Ammdent Root Plus MTA

ROOT PLUS MTA powder is consisting of very fine hydrophilic particles of several mineral oxides.

After contact with ROOT+PLUS liquid, it forms a gel hardens to an impermeable barrier.

 COMPOSITION :

• The powder is consisting of very fine hydrophilic particles of several mineral oxides
• After contact with ROOT+PLUS liquid, it forms a gel hardens to an impermeable barrier.

INDICATION : 

• Repair of root perforations during root canal therapy.
• Root end filling(retrograde).
• Root capping.
• Root end filling(orthograde).

 ADVANTAGES:

• Anti-microbial activity.
• Non-Toxic & Non-mutagenic.
• Vasoconstrictive. Beneficial for hemostasis most important in pulp-capping.
• Excellent long-lasting sealability.
• Decreases solubility.
• Ability to set even in moisture or blood.
• No Dimensional Changes in the setting.
• Minimum micro linkage through long setting time prevents setting time, prevents setting shrinkage.
• High success rate.
• Alkaline Ph, Which may impart an antibacterial effect on some facultative bacteria.
• It can induce the formation of dentin, cementum, bone and periodontal ligament.
• Excellent biocompatibility and appropriate mechanical properties.
• Produces and artificial barrier, against which an obturating material can be condensed.
• More radio-opaque than Ca(OH).

Features :-

• Good Compressive Strength.
• Ions Calcium Release: Enhances the formation of mineralized tissues; provides the biological seal of perforations and total repair of damaged peri-radicular tissues.
• Hydrophilic: Can be used in humid areas without losing properties.
• High alkalinity: Antibacterial properties.
• Low solubility: Does not allow leakage.
• Calcium oxide: Promotes tissue Biocompatibility.
• Aggregated oxides: Great compressive strength.
• High radiopacity: Higher radiopacity than that of dentin, allowing excellent radiographic visualization.

• Store ROOT PLUS at a dry place at 10-25 °C)(50 °F-77 °F).
• Do not store below 10°C(50°C)).
• Do not use after the expiry date.

• 1 x 1gm Powder
• 1 x 3ml Liquid

DISPENSING AND MIXING.

STEP – 1

• The powder/liquid ratio is 26/1.0.

STEP -2 

• This can be obtained by mixing 1 level scoop of powder and 2 drops of liquid.

STEP – 3

• If a thinner or firmer (orthograde) (see 5.4)the room recommended mixing ratio is 2.1 (by weight).

STEP – 4

• This can be obtained by mixing 3 level scoops of powder and 8 drops of liquid.

STEP – 5

• The mixed material gives a sufficient amount for apexification that can be applied optimally with a suitable application device into the root canal.

STEP – 6

• For mixing of ROOT+PLUS use a mixing pad that is impervious to water or a glass block of suitable dimension.

STEP – 7 

• For accurate dispensing of ROOT+PLUS powder shake the bottle to loosen the powder.

STEP – 8 

• Overfill the spoon with the powder, level the powder with the mixing spatula and carry it into the mixing pad.

STEP – 9

• For dispensing of ROOT+PLUS liquid turn the bottle vertically with the tip about 5cm above the mixing pad.

STEP – 10

• Steady your hand and squeeze the bottle gently to dispense one drop at a time.

STEP – 11

• If any bubbles are present, lightly tap the bottle with the fingers holding it.

STEP – 12

• Discount undersized drops that contain bubbles and are obviously not full-sized.

STEP-13 

• Discount over-sized drops usually resulting from holding the bottle to close to mixing pad or squeezing the bottle too hard and/or for too long.

STEP – 14 

• Use a small spatula to rapidly mix all the cement powder in portions into the liquid.

STEP – 15

• The mixed cement should be thixotropic and have a homogeneous consistency. The total mixing time is 30 seconds.

STEP – 16

• If desired, a more rigid consistency can be achieved by adding some liquid.

STEP – 17

• After use, tightly close both liquid powder bottles to prevent exposure to moisture.

REPAIR OF ROOT PERFORATIONS :

STEP – 1

• Place rubber dam and clean the root canal system using intra-canal instruments and irrigate with NaOCI.

STEP – 2

• Dry the root canal with paper points and isolate the perforation.

STEP – 3

• Fill the apical canal space p to the perforation completely with a suitable root canal filling material.

STEP- 4

• Mix ROOT+PLUS as described under point 4.

STEP – 5

• Apply ROOT+PLUS with suitable instruments into the perforation site and condense it.

STEP- 6

• Check the position of ROOT+PLUS in the root canal by an X-ray.

STEP – 7

• If an adequate barrier has not been created, rinse ROOT+PLUS out of the canal and repeat the procedure.

STEP-8

• Remove excess moisture with a damp cotton pellet or a paper point.

STEP – 9

• Place a damp cotton pellet in the access to the root canal and apply a temporary filling material.

STEP – 10

• Alternatively, seal the access preparation with a suitable root canal filling material and seal the cavity with a tight filling.

STEP -11

• Both options can be done not before 5 minutes after the placement of the ROOT+PLUS.

STEP – 12

• ROOT+PLUS repair material remains as a permanent part of the root canal filling.

ROOT END FILLING (Retrograde)

•  Create access to the not-end and resect the root with a surgical bur.
• Use an ultrasonic tip to prepare a class I root-end cavity preparation to a depth of 3-5mm.
•  Isolate the area and dry the root end cavity with paper points. Achieve hemostasis with suitable methods.
• Apply ROOT+PLUS with suitable instruments and condense it using a small plugger.
• Remove excess cement and clean the surface of the root with a moist piece of gauze.
• Confirm placement of the MTA-universal repair material with an X-ray.
• The ROOT+PLUS repair material remains as a permanent part of the root canal filling.

PULP CAPPING : 

• Place rubber dam and prepare the cavity outline. If caries is present, remove it. Rinse cavity and exposed pulpal areas with a suitable disinfectant.
• With a suitable instrument apply a small amount of ROOT+PLUS place a small amount of a flowable light cure liner and light cure.
• Etch the remaining cavity walls according to the total-etch technique with ETCHING GEL and apply a suitable bonding agent according to the corresponding instructions.
• Place a light cure composite according to the instructions and light cure.
• Pulp vitality and status should be checked by X-ray at regular intervals.

ROOT END FILLING (orthograde)

• Place rubber dam and clean the root canal system using intra-canal instruments and irrigate with NaOCI.Dry the root canal with paper points.
• For disinfection place calcium hydroxide paste in the root canal for one week.Seal the access opening with a temporary filling material.
• with a suitable instrument apply a small amount of ROOT+PLUS into the apical region and condense it. Create a 3-5mm barrier of ROOT+PLUS.
• Check the position of ROOT+PLUS by an X-ray. If an adequate barrier has not been created, rinse ROOT+PLUS out of the canal and repeat the procedure.
• Remove excess moisture with a damp cotton pellet or a paper point.
• Place a damp cotton pellet in the access to the root canal and apply a temporary filling material.
• Alternatively, seal the access preparation with a suitable root canal filling material and seal the cavity with a tight filling.
• Both options can be done not before 5 minutes after the placement of the ROOT+PLUS.
• ROOT+PLUS repair material remains as a permanent part of the root canal filling.