This block I designed is not mass produced, but you can get kind of the same experience here: justool.org/mitica/ It is not as transparent (so you can see how your work affects the MTA in the canals), but it is 3D-printed teeth and that is good. :-)
Thanks so much! 1. Is there any substitute for MTA to repair lateral perforation? 2. What if not repairing the perforation, but just using MTA based sealer or bioceramic sealer for RCF? 3. How to manage strip perforation?
Yes that is an important point. The first 1-2mm of the root filling is where you are most carefull not to extrude the MTA. The less friction against the wall the packing file experiences at working lenght, the more tactile feedback/length control you get. Sometimes a collagen scaffold can be used to make a more solid “floor” to pack up against.
Hi. If the tissue that bleeds is not inflamed or infected, the bleeding stops by itself within a few minutes. If it on the other hand is inflamed or infected, an interim dressing of Calcium hydroxide is needed. That will make the tissue bleed more normally at the next visit.
Hi Mustafa. Good question. In an open ended canal I highly suggest that you do the apical 2mm compaction manually, because it gives better lenght control. Once the most apical part is placed, then you kan easily use the endomotor in a backwards rotation. The speed doesn’t matter that much. Maybe 250-600 rpm.
Hi. The plugger is used to condense the MTA in the perforation. I know it might not show very well, because the MTA-gun tip and the plugger looks the same. Hope it explains. :-)
Being in a field of dentistry where the difficulties of a completed treatment doesn’t show that easily on the final xray, it is great if you are able to find joy and fun in the smallest details, even though it is only yourself that can see and appreciate them. 🤓😊
What type of sealer is it ? Can I use resin sealer ? What is the taper of the gutta percha point ? This technique looks so amazing but can it work without any air voids ?
The sealer is AH Plus. The canal is instrumented to ProTaper Next X3. The taper is 7% apically, but it decreases coronally. The goal is to avoid air voids and it is possible.