Abstract

MANAGEMENT OF OPEN APEX IN PERMANENT INCISOR WITH MINERAL TRIOXIDE AGGREGATE (MTA) APEXIFICATION: A CASE REPORT

Dr. Kailash Attur, Dr. Varun Sariya*, Dr. Nikunj Patel and Dr. Palak Chhaya

ABSTRACT

Tooth with incomplete root formation or open apex due to trauma or apical root resorption are difficult to treat with immediate resolution. With introduction of mineral trioxide aggregate (MTA) in dentistry it has become possible to optimize treatment time of such cases with placement of apical plug of MTA followed by obturating the canal. This study reports a clinical case of permanent incisor with open apex and discoloration due to trauma. The case was treated with apical plug of MTA for apexification. The root canal were irrigated with 3% sodium hypochlorite and then calcium hydroxide paste was placed in the canals for one week. MTA plug was placed in apical 4mm of the canal and canal was obturated with thermoplastic gutta-percha. Follow
up evaluation showed clinical and radiographical evidence of successful treatment.

Keywords: open apex, mineral trioxide aggregate, apexification, thermoplastic gutta percha.