Management of an Immature Tooth Using MTA and Composite Canal Reinforcement

Complete debridement, thorough disinfection and optimal sealing of the root canal system are the major challenges associated with endodontic treatment of teeth with open apices. In such teeth, thin radicular dentinal walls are susceptible to fracture. To ensure a better prognosis in such fractured prone thin dentinal walls, internal radicular reinforcement with various adhesive materials like glass ionomer cement, composites is recommended. A 15-year boy reported to the department with tooth #21showing large periapical radiolucency in association with an immature tooth having flared wide root canal. Here presenting a management of this case using MTA as an apical plug and composite as canal reinforcement material. This case report highlights the use of apical stop and canal reinforcement technique for management of immature teeth with thin radicular walls.