Print ISSN:-2394-272X

Online ISSN:-2394-2738


Current Issue

Year 2020

Volume: 7 , Issue: 1

Article Access statistics

Viewed: 598

Emailed: 0

PDF Downloaded: 137

The Journal of Community Health Management

Apexification with apical plug of MTA- report of cases

Full Text PDF Share on Facebook Share on Twitter

Author Details : Abhishek Shukla, Ruchika Dewan, Pragya Kumar, Sonali Taneja

Volume : 3, Issue : 3, Year : 2016

Article Page : 144-147

Suggest article by email


Back ground: Immature teeth with necrotic pulp and large periapical lesion are difficult to treat via conventional endodontic therapy. The role of materials such as calcium hydroxide and Mineral trioxide aggregate (MTA) are indispensable. These case reports present successful healing and apexification using MTA.
Methods: The case reports present two cases with traumatized upper anterior teeth. The radiographic evaluation revealed open apices with blunderbuss canals; 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 thermoplasticized guttapercha. A composite resin restoration sealed the access cavity. A 3 month, 6 month and 1 year follow-up revealed clinically asymptomatic and adequately functional tooth.
Results: A positive clinical resolution of this case is encouraging for the use of white MTA as a apical plug, in immature teeth with open apex.
Conclusion: 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.

Apical plug; MTA; Apexification


How to cite : Shukla A, Dewan R, Kumar P, Taneja S, Apexification with apical plug of MTA- report of cases. J Community Health Manag 2016;3(3):144-147

Copyright © 2016 by author(s) and J Community Health Manag. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (