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In a moment, I will show you the root canal treatment I did
on this huge decayed tooth, how I removed the nerves of the tooth and
how I cleaned the decay.
Let's start directly.
The first step is to clean the decay out of the tooth.
Some of us may be thinking, "How does this
hurt now?
But during root canal treatment, the tooth is either already dead
or we numb the tooth well before the procedure.
As I start to clean the cavities, you can see that solid
white tooth tissue starts to emerge from underneath.
This is a good sign, it means that the decays are being removed in that area.
In addition, look, I also correct these
sharp sharp places on the edges of the tooth.
It is very important to correct these places,
I will show you why in a moment.
Now I dry the tooth and check it
and I continue to clean all parts
except the big decayed part in the center.
You seem to say why don't you clean the part right in the middle, isn't that the most
decayed part?
But I will come there last because the nerves of the tooth will soon come out from under that
cavity.
Gradually I finish all the decay
outside the center and smooth the sharp edges.
Are these sharp edges called unsupported or what?
If the filling is made without correcting these places, in the future
these sharp pointed parts will break.
Mert teacher, my filled tooth cracked and broke
those who say, in fact, most of the time the underlying reason
is that these unsupported parts are left uncorrected.
One of the most important factors affecting the success of a filling and root canal treatment
is of course
that you subscribe to our channel.
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Let's go back to the tooth.
Now that we've taken care of the periphery
let's get to those nerves.
Right now underneath this decay are the nerves of the tooth.
We're going to clean the decay and remove the nerves.
I'm very carefully removing the decay in this
area and...
Yes, you saw that sudden indentation.
That dimple indicates that we've reached the nerve chamber.
The nerves of the tooth are now visible.
Look how soft this part is.
I lift the ceiling of the nerve chamber
completely so that the nerves are fully exposed.
While doing this, of course, I don't forget to remove the last of the decay
on the edges.
Now the nerve of the tooth is fully exposed.
I am now expanding the nerve chamber
and creating the space to remove the nerve.
Look at the nerve here, I am moving it a little bit.
This is probably the first time
that many people have seen a live tooth nerve.
Now when I take it out, it will look even clearer.
I gently hold the nerve by the head and shake it left and right
to see if it will come out in one go.
And as you can see, I have removed the entire nerve
that extends to a root in one piece.
Now let me be clear, this does not always
happen, it is very rare.
Usually the nerve comes out in pieces, not in one piece.
So if you ask your doctor if it is a nerve, he may not always be able to show you
something like this.
This part of the nerve is located at the head of our tooth.
In this long part, the part extending along the root in the cavities we call the canal
at the root of the tooth.
This is where the name of the root canal treatment comes from.
Now we will shape and clean those channels in the roots one by
one.
I try to remove the nerve going to the other root in one piece, but as I said, this happens very rarely.
We will also remove this nerve piece by piece during cleaning, as I said before.
Right now I am finding the entry ways of the
canals in the roots of the teeth.
This tooth has 3 roots, so there are 3 canals.
We will clean each one individually.
As of now, our root canal treatment has started.
Mert, what are you doing now?
If you ask why that rotating tool is traveling in that canal,
he just removed dead nerves from that canal.
Naturally, since there was a dead tissue there before, those channels are full of bacteria, even though we can't see it right now.
Just as we cleaned the decay from the tooth, now
we are cleaning the decay inside the canals.
Thanks to this tool, I scrape the tissue
where the bacteria is located from inside the root.
Look, now I wash it with medicated solutions to kill the bacteria inside
thoroughly and to remove those tissue residues
that I scraped from the inside.
You can already see that the residual tissues float like snowflakes in the medicine.
Obviously, it is impossible to see this
with the human eye.
Luckily we have a close-up camera here.
What happens next is very clear.
Each time I enter the channel
with a thicker tip, I scrape the inflamed tissue inside the channel.
Then I wash it well, kill the bacteria
and take out the tissue residue.
This foam image you see is a very good image for us.
It shows that our medicine is reacting and working.
In fact, I will soon use a very
special device to foam the medicine well, just to increase those foams.
For now, we continue the same procedures.
Friends, this process of washing the canal with medicine
is the most important step of root canal treatment.
The more the canals are washed, the more successful the root canal treatment
will be.
That is why there is no root canal treatment that ends in 15 minutes and 20
minutes.
If a root canal treatment does not take at least 45 minutes
I am very sorry, but that root canal treatment was not done properly.
Now we come to my favorite device in life.
The name of this device is ultrasonic irrigation device.
This friend creates a
cleaning storm inside the canal.
By making ultrasonic explosions
at a level that cannot be seen by the eye, it ensures that the drug reaches every
area in the canal.
There is only one downside to this device.
It's just a little bit expensive.
But I think it is a must for a root canal treatment.
Look, when I wash the content after this device,
how clear, how
clean the medicine looks compared to the previous ones.
This shows how
sparkling our canals are inside.
I can officially say I live for that image.
Now that we've cleaned our canals, if we do the last step
well, we can save this tooth.
So what do we do in our last stage?
Just as the decay is normally cleaned and filled,
if we have cleaned the canals, we will also fill the canals.
Let's talk about canal filling.
Right now the inside of these canals is wet because we washed them.
First of all, we need to dry the content and prepare the filling.
For this, we use special cotton swabs
which we call paper points.
It's very simple here.
I put the cotton swab in the canal.
I move it slightly.
I let the cotton absorb the moisture inside and remove it.
It is very easy.
Afterwards, we put a canal filling material called gutaperka
, which is shaped just like the nerve of the tooth,
which will go to the tip of the root of the canal
into the canal.
What looks like a yellow gel
around it is a canal filling paste.
Thanks to this paste, the
gutaperka we place inside the tooth adapts better to the canal.
Okay, Mert Hocam, you put it into the tooth
beautifully like this, but will it stay dislocated like this?
Of course not.
I will now cut it right at the canal entrance.
For this process, I use a device called guta cutter
that works with heat.
The tip of this tool reaches very high temperatures.
Thanks to the temperature of the excess of the canal filling, I both cut
and because I make a slight melting
I block the entrance of the canal well.
Afterwards, I clean the residual parts with alcohol cotton.
I will give very important information here.
If this cutting process is cut a little higher to end
right at the mouth of the canal and the inside
is not cleaned completely, the root canal treated tooth begins to darken
seriously in the long term.
Mert teacher, my root canal treated tooth has become black and darkened in a serious
way between those who say the answer is here.
If we understand the importance of cleaning, I do the same procedures in other channels.
Here, since the two channels are very close to each other
, I cut them both at once.
Then I quickly absorb the excess paste with dry cotton.
Then I make the entire tooth
clean with alcohol cotton.
Finally, I dry the tooth
with dry cotton and then I am done.
And this is what my final look looks like.
It's very clean inside,
the canal mouths are well clogged.
Let's see an x-ray.
Here are the x-rays before and after the tooth.
This bright
whiteness you see inside the canals is our canal filling.
As you can see, that
whiteness goes to the extreme point in all roots.
I say this in every video.
A root canal treatment that does not go to the tip of the root or overflows
from the tip of the root has a very low chance of success.
Never forget this.
So, Mr. Mert, will the tooth stay like this?
Those who say there is no half of it are very right.
The loss in this tooth is very big.
Therefore, such
composite fillings will not be very durable in this tooth.
Special new generation 3
dimensional restorations need to be made.
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