1. MTA Case
Courtesy Dr. Simon Bender and ROOTS

2. Patient Information
Male 35, UR2 was never treated. Sinus present for 20 years!
Aetiology = cingulum pit
Necrosis, chronic periapical periodontitis
Two visits – Sinus closed after shape and clean
CHX, Ca(OH)2 intra-canal medication
Nil adjunctive medications required
Mueller Burs, ultrasonic S/S file
Black Mueller ~ # 160
NaOCl + Ethanol, EDTA, CHX (NaOCl warm in irrigation phase)
Orthograde MTA (ultrasonic used to ‘flow’ it)
Cavit, Glass Ionomer Cement

3. Pre-Op

4. “Wire Film” Ca(OH)2

5. Apical Increment

6. Apical Seal

7. MTA
Blue Sponge
Ca(OH)2
Cavit
GIC

8. Patient scheduled for follow-up radiograph at four months, at which time MTA will be checked, backfill placed.
Simon Bender, Sydney, Oz