلِ أيَّامِكُمْ يَومَ الجُمُعَةِ ، فَأكْثِرُوا عَلَيَّ مِنَ الصَّلاةِ فِيهِ ، فَإنَّ صَلاَتَكُمْ مَعْرُوضَةٌ عَلَيَّ
🌹جْمٌْعتْكِمٌ طِيَبّةِ🌹
المحاضرة الثانية للآيدك #نبراس_الدهاش 🇱🇾🇱🇾
ENDO OR NOT
/channel/dentistry_lecture
اللهم صل وسلم وبارك على سيدنا محمد
قَالَ رسولُ الله ﷺ : إنَّ مِنْ أفْضَلِ أيَّامِكُمْ يَومَ الجُمُعَةِ ، فَأكْثِرُوا عَلَيَّ مِنَ الصَّلاةِ فِيهِ ، فَإنَّ صَلاَتَكُمْ مَعْرُوضَةٌ عَلَيَّ
🌹جْمٌْعتْكِمٌ طِيَبّةِ🌹
اللهم صل وسلم وبارك على سيدنا محمد
قَالَ رسولُ الله ﷺ : إنَّ مِنْ أفْضَلِ أيَّامِكُمْ يَومَ الجُمُعَةِ ، فَأكْثِرُوا عَلَيَّ مِنَ الصَّلاةِ فِيهِ ، فَإنَّ صَلاَتَكُمْ مَعْرُوضَةٌ عَلَيَّ
🌹جْمٌْعتْكِمٌ طِيَبّةِ🌹
اللهم صل وسلم وبارك على سيدنا محمد
قَالَ رسولُ الله ﷺ : إنَّ مِنْ أفْضَلِ أيَّامِكُمْ يَومَ الجُمُعَةِ ، فَأكْثِرُوا عَلَيَّ مِنَ الصَّلاةِ فِيهِ ، فَإنَّ صَلاَتَكُمْ مَعْرُوضَةٌ عَلَيَّ
🌹جْمٌْعتْكِمٌ طِيَبّةِ🌹
#Endodontic_Case
#Flare_Up
👳A 42-year-old male patient with
👉a noncontributory medical history
returns to your office the day after instrumentation,
irrigation,
and closure of tooth # 3.
😖He complains of severe pain and sensitivity when touching the tooth or masticating.
😶There is no swelling in the muccobuccal fold.
✍Treatment notes indicate that you instrumented three canals to a #20 K file and used rotary instruments.
How would you treat this patient?
🤔
🔵Answer
🔰• Provide local anesthesia.
🔰• Check occlusion.
Reduce occlusion if not already done and restorative consider- ations permit.
🔰• Confirm measurement.
🔰• If the tooth was instrumented only up to a 20 K file or less
⛔️, it is likely that tissue was left in the canals.
🔰• Re-instrument all canals to a 25–30 K file and/or rotary instrument.
🔰• Irrigation.
🔰• Place calcium hydroxide dressing.
🔰• Closure."
🔰• Analgesics.
🌐Goal of Treatment:
🔵The treatment is biologically based.
🔵Confirming the measurement and re-instrumenting should eliminate residual tissue in the canals without further damage to the apical tissues.
🔵Occlusal reduction will put the periodontal ligament at rest.
/channel/dentistry_lecture
#Endodontic
المحاضرة ال 20
من أم الدنيا النجم المصري #محمود_سلامة 🇪🇬 في محاضرة عن الEndodontic Treated Tooth وما يتعلق بها 🔥
/channel/dentistry_lecture
#Endodontic
المحاضرة ال18
كل ما يتعلق بالBROKEN FILE
#Endodontic
المحاضرة ال16
مع نجم #ستايل_إيتاليانو العراقي 🇮🇶🇮🇶 الدكتور عمر الشيخلي بمحاضرة الEndo Tips & Tricks
#Endodontic
المحاضرة ال14
● Why file separation!?
#Endodontic
المحاضرة ال13
● Perforation Repair
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#Endodontic
المحاضره العاشرة
The journey to the apex
/channel/dentistry_lecture
#Endodontic
المحاضرة الثامنة
● PAIN CONTROL
#Endodontic
المحاضره السادسة
Pharmacologic prescription medicament in endodontic
#Endodontic
المحاضرةالرابعة
من أرض العراق 🇮🇶 د أحمد حميد في محاضرة عن ال
BIO MATERIAL & PRESERVING PULP VITALITY
المحاضرة الثالتة للآيدك د أحمد الوقاد 🇪🇬
ROTARY FROM A TO Z 🔥🔥🔥🔥
/channel/dentistry_lecture
المحاضرة الأولى للآيدك للدكتور #كريم_سرور 🇪🇬
The fear of broken files in Curved canal
/channel/dentistry_lecture
رمضان كريم و كل عام و انتم بخير 🌙
اللهم أهله علينا بالأمن والإيمان والسلامة والاطمئنان 🌙🕌
6/مارس
يوم #اطباء_الاسنان_العالمي. 🦷
كل عام و نحن بخير ,😃✋🏻.
