Open AccessMineral trioxide aggregate-induced apical closure in nonvital immature permanent maxillary incisor
Author(s) -
Meenu Bhola,
Virinder Goyal,
Parimala Tyagi,
Tarun Kumar
Publication year - 2017
Publication title -
journal of the indian society of pedodontics and preventive dentistry/journal of indian society of pedodontics and preventive dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.378
H-Index - 33
eISSN - 1998-3905
pISSN - 0970-4388
DOI - 10.4103/jisppd.jisppd_240_16
Subject(s) - mineral trioxide aggregate , dentistry , root canal , medicine , sodium hypochlorite , radiodensity , calcium hydroxide , gutta percha , maxillary central incisor , apexification , endodontics , incisor , orthodontics , radiography , surgery , chemistry , organic chemistry
Treatment of nonvital immature permanent teeth with calcium hydroxide is associated with few difficulties such as weakened tooth root, root canal reinfection, and long treatment time. Mineral trioxide aggregate (MTA) apical plug method is an alternative treatment method for open apices and has gained popularity in the recent times. This case report describes the management of a late-referral case of periapically involved, traumatized immature permanent incisor by endodontic treatment and the use of MTA apical plug. After preparing the access cavity, the working length was determined. The root canals were irrigated with 3% sodium hypochlorite and disinfected with metapex for 2 weeks. MTA was then placed in the apical 3 mm of the root canal. The remaining part of the root canal was filled with thermoplastic gutta-percha, and the coronal restoration was finished with composite resin. After 1-year follow-up, radiograph showed successful healing of periradicular radiolucency.