Management of a fractured nonvital tooth with open apex using mineral trioxide aggregate as an apical plug

Jayesh Kumar Jain, Sunil Lingaraj Ajagannanavar, Arun Jayasheel, Praveen Kumar Bali, Chaya Jayesh Jain

International Journal of Oral Health Sciences 2017 7(1):44-47

A nonvital tooth with open apex is a challenging clinical condition for the dentist as it requires a systematic diagnosis of the problem and a customized treatment plan. A 17-year-old male patient reported to the clinic with fractured upper right central incisor (11– Federation Dentaire Internationale Notation) with discoloration, and the X-ray showed open apex which was treated using calcium hydroxide and mineral trioxide aggregate (MTA) to form apical barrier (apexification) and then obturation was completed using gutta-percha. The metal ceramic crown was placed to restore the function and esthetics. As the tooth lacked natural apical constriction, an alternative to standard root canal treatment called as apexification or root-end closure is advised.

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