Indication

- Treatment of perforations of root canal and furcation caused iatrogenically or by caries lesion

- Via canal treatment of root perforation due to internal resorption

- Surgical treatment of root perforation due to internal resorption

- Periapical surgery with reverse filling

- Pulp capping

- Pulpotomy (removal of affected coronal pulp to preserve vitality of remaining pulp tissue)

- Apexogenesis (induction of root development in vital teeth with an inflamed coronal pulp)

- Apexification (induction of formation of a mineralized barrier at the root tip of young permanent teeth with incomplete root development and a necrotic pulp)

Advantages

- Ions Calcium Release: Enhances formation of mineralized tissues; provides biological seal of perforations and total repair of damaged periradicular tissues

- Biological action: Capable of inducing neoformation of periradicular cementum

- Easy to use: does not lose properties due to moisture of oral tissues

- High alkalinity: Bactericidal

- Low solubility: Does not disintegrate

- Biocompatible to oral tissues: Low inflamatory response

- Adequate compressive strength: Can be used as base restoration material

- More radiopaque than dentin and bone: Easy radiograph visibility

- Setting time of 15 minutes: Possibility of immediate restoration