#Endodontic
#Flare_Up
⛔️INTERAPPOINTMENT EMERGENCIES
✅Treatment of Flare-ups
1⃣Reassurance (the “Big R”) is the most important aspect
of treatment.
The patient is generally frightened 😰
and upset
and may even assume that extraction is necessary. 😱
🤗The explanation is that the
flare-up is neither unusual
nor irrevocable and will be managed.
1⃣Previously Vital Pulps with
Complete Débridement:
✅patient reassurance and the
prescription of a mild to moderate analgesic
often will suffice.
💢 it is important to check that the temporary
restoration is not in traumatic occlusion
2⃣Previously Vital Pulps
with
Incomplete Débridement
✅The working length should
be rechecked,
✅ the canal(s) should be carefully cleaned
with copious irrigation of sodium hypochlorite.
✅A dry cotton pellet is then placed,
followed by a temporary
filling,
✅a mild to moderate analgesic is prescribed
3⃣Previously Necrotic Pulps with No Swelling
✅The tooth is opened
✅ the canal is gently recleaned
and irrigated with sodium hypochlorite.
✅Drainage should
be established if possible
🔰 If there is active
drainage from the tooth after opening,
✅the canal should
be recleaned
(or débridement completed) and irrigated
with sodium hypochlorite.
🔰The rubber dam is left in place
after the tooth is opened;
the patient is allowed to rest
pain-free for at least 30 minutes or until drainage stops.
✅Then, the canals are dried, calcium hydroxide paste is
placed,
and the access is sealed
💢If there is no drainage,
the tooth should also
be
✅lightly instrumented,
✅ gently irrigated,
✅ medicated with
calcium hydroxide paste,
✅and then closed.
😃 The symptoms
usually subside but do so more slowly than if drainage
was present.
Again, patient education and reassurance are
critical.
A long-acting anesthetic and an analgesic regimen
for moderate to severe pain are helpful;
❗️antibiotics are not
indicated
4⃣Previously Necrotic Pulps with Swelling
🔵Previously necrotic pulps with swelling are best managed
with:
✅ incision and drainage.
In addition,
it is most important that the ✅canals have been débrided.
If not,
✅they should be opened and débrided,
✅ medicated
with calcium hydroxide paste, and closed.
✅Then incision
and drainage with placement of a drain are completed.
💢Occasionally but rarely,
a flare-up or a presenting acute
apical abscess may be serious (cellulitis) or
even life- threatening🚨
🚨🚑These situations may require
hospitalization and aggressive therapy with the
cooperation of an oral surgeon.
♻️Follow-up Care
With flare-ups,
the patient should be contacted daily 🏃
until the symptoms abate.
📞 Communication may be made
by telephone.
😫Patients with more serious problems or
those that are not resolving (many do not and require
additional measures)
should return to the dentist for
treatment as previously described,
depending on findings.
😨When symptoms recur or cannot be controlled,
these patients should be considered for referral.
Ultimate treatment by a specialist may include extra measures, 🚑🚑
such as apical surgery, or even hospitalization.
⛔️Reference
Endodontic principles and practise 4th edition
Mahmoud Torabinejad, DMD, MSD, PhD
Professor and Program Director Department of Endodontics School of Dentistry Loma Linda University Loma Linda, California
Richard E. Walton, DMD, MS
Professor
Department of Endodontics The University of Iowa College of Dentistry Iowa City, Iowa
/channel/dentistry_lecture
#Endodontic_Case
#Flare_Up
💂A 31-year-old male
presents 24 h after endodontic instrumentation.
🚫 His medical history indicates an allergy to penicillin.
💢He has a large fluctuant swelling in the muccobuccal fold adjacent to #30.
⬆️He reports the swelling has increased significantly in the last 12 h,
as has his pain. 🤕
🙂Treatment notes indicate that he presented with an asymptomatic non-vital tooth without a radiolucent lesion.
👌 Tooth # 30 was instrumented to a 25 K file and 30 rotary instrument.
🚿 It was irrigated with sodium hypochlorite.
🤗Adjacent teeth have no restorations and no caries.
❓❓❓❓
How would you treat this patient?❓❓
🔵Answer
• Inferior alveolar nerve block.
• Take the patient’s temperature (optional, depending on size of swelling, localization, and presence of malaise).
• Confirm measurement control.
• Re-instrument and enlarge the canals and irrigate with sodium hypochlorite.
• Attempt to establish drainage through the canal.
• Place calcium hydroxide dressing.
• Closure.
• Reduce occlusion, if restorative considerations permit.
• Incision and drainage for the fluctuant swelling.
• Analgesics/antibiotic (note penicillin allergy).
Clindamycin is an appropriate substitute.
• Patient should return
in 24–48 h for reassessment and recleaning/shaping and irrigation.
☺️Goal of Treatment:
The suggested approach addresses the microbial cause of the exacerbation.
🌸The goal is to eliminate or significantly reduce the
intracanal microbial flora and decompress the periapical tissues.
💊The use of antibiotics is a supplement to the clinical treatment and is not a “cure” of the basic microbial problem.
In a non-vital case
(no vascular circulation) little or none of the systemic antibiotic reaches the canal space.
/channel/dentistry_lecture