Management of non vital maxillary central incisors with open apex using Mineral Trioxide Aggregate apical plugs – Case report

Abstract

Management of non vital maxillary central incisors with open apex Management of non vital maxillary central incisors with open apex Management of non vital maxillary central incisors with open apex Management of non vital maxillary central incisors with open apex AbstractThe case report describes the treatment of maxillary central incisors with open apex, due to apical root resorption, as a consequence of trauma experienced three years earlier. Open apices pose a challenge during endodontic treatment. Several materials and methods have been widely studied and tried in the past. Obtaining an adequate apical seal is of paramount importance regardless of the material or technique used. In the present case the involved teeth were treated nonsurgically using white Mineral Trioxide Aggregate (MTA) as an artificial apical barrier. The treated teeth were asymptomatic and the follow up clinical and radiographic examination showed healing with apparent regeneration of periradicular tissues. Extrusion of MTA beyond the root end was not an obstacle in the healing process. MTA can be considered an effective material to treat infected open apex teeth with large periapical lesions.

Management of Traumatized Open Apex Teeth with Mineral Trioxide Aggregate Apexification and Demineralized Freeze-dried Bone Allograft as Apical Matrix

“…3 It has shown considerable success as an artificial apical barrier and has become the material of choice for single-visit apexification. 4,5 In long-term clinical outcome studies of CaOH and MTA apexifi cation, MTA showed similar healing of periapical lesions in shorter treatment durations. 6 The internal matrix acts as a layer that forms a barrier for limiting the extension of repair material 1 such as MTA.…”