Open AccessManagement of immature teeth with apical infections using mineral trioxide aggregate
Author(s) -
Sivakumar Nuvvula,
Tejas Harsha Melkote,
Abinash Mohapatra,
S V S G Nirmala
Publication year - 2010
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.62523
Subject(s) - mineral trioxide aggregate , apexification , root canal , dentistry , apical constriction , medicine , permanent tooth , permanent teeth , calcium hydroxide , pulp (tooth) , chemistry , biochemistry , morphogenesis , gene
Traumatic injuries to the young permanent teeth lead to devitalization of the pulp with concomitant arrest in further development of the immature root of the involved tooth. Hermetic seal of the root canal system during obturation is not possible in such cases, due to the lack of an apical constriction. The traditional management technique in such cases has been apexification involving induction of a calcific barrier at the apex using calcium hydroxide, which in turn facilitates obturation of the root canal. However this becomes complicated when there is persistent infection leading to periapical changes. This case report describes the use of mineral trioxide aggregate (MTA) for management of a periapically compromised immature tooth.