Modified Piston Technique With Calcium Silicate Sealer in Immature Mandibular Molar

A novel endodontic method using a piston-based delivery system to hydraulically compact a calcium silicate–based sealer in an immature necrotic mandibular second molar. Indicated for teeth with open apices, this approach achieves a denser fill, biocompatible seal, and promotes continued root development compared to conventional lateral condensation.