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Mineral trioxide aggregate revisited

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Fig. 1: MTA Angelus (Angelus, Londrina, Brazil), available in resealable vials.

Fig. 2: Radiograph of a necrotic lower left second premolar with large periradicular radiolucency with an incompletely formed root, both longitudinally and laterally.

Fig. 3: EndoVac apical negative pressure delivery system (Axis/SybronEndo, Coppel, Texas).

Fig. 4: After the triple antibiotic paste is inserted into the canal, a temporary restoration is placed.

Fig. 5: Blood clot is induced and MTA Angelus (Angelus, Londrina, Brazil) is placed over top, and then the tooth is restored with bonded composite.

Fig. 6: Three-month recall reveals excellent longitudinal apical and lateral dentin development.

Fig. 7: One-year recall radiograph reveals that definitive endodontics had been completed by the patient’s new dentist.

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