Open AccessHealing of apical rarefaction of three nonvital open apex anterior teeth using a white portland cement apical plug
Author(s) -
Amitabha Chakraborty,
Bibhas Dey,
Reema Sharma Dhar,
Prabir Sardar
Publication year - 2012
Publication title -
contemporary clinical dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.289
H-Index - 21
eISSN - 0976-237X
pISSN - 0976-2361
DOI - 10.4103/0976-237x.101101
Subject(s) - apex (geometry) , root canal , apexification , portland cement , dentistry , mineral trioxide aggregate , medicine , pulp (tooth) , seal (emblem) , apical constriction , cement , anatomy , materials science , biology , composite material , art , visual arts , gene , biochemistry , morphogenesis
The major challenge of performing root canal treatment in an open apex pulp-less tooth is to obtain a good apical seal. MTA has been successfully used to achieve a good apical seal, wherein the root canal obturation can be done immediately. MTA and White Portland Cement has been shown similarity in their physical, chemical and biological properties and has also shown similar outcome when used in animal studies and human trials. In our study, open apex of three non vital upper central incisors has been plugged using modified white Portland cement. 3 to 6 months follow up revealed absence of clinical symptoms and disappearance of peri-apical rarefactions. The positive clinical outcome may encourage the future use of white Portland cement as an apical plug material in case of non vital open apex tooth as much cheaper substitute of MTA.