Induced Apical Closure of Nonvital Immature Root Apices with MTA

Abstract

Endodontics is a specialty which is very receptive to new ideas and concepts. Management of open apex is a challenge to the endodontist. The treatment of choice for necrotic teeth is apexification, which is induction of apical closure to produce more favorable conditions for conventional root canal filling. The most commonly advocated medicament is calcium hydroxide, although recently considerable interest has been expressed in the use of mineral trioxide aggregate. Introduction of techniques for one-visit apexification provide an alternative treatment option in these cases. Research, published studies, and clinical results support this material, and have served to increase the expectation that nonsurgical treatment success is both possible and attainable. This paper highlights a case reports for apexification using mineral trioxide aggregate.

Altered Apical Morphology (Reverse Architecture): Use of Indirect Ultrasonic Technique for Orthograde MTA Placement in Maxillary Premolars

“…The treatment of pulpal injury after eruption of teeth, during the period, that is, 3 yrs, for completion of root development and closure of apex, provides significant challenge for endodontist [ 1 , 2 ]. During this period, if pulpal exposure occurs due to trauma or caries, necrosis of pulp takes place, ceasing dentin formation and arresting root growth.…”