Overextension Prevention - Confirming Deep Shape: Advanced Endodontics

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"Overextension Prevention: Confirming Deep Shape" represents another Ruddle Breakout Session release from a recent Santa Barbara Hands-On Seminar. Breakout Sessions between Cliff Ruddle and attendees offer additional, educational information about our seminar experience and the topics explored during the courses! These videos give you further details about how your personal time with Dr. Ruddle may be spent and/or the overall interaction among colleagues. They also represent informative, standalone segments that may be watched at your leisure and at no charge.
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so this right here this is the one you showed me yesterday yes it was before we ever even really met yes and the thing about this one okay can so and here's and here's a problem that I have okay and the x-rays aren't all in the right order so especially on the distal canal you know I have my cone in and it was just right at the apex I totally it looks great I was really really happy with it you know I'm saying it sure looks looks good I got tugged back like I was just all stoked you know damn like yes this is awesome okay but then you see like in the final picture it's long and I'm like what the heck did I do okay god I'm still okay go back be ready to go back and forth so we can go back and forth okay so the color moved a little bit didn't it yeah okay super frustrated you did you down pack yes I did then how far did you down pack do you think um I usually I think I went about within probably 4 to 5 millimeters of the apex so not like down in the air yeah okay at least Boston University so um I miss you know same thing one got a warm vertical condensation beautiful okay wait what years I graduated in 2005 stat 2001 to 2005 I was there okay very nice well what would we look if we looked at your prep from here down I'm gonna exaggerate to make a point does it look like this or does it look more like this okay shoulder said before he died you went to that school but you just went there after he passed away but shoulders said there's no force on planet earth to move gutta-percha through the frame and if you have four things in place okay so let's write those down no let's remember him you got to have cone fit can't have the cone of them down okay here use this use so just first just write down the four things but the header would be how to prevent over extensions Oh II over extensions in other words to know how to prevent moving your cone beyond the framin so he said you will never have an over extension you might get a huge puff of cement but you'll never have your cone overextend if you have four things in place okay one cone fit okay write it down got it got it now I'm gonna come back and talk about it okay seed it lift it up a millimeter seed it lift it up seed it lifted up seed it pull it out you're looking for little scratches and in tations right here okay if you see kind of an indentation a skid mark in the body of the cone that's artificial tongue back okay so when he's when we have this whole thing about cone fit we're talking about a peak ol tug back okay now to get him involved Paul when I see a cone that does that fully tapered I'm not so sure he might not be binding a little bit up in there could be binding so maybe your cones taper is a little bit greater than the shape so sometimes if you're not sure listen carefully two cones of the same d0 diameters go the same exact level one is this and what is this one is this and what is this which one do you use if they're same apical diameter they both radiographically go to lengths which one do you grab use the smaller or say it to you now you listen if two cones this is theoretical if two cones go to the exact same length they both radiographically are right on the money okay they're both the same tip diameter okay I'll just make this up once six percent and one's eight percent which one do you go with I don't want you to think about it I think because the thicker one could bind up here and then you get the artificial talkback perfect you get it so it's not a big perplexing answer just be confident cliff the small one but you knew why you knew why because the greater taper you're getting less confident where your tug back is yes perfect to get it so the second one okay Oh is the first one just I'm sorry no the first one is gonna be put to by one okay that's the seven the first one shape okay when I say shape when shoulder said shape we meant these four things a continuous tapering preparation the original Navi maintained