Calcium sulphate / MTA - Case Recall - Courtesy ROOTS
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From: Jörg Schröder
Sent: Wednesday, October 11, 2006 3:40 AM
Subject: [roots] Recall 15
My first Calcium sulphate / MTA - Case Recall.
Seems to heal. Fistula is gone and radiolucency gets smaller.
- Jörg Schröder
very beautiful case, thanks for sharing - noemí pascual
jorg, super result... Sashi Nallapati
Really interesting and nice, Jorg - Guy
Super duper. Excellent work, excellent documentation,
excellent result. It's great to see this level of treatment,
No problems drilling through porcelan inlay ? The crack
was on the wall or just inside the pulp stone ?
(lateral condensation cracks ? You must be kidding - like you
don't press on the gutta in vertical condensation)
P.S I think, like others the need for CalciumSulfate is
Hi Thomas, I used a high speed diamond bur with water cooling
to get through the porcelain. It feels like drilling through
enamel. The crack has been in the tooth wall, but stoped after
about 3-4 mm. The difference imho between lateral and
vertical compaction is
1. the GP can move better in the warm c. resulting in less
mechanical force on the canal walls and
2. that if doing it the right way the plugger does not bind
(in the lateralc. the spreader has to bind)
3. I am not pushing that much, maybe therefore I am not
getting so much lateral anatomy filled ;)) - Jörg
P.S. You are right with the cosmetic argument, but I like to
look on beautiful things ;))
Jorg, I found this one really great case one question..
did you place the post immediately after MTA placement? did you
separated it from composite with other material or did you wait
for settin, or was it the other visit?
BTW how is your 6 handed dentistry going on? did you try? - Bartek
Hi Bartek, I used Angelus MTA , it sets very quick (15 min)
so I was able to place the composite right against the MTA in the
same visit. No separation between.
I am trying 6 handed from time to time , but I am far away from that,
what Maciej showed me - Jörg
Very nice Jorg. I especially like your photos! Do you think you
could have placed the MTA without use of the barrier? - Mark
Mark, yes, but I was afraid of creating a MTA-puff. As far as I know,
there is no difference in the outcome, but I hate this
atomic-bomb-like-look. ;)) - Jörg
My experience is that if you place the material with a Dovgan carrier
and ultrasonically vibrate it to length, overfills in MOST situations
can be avoided. Where the overfills occur, it is an ugly look, but
the body loves that stuff, so healing isn't compromised.
Just my 2 cents. You're going for the Marga Ree look with your
approach here and that's never a bad thing. :-)) - Mark
Mark, how is the consistance of the MTA? Do you mix it with less
fluid / dry it with paperpoints? How many attempts do you usually
need to get the MTA at the right point? - Jörg
Hard questions. If I had to describe it I'd say I mix it half way
between wet and dry. Getting it where I want it can be challenging.
I take check x-rays and sometimes have to vibrate it down further
with ultrasonic vibrating against one of my pluggers. Sometimes
I'll use the fat end of a paper point to push it apically. Really hard to
describe. Probably my answer isn't very helpful - Mark
Mark, I know it is hard to describe, but you described it so well,
that I understood quite well, how you are doing it - Jörg