Management of Non-Vital Teeth with Open Apices using MTA as an Apical Plug: Two Case Reports

Abstract

Management of non-vital teeth with open apices is a challenge to dental practitioners. In this clinical scenario, it is difficult to maintain the obturation material within the confines of root canal without encroaching into periapical area. Also, thin dentinal walls of canal is a matter of concern. These cases cannot be managed by conventional endodontic treatment and need customized treatment plan. Treatment of such teeth with calcium hydroxide may demand long time and patient compliance. But with MTA same treatment can be done in reasonably less time with predictable results. Hence, these two case reports present the use of MTA to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized gutta-percha under operating microscope.