Management of open apex with mineral trioxide aggregate-2 case reports

Abstract

Apexification is a method to induce a calcific barrier across an open apex of an immature, pulpless tooth. The purpose of apexification is to induce closure of the open apical third of the root canal. A 15 year old girl reported to department of conservative dentistry and endodontics with the chief complaint of pain in upper front region of jaw since 1 month. On clinical examination, there was pain on percussion. On radiographic examination, it was revealed open apex with tooth 11 and 21. After rubber dam application, the working length was determined with the help of apex locator. The root canals were irrigated with 5% sodium hypochlorite and 2% chlorhexidine, disinfected with calcium hydroxide for 2 weeks. MTA apical plug was then placed in the apical 4mm of the root canal. The remaining part of root canal was filled with thermoplasticized gutta percha and coronal restoration was done with light cure composite resin. MTA is an effective material for treatment of teeth with open apices.