Fascinating. Thanks for posting this. I'm having this procedure tomorrow and this certainly puts my mind at ease. It also gives me a greater appreciation for what you endos do! Keep up the great work!
very nice work.....post a present radiograph to silent the useless people with bulging egos who cant appreciate nice work . The suction u use is motor operated or air pressure operated?
i admit the skill you have. but i had a note, shouldn't you have filled the bone space with a graft material? this space will cause tissue shrinkage during the healing process. thanks alot for sharing this vid
sick!! i got it done i stayed wake for it got the other anastetic for it. was all dizzy after it. still have to squeese out green puss now and again! i hate dentists!
This comment has received too many negative votesshow
By watching this video you can notice the lack of surgery technique this person had. the first thing He or She should´ve learned at the university is how to do a good apicoectomy surgery. Poor patient
This statement in no way is helpful or promotes a discussion on apicoectomy surgery techniques. You basically said, "His technique sucks" and just left it at that. How does it suck? He cleaned out the infected area and retrofilled the tooth.
I am having this procedure on Wednesday and I'm TERRIFIED of feeling pain DURING the procedure. My root canal that was done in 1999 on my bottom molar wasn't done correctly and needs this type of surgery. I'm terrified of feeling pain during the surgery. I can deal with post-operative pain but have a ton of anxiety of what I'm going to feel during it. I know an anesthetic will be used but I'm really scared it won't make the area totally numb. Please reply :(
Just had this done myself 4 days ago - gum is still quite swollen and waiting for stitches to dissolve but gum has "welded" itself back together and seems good. Taking painkillers still and had extra dose of antibiotics. Will report back on if the infection returns. I do hear this only had about 70% chance of working???
'used larger gauze vs cotton pellets due to size of cryt. place cotton to catch loose MTA debris so that it doesn't get stuck behind the root or on the back wall of the crypt.
An Apicoectomy is a simple surgery , when a tooth has an infection at the end of its root, a flap is risen and the apex is exposed , all diseased tissues are removed then the end of the root is CUT and sealed with a filling material like composite or Amalgam , its indicated when root canal treatment fails to control the infection at the end of the root !
The proceedure looks clumsy since it is performed at 10X-16X magnification under a Zeiss microscope, where slight movements appear jerky. As the surgeon, I think your comments are misplaced and ill informed.
Please note that the incision is done in a straight line fashion, way too close to the cervical margin, leaving thin rims of gingiva, (later to be sutured upon¡¡), the risk is necrosis, also note a dental air turbine is used to perform ostectomy, the risk is sub-cutaneous emphysema, the irrigation does not appear to be sterile water or saline, what is it then?,
Sorry, but an palisades impact air 45 degree hp was used, sprays no air, just sterile saline off a bottle. this was done 4 years ago. tooth is fine. there was no necrosis of soft tissue, final pic shows sutures removed at 48, with no swelling or bruising, just slight echymosis. I have never necrosis from the sutures, since I don't over tighten them.
please note my comment a month ago¡¡, I wonder if this gentleman has heard of the surgical specialtists, for the procedure is done in a rather clumsy fashion, could it be that he is required to do it as a part of some residency, maybe the patient begged him to do so, the bottom line is that the tooth ended up with a dwarfened root and is bound to be lost.
You are obviously a complete moron to try to comment on something that you know nothing about. "Bottom line" is that this tooth will give many more years of service with this procedure. Without this procedure the patient would have lost this tooth and likely the tooth adjacent to it. Next time STFU! As to the clumsy fashion, again, what the F do you know? You are zoomed in on an area that is less than 10 mm in diameter so, yes, all movements will always appear jerky on video. W
I wonder why you produced no fact at all? dental, endodontical or surgical,none, you informed us on the fact that magnification makes hand movements look shaky, a fact well known to users of operating microscope, loupes or even familiar video users, macro is even more demanding; if you read well, I did not write "tremulous fashion" for I am perfecly aware of that, the various reasons for deeming the surgery clumsy are different, some nearly as bad as your english¡¡¡¡
Too bad there's no narration. I had this procedure a few years back, and at the time (before youtube), I was wishing that I could see it on video. Thank you
That is a perfect apicectomy but I prefer to expose more bone after removal of the lesion I.e must refresh all the bone and leave no undermind bone
d2hazem 5 months ago
Fascinating. Thanks for posting this. I'm having this procedure tomorrow and this certainly puts my mind at ease. It also gives me a greater appreciation for what you endos do! Keep up the great work!
