Management of Open Apex - A Case Report

Gayatri Pendse; Mansi Vandekar; Priyanka Sawant; Mandar Mahajan; Simran Shah; Aishwarya Pawar

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IJCRR - Recent Advances in Dentistry for better Oral Health, March, 2021

Pages: 190-193

Management of Open Apex - A Case Report

Author: Gayatri Pendse, Mansi Vandekar, Priyanka Sawant, Mandar Mahajan, Simran Shah, Aishwarya Pawar

Category: Healthcare

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Abstract:

Introduction: Endodontic management of immature permanent teeth is a challenge for both clinicians and researchers. Open apex is an unusual wide apical foramen that results due to multiple reasons such as incomplete development, extensive apical resorption, caries leading to pulpal necrosis or trauma before complete root formation, root-end resection, or due to over instrumentation. Aims: To prevent the risk of subsequent microbial contamination. Case Report: This article is a case report showing the management of open apex with MTA plug and a thermoplasticized Gutta Percha technique for obturation. Discussion: Traditionally, calcium hydroxide was used for inducing the formation of an apical barrier. Conclusion: Currently, biomimetic materials like mineral trioxide aggregate (MTA) and biodentin have shown promising results for apexification procedures.

Keywords: Calcium hydroxide, Apexification, Trioxide, Thermoplasticized, Root, Microbial

DOI URL: https://doi.org/10.31782/IJCRR.2021.SP292

Citation:

Gayatri Pendse, Mansi Vandekar, Priyanka Sawant, Mandar Mahajan, Simran Shah, Aishwarya Pawar. Management of Open Apex - A Case Report International Journal of Current Research and Review. Recent Advances in Dentistry for better Oral Health, March, 190-193

References:

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2. Asgary S, Ehsani S. MTA resorption and periradicular healing in an open-apex incisor: A case report. Saudi Dent J. 2012 Jan;24(1):55-9. doi: 10.1016/j.sdentj.2011.08.001. Epub 2011 Aug 27. PMID: 23960529; PMCID: PMC3723285.

3. Gutmann JL, Heaton JF. Management of the open (immature) apex. Vital teeth. Int Endod J. 1981 Sep;14(3):166-72. doi: 10.1111/j.1365-2591.1981.tb01082.x. PMID: 6949870.

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8. Vidal K, Martin G, Lozano O, Salas M, Trigueros J, Apical Closure in Apexification: A Review and Case Report of Apexification Treatment of an Immature Permanent Tooth with Biodentine. J Endod(2016) 42: 730-734

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