Management of immature non - vital tooth with single visit MTA apexification : A case report

Management of fracture dimmature teeth presents a special challenge to dentists. Apexification, Apexogenosis or Regeneration are the only options for conserving such tooth. Traditional apexification with calcium hydroxide is associated with certain difficulties, like longer treatment time, risk of tooth fracture and incomplete calcification of apical bridge. Treatment outcome of regenerations are not much convincing. Moreover, as all these treatments take longer time to show their outcome. Thus use of a biocompatible material which can form a physical apical barrier with tissue healing properties became a material of choice for treating these types of cases. Although various such materials are available, MTA has got all its favourable properties to serve as an immediate apical barrier. This case report demonstrates application of MTA apical plug followed by custom made post and core for the re-construction of maxillary central incisor. The patient was evaluated for a period of one year and peri-apical radiographs demonstrate complete healing of the peri-apical lesion. This new technique is advantageous in teeth with open apex and thin radicular dentin, where treatment can be completed in fewer visits.