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Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 44-47

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

1 Department of Prosthodontics, College of Dental Sciences, Davangere, Karnataka, India
2 Department of Public Health Dentistry, College of Dental Sciences, Davangere, Karnataka, India
3 Department of Conservative and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India
4 Department of Paedodontics, College of Dental Sciences, Davangere, Karnataka, India
5 Private Practitioner, Om Dental Clinic, Davangere, Karnataka, India

Correspondence Address:
Sunil Lingaraj Ajagannanavar
Department of Public Health Dentistry, College of Dental Sciences, Davangere - 577 004, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijohs.ijohs_17_17

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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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