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Endo Questions for the RWE Faculty:

In this area, users are encouraged to ask questions from the RWE Faculty regarding Endodontics in General and the EndoSequence Technique.

Endo Questions for the RWE Faculty:: Upgrading my endo treatment according to the cost

Missing

Joined: February 2018

Rank: Rookie

Posts: 3

#1
Hello sir I would like to do better tratment that what i do today i like to watch ur videos in youtube so i decided to use biocearmic sealer the problem in my area in that i couldnot find the bc sealer that u use but i found another bc sealer called endoseal mta by maruchi and to decrase the cost i decided to use iso k and h files to the size 30 to the full working length then i use a single rotary race file which will be the same size i end with manually taber.04 also i will not use abiocearmic coated guttabercha. What do u think about that sealer and about the single rotary file Thanks

Attachments: Img_20180222_011737

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Joined: July 2013

Rank: Sergeant

Posts: 19

#2
In reply to Mohamed Osama Dear Dr. Osama, 
Unfortunately, we have not tried the EndoSeal MTA and are unable to give you a complete or accurate answer. The presence of alumina will likely increase the toxicity. Furthermore, the presence of Calcium Sulfate mean the material will be resorbable. Lastly, bioceramic fare better when combined with a coated gutta percha. As a result, we would recommend that you use this sealer with either lateral or vertical condensation instead of Hydraulic Condensation. 
Sincerely, 
RWE Team. 
Missing

Joined: February 2018

Rank: Rookie

Posts: 3

#3
In reply to RWE Admin Thanks for replying sir Unfortunately this is the only product available in my area i regret that i bought it after i know about the toxicity and resorbtion. So i have another idea and please tell me if it good or bad I think of using an mta powder as a sealer I also would like to know if their is adifferance between mta from different manufacturers Thanks again
Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 243

#4
In reply to Mohamed Osama Hi!
The MTA particle size is too large to be used as a sealer. This is why MTA is actually not used as a sealer at the present time. Furthermore, the gray MTA that contains bisthmus oxide can stain teeth. If you don't have access to BC Sealer (Premix) and really want to use bioceramics then you can use the Septodont RCS that's calcium carbonate based. But it does require hand mixing. Cheers!  
Missing

Joined: February 2018

Rank: Rookie

Posts: 3

#5
In reply to Allen Ali Nasseh Thanks for responding dr nasseh I did some research on google and i found some studies that said their is a solubility in testing bioceramics Here is the studies links https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694146/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292198/#!po=56.4815 Now i am confused sorry if that make no sense I will wait your response
Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 243

#6
In reply to Mohamed Osama Mohamed, that solubility test study is incorrect. The discs are too large to account for clinical significance. Furthermore, the material is FDA approved and has passed the ANSI standards for sealer solubility. So, I'm not worried about it. I've seen 10 year recalls too. So, it's even more significant than bench top study. 
Cheers!