End of day clinical cases 1

Just a new segment sharing daily cases by Dr. Nasseh. This is a case of a maxillary second molar with drainage.

[franklinsachin]

Loved you diagnosis and treatment plan 🙂👍🏼💐

[MohamedSalah-wlkw]

That was a great case , I have never seen a case like that, but I would save the tooth by doing RcT and extracting the DB root for free just to see the result . Amazing case Dr Allen as usual .
Egyptian fan 😊

[asdfghjk]

Very interesting case. Extraction is the best option in my opinion as well followed by an implant. Keep posting unsual cases like this one if you have more. Also great endo videos. Wish I was as skilled as you at it. Keep up the good work!

[hagermamdouh]

Thank you doctor for sharing this interesting case. 👍👍

[nmda]

Very interesting case and discussion. Given the patient's mindset and the circumstances, I think you made the right call recommending extraction.

[dentalmitra]

True doc! Completely agree with you. Since the source of infection is not from the tooth you're trying to save, only if further interventions to remove surrounding infection is possible should one consider attempts to save this tooth even to see if it works .

[Skhillah]

Dr. Nasseh, how often do you root amputation and why would this not be a good case for that. Recontouring DB root at site of fracture, cap area with bioceramic putty. Of course a non-surgical rctx for MB and P roots would also be needed.

[anasalmutlaq]

Thank you 🙏🏻 for sharing such a great knowledge 🌹

[cgoudy]

I suspect that in your hands this case could be quite successful with NSRCT followed by a removal of the DB root fragment and backfill with BC RRM. It's certainly what I'd want with my own tooth, but the overwhelming factor, as you mentioned, is the patient's indifference in saving the tooth. Too much risk (although small imo in the scheme of things) in upsetting the patient with failure. Great case and thanks for sharing!

[ibrahimsener]

Dr. Nasseh, did you watch "Root Cause" on Netflix ? and what is your opinion about it?

[Endodont]

I think extraction was the best choice too, cb ct in this case was certainly helpful..
Question, if you don`t do de cb ct, and do the endo? what you say/relation for the patient after don`t get the result wish?

[tonyblackops]

Hey dr, what is the best method for filling canal between Lateral condensation and thermal filling?

[dentalmitra]

However doc if Implant is to succeed similar interventions are needed . Then one is confronted with the same question, should attempts to save the existing tooth be made ? Do you agree ?

[mahmoudsalama]

Dr. Allen amazing video as usual, u really changed my way for rct I love watching u r videos I learned alot really, but I have a question about the case if the patient was capable financially would u go for surgical treatment, and removal of fractured root and using bc butty, would it have chance to success!?, and thanks alot

[NonoNono-eket]

Extraction is the best decision the tooth according to xray surrounding by sever periodental infection plus fracture distal root no way to save it

[dansberg]

I am not in Egypt, so extraction is a good treatment for this case. Besides, the economic impact of endodontic therapy with poor(er) prognosis of that tooth.

[molaartje]

I most probably would have done the same still I find myself more and more doing these exotic cases pro bono😉

[jasemalshatti]

If I was a patient I would like to give a chance and let you share the result for educational purposes. But when I'm a dentist I would extract because the success rate is not that high and I will not take that risk as a dentist but I will take the risk as a patient 😁

[ramreddymatta]

Since the palatal root act as fulcrum during cycles of mastication ...I don't think long term prognosis of this tooth minus disto buccal root....going to good...even after RCt and cap.

[mohammedsherif]

Extraction since it will need a core and crown anad surgical intervention .. placing implant overthere is the best option
Sorry dr allen but i have a qustion
Why alot of vedios here on channel not complete .. ?