DOI: 10.36347/sjds.2015.v02i02.007

Pages: 137-139

Abstract: Immature teeth with necrotic pulps and large periapical lesion are a great challenge .The case represents apical barrier with MTA and successful periapical healing. The case presents traumatized upper anterior teeth . The radiographic evaluation revealed open apices and periapical lesions, the canal was cleaned using intracanal instruments and 5.25% NaOCl and final irrigation with 2% chlorohexidine. To obtain canal disinfection slurry of calcium hydroxide was temporized in the canal. In subsequent appointments 3-4mm apical stop was created with mineral trioxide aggregate and allowed to set. Subsequently the root canals were obturated with warm vertical compaction. A composite resin restoration sealed the access cavity. A 1 year follow-up revealed clinically asymptomatic and healing of periapical lesion. A periapical healing of this case is encouraging for the use of MTA as a apical plug, in immature teeth with open apex. Apexification in one step using an apical plug of MTA can be considered a predictable treatment and may be an alternative to use a long term calcium hydroxide apexification.