MTA Apical Plug in Wide Apical Foramen

Managing cases with large apical foramin presents a unique challenge for clinicians, as achieving a reliable apical stop with conventional obturation is often unpredictable. Mineral Trioxide Aggregate (MTA) has proven to be a valuable material for creating an artificial apical barrier, especially when the foramen is larger than a size #50 file. In this case, an MTA apical plug was chosen to establish a predictable seal. The technique begins with the selection of a master cone, which is then customized by cutting its last 2 mm to serve as a plugger. Using a Micro-Apical Placement System (MAP system), MTA is carefully carried into the canal and adapted gently to the apical foramen, ensuring precise placement without extrusion. To optimize control,…