Volume 26, Issue 125, July 2022

Endodontic management of an open apex with apexification using Mineral trioxide aggregate: A case report

Nagaraj NJ^1♦, Pallavi S², Ravisankar MS³, Tamil Selvan Kumar⁴

¹Assistant Professor, Department of Conservative Dentistry and Endodontics, Rajas Dental College and Hospital, Kavalkinaru Tirunelveli, Tamilnadu, India
²Assistant Professor, Department of Conservative Dentistry and Endodontics, Rajas Dental College and Hospital, Kavalkinaru Tirunelveli, Tamilnadu, India
³Associate Professor, Department of Conservative Dentistry and Endodontics, Rajas Dental College and Hospital, Kavalkinaru Tirunelveli, Tamilnadu, India
⁴Assistant Professor, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India

^♦Corresponding author
Assistant Professor, Department of Conservative Dentistry and Endodontics, Rajas Dental College and Hospital, Kavalkinaru Tirunelveli, Tamilnadu, India

ABSTRACT

Endodontic treatment of a tooth with an immature apex poses a lot of challenges. The absence of an apical stop makes obturation and achieving a good apical seal more difficult. Because of their thin walls, these teeth are also more prone to fracture. Apexification with Mineral Trioxide Aggregate (MTA) is the preferred treatment because it creates a calcific barrier at the apex, allowing root canal filling to take place in a more favorable environment. This case report discusses the use of MTA to create a barrier at the apex in a previously root filled discolored maxillary right central incisor with an open apex. MTA aided in the creation of an apical barrier in the maxillary right central incisor with an open apex, resulting in satisfactory clinical and radiographic outcomes.

Keywords: Apexification, Calcium Hydroxide, Mineral Trioxide Aggregate, Open apex

Medical Science, 2022, 26, ms315e2331

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DOI: https://doi.org/10.54905/disssi/v26i125/ms315e2331

Published: 27 July 2022