Author/Authors :
Sonali, Kapoor Department of Conservative and Endodontics - M. P. Dental College and Hospital, Vadodara, India , Vineet Suresh, Agrawal Department of Conservative and Endodontics - M. P. Dental College and Hospital, Vadodara, India , Abhishek, Patel Department of Conservative and Endodontics - M. P. Dental College and Hospital, Vadodara, India , Jenish, Patel Department of Conservative and Endodontics - M. P. Dental College and Hospital, Vadodara, India
Abstract :
Aim. To report the management and orthograde technique of MTA placement in case of reverse architecture maxillary premolars.
Summary. Two cases of 17-year-old and 21-year-old female patients were referred to endodontic speciality for management of
maxillary premolar having reverse architecture with wide immature open apex like a bell mouth. In both the cases, after control of
intraradicular infection, it was decided to use MTA for apexification and obturation of canals. Orthograde placement of MTA is a
challenging procedure in terms of length control and condensation especially in divergent irregular reverse architecture wide open
apex. A novel technique with the help of finger plugger, sterilized paper point, and ultrasonic agitation for 3D compaction of MTA
at apical reverse architecture was used. Thickening of the canal wall and complete apical closure were confirmed one year after the
treatment.
