Endodontics FAQ

  • What is Endoseal MTA?

Endoseal MTA is a conveniently premixed and preloaded root canal sealer. It differs from other sealers because of its fast set time (13 minutes), flowability, and biocompatibility (less inflammation). In addition, Endoseal MTA is a pure MTA product containing no resin and has anti-microbal properties (high pH) to remove bacteria over time. Finally, Endoseal MTA promotes hard tissue formation around the infected tooth, is easy to handle, has high radiopacity, and has minimal tooth discoloration.

  •  When should you use Endoseal MTA?

Endoseal MTA can be used for root perforations but also in apex and canal fillings of primary molars. It is a great sealer because it will never be washed out nor absorbed by the body. Easy to use, it should be directly injected into the canals allowing for great handling.

  •  Can Endoseal MTA be retreated?

When necessary, Endoseal MTA is easily retreated using a Nickel Titanium (NiTi) rotary file. Once filed down, Endoseal MTA can easily be washed out of the canal.

  •  What is MTA?

MTA is mineral trioxide aggregate. Other words including ‘bioceramics’ have been used to describe MTA-like cements. MTA restoratives and MTA sealers are commonly used in endodontics. Endoseal MTA is a sealer and does not contain water.

  •  Is MTA necessary for my procedure?

Historically, MTA was used for root perforations. Here, MTA was widely considered to be the most effective, biocompatible, non-toxic, and non-irritant material. Based recent innovations, MTA can be applied easily and effectively for canal fillings.

  • How do you use Endoseal MTA?

Based on experience, the single-cone method is the easiest and most effective. This simple but proven method involves injecting the sealer and inserting the gutta-percha (GP).

  •  Why does Endoseal MTA not seal in the syringe when it sets in 13 minutes?

This is based on how the paste is packed. Pulling back the plunger will result in hardening.

  •  How many canals can a single 3g syringe of Endoseal MTA be used for?

15-20 canals are typical. Each package comes standard with 20 tips.

  •  What are the ingredients of Endoseal MTA?

Calcium silicates, calcium aluminates, calcium aluminoferrite, calcium sulfates, radiopacifier, thickening agents

  •  Why should I use the Endosonic Blue hand piece?

The handpiece has a flexible tip that produces ultrasonic vibrations (30kHz) to effectively clean the root canal using a minimally invasive protocol. Each package comes standard with two tips (22 & 28mm). Pre-programed with three output controls allowing you to adjust to any length, enlargement, or presence of inflammation. Each session is also pre-programed at 15 seconds. The device is enabled to provide maximum fracture resistance via the  symmetric R-phase which occurs when the R-phase intervenes between the austenite and martensite for both heating and cooling allowing for complete root canal cleaning by cavitation and microstreaming. Clean effectively with no pain!

  •  What is Endocem MTA?

Endocem is an MTA based cement that can be effectively used for vital pulp therapies (VPT) such as direct pulp capping, apical retro-fillings, and root perforations. Endocem MTA comes as a powder and is easily mixed and applied to the patient using a spatula or gun. The properties of Endocem MTA allow it to set quickly (4 minutes) and seal effectively with excellent biocompatibility (less inflammation).

  •  How many patients can one package of Endocem treat?

It depends on how much cement is used per patient. Unused powder can be saved for later.

  •  What is the difference between Endocem MTA and Endocem ZR?

The two products function almost identically. Endocem ZR’s physical properties give it a tooth colored appearance. Endocem Zr should be used as a liner, not as a base, in vital pulp therapy (VPT)

  •  When should I use Endoseal vs. Endocem?

Endoseal is used primarily in the root canal whereas Endocem is used in the apex or pulp of the tooth.

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