Drillin4Oil 1 year ago
very nice work.....post a present radiograph to silent the useless people with bulging egos who cant appreciate nice work . The suction u use is motor operated or air pressure operated?
drabhishekhanda 1 year ago
what happened to her class 3 cavity on her 11 and 12?. i did enjoy watching the apicoectomy tho. well done
ROZX5452 1 year ago
what is the gold tipped instrument you are using to go into the apex with? Is that to remove infection and gutta percha?
drpmb1 1 year ago
i admit the skill you have. but i had a note, shouldn't you have filled the bone space with a graft material? this space will cause tissue shrinkage during the healing process. thanks alot for sharing this vid
Ramiammoun 1 year ago
sick!! i got it done i stayed wake for it got the other anastetic for it. was all dizzy after it. still have to squeese out green puss now and again! i hate dentists!
whambamthankusam 2 years ago
@whambamthankusam maybe you should have taken better care of your teeth dipshit
ahinks21 10 months ago
@whambamthankusam maybe you should have taken better care of your teeth dipshit
ahinks21 10 months ago
This has been flagged as spam show
@whambamthankusam maybe you should have taken better care of your teeth retard
ahinks21 10 months ago
como dificil... retraer el labio y manejar la sutura al mismo tiempo, me pregunto para que tiene una asistente?
lolatts 2 years ago
Nicely done surgery....
msoleferg 2 years ago
welldone,nice surgery...
biohazard35 3 years ago
gracias
endoguy 3 years ago
buen video ... saludos
fredyuap 3 years ago
buen video de cirugia... saludos
fredyuap 3 years ago
nice meticulous suturing.
kennyc1100 3 years ago
I got this done and I'm glad that I'm seeing it after the fact or I might not have had the courage!
mariangelis1 3 years ago
This comment has received too many negative votes show
By watching this video you can notice the lack of surgery technique this person had. the first thing He or She should´ve learned at the university is how to do a good apicoectomy surgery. Poor patient
cirutaxi 2 years ago
Comment removed
davey914 2 years ago
This statement in no way is helpful or promotes a discussion on apicoectomy surgery techniques. You basically said, "His technique sucks" and just left it at that. How does it suck? He cleaned out the infected area and retrofilled the tooth.
davey914 2 years ago
I'm having this done and I'm just scared of what it will feel like afterwards...how painful it might be! :'(
ronvins 3 years ago
mee toooooooooo :''(
Leenao 3 years ago
beautifully executed. I had never seen a video of this procedure. Is there a chance of sinus penetration? Are complications common?
pdrmoura 3 years ago
great operation ,I do it as assistance in specialized dentistry center
doctorzayd 3 years ago
Is that hole going to stay like that?
rejectedrealities 3 years ago
good question ??? answer plz????? :(
Leenao 3 years ago
the hole gets bigger until no face is left. then it sucks in planets in our solar system, eventually the entire universe. the humanity...
kennyc1100 3 years ago
I am having this procedure on Wednesday and I'm TERRIFIED of feeling pain DURING the procedure. My root canal that was done in 1999 on my bottom molar wasn't done correctly and needs this type of surgery. I'm terrified of feeling pain during the surgery. I can deal with post-operative pain but have a ton of anxiety of what I'm going to feel during it. I know an anesthetic will be used but I'm really scared it won't make the area totally numb. Please reply :(
whiteypetals 3 years ago
being totally numb is not typically a challenge. 'm sure you'll do fine.
endoguy 3 years ago
This comment has received too many negative votes show
Your suturing skills are atrocious, my friend. One would think it's the first time you've ever held a needle-driver.
