Summary:
The major challenge of performing root canal treatment in
an open apex pulp-less tooth is to obtain a good apical seal.
An 11 year old boy was presented with pain in his upper
anterior teeth. On clinical examination both the maxillary
central incisors revealed slight discoloration and fracture
of the crown. Radiographic evaluation revealed
radiolucency and open apices of both central incisors.
Apexification with MTA apical plug was carried out before
obturation with gutta-percha and sealer and the treatment
was completed within 3 consecutive appointments. In twelve
months follow up both the teeth were clinically and
radiographically asymptomatic and the healing of the apical
area was continued. The positive clinical outcome may
encourage the future use of mineral trioxide aggregate
(MTA) as an apical plug material in case of non-vital open
apex teeth.
Key Words: Apical plug, non-vital tooth, open apex, mineral
trioxide aggregate (MTA).
(J Bangladesh Coll Phys Surg 2017; 35: 196-199)