DrSandmann 3 years ago
As New York State's finest clinician, perhaps you should post some of your own work.
endoguy 3 years ago 3
Por cierto, muy buen video, muy didactico!
mayabv 3 years ago
Que material se utiliza para la obturación retroapical?
mayabv 3 years ago
MTA
endoguy 3 years ago
Just had this done myself 4 days ago - gum is still quite swollen and waiting for stitches to dissolve but gum has "welded" itself back together and seems good. Taking painkillers still and had extra dose of antibiotics. Will report back on if the infection returns. I do hear this only had about 70% chance of working???
xnamaste 3 years ago 3
thanx alot for posting the video, the flap design i don't agree with the way you raised otherwise everything was great... ;)
mohdtami68 3 years ago
Nice technique but like me we have some problems with the flap design. did you use MTA? thanks for post this video...
gusvelasco1 4 years ago
'used larger gauze vs cotton pellets due to size of cryt. place cotton to catch loose MTA debris so that it doesn't get stuck behind the root or on the back wall of the crypt.
endoguy 4 years ago
Wow!!!
mmura88 4 years ago
i agree.. i dont know whats an apicoetomy either... :(
Irenita0110 4 years ago
An Apicoectomy is a simple surgery , when a tooth has an infection at the end of its root, a flap is risen and the apex is exposed , all diseased tissues are removed then the end of the root is CUT and sealed with a filling material like composite or Amalgam , its indicated when root canal treatment fails to control the infection at the end of the root !
camry1971 4 years ago 2
thank u =)
Irenita0110 4 years ago
whats the white thing... pus? ew!
Irenita0110 4 years ago
The proceedure looks clumsy since it is performed at 10X-16X magnification under a Zeiss microscope, where slight movements appear jerky. As the surgeon, I think your comments are misplaced and ill informed.
endoguy 4 years ago
Please note that the incision is done in a straight line fashion, way too close to the cervical margin, leaving thin rims of gingiva, (later to be sutured upon¡¡), the risk is necrosis, also note a dental air turbine is used to perform ostectomy, the risk is sub-cutaneous emphysema, the irrigation does not appear to be sterile water or saline, what is it then?,
rmgj 4 years ago
Sorry, but an palisades impact air 45 degree hp was used, sprays no air, just sterile saline off a bottle. this was done 4 years ago. tooth is fine. there was no necrosis of soft tissue, final pic shows sutures removed at 48, with no swelling or bruising, just slight echymosis. I have never necrosis from the sutures, since I don't over tighten them.
endoguy 4 years ago
The minor operation is done but realy poor surgical style!
maximokus 4 years ago
please note my comment a month ago¡¡, I wonder if this gentleman has heard of the surgical specialtists, for the procedure is done in a rather clumsy fashion, could it be that he is required to do it as a part of some residency, maybe the patient begged him to do so, the bottom line is that the tooth ended up with a dwarfened root and is bound to be lost.
rmgj 4 years ago
You are obviously a complete moron to try to comment on something that you know nothing about. "Bottom line" is that this tooth will give many more years of service with this procedure. Without this procedure the patient would have lost this tooth and likely the tooth adjacent to it. Next time STFU! As to the clumsy fashion, again, what the F do you know? You are zoomed in on an area that is less than 10 mm in diameter so, yes, all movements will always appear jerky on video. W
drilfilbilutube 4 years ago
I wonder why you produced no fact at all? dental, endodontical or surgical,none, you informed us on the fact that magnification makes hand movements look shaky, a fact well known to users of operating microscope, loupes or even familiar video users, macro is even more demanding; if you read well, I did not write "tremulous fashion" for I am perfecly aware of that, the various reasons for deeming the surgery clumsy are different, some nearly as bad as your english¡¡¡¡
rmgj 4 years ago
Too bad there's no narration. I had this procedure a few years back, and at the time (before youtube), I was wishing that I could see it on video. Thank you
cashopa 4 years ago
could u eat after that?
AMIMAMA 4 years ago
mixed with water
endoguy 4 years ago
is the MTA mixed w/ anything before packing? great video btw
t5e2 4 years ago
excellent video, good camera work.
a2noz 4 years ago
thank you so much for this educational video please keep uploading such great stuff
y2a206 4 years ago
please check the new comments, cheers
rmgj 4 years ago