Endodontic management of blunderbuss canal with open apex and Ellis Class IV fracture using mineral trioxide aggregate and compo-post

Abstract

The permanent teeth with open apex, blunderbuss canal, and Ellis Class IV fracture are difficult to treat as a traditional root canal procedure. Apexification is induction of apical closure, the treatment of choice for necrotic teeth with immature or resorbed root. Mineral trioxide aggregate (MTA) has been proposed as a potential material for formation of hard tissue apical barrier. Use of anatomical post results in better prognosis of the present case. This case report presents endodontic management of a fractured maxillary right central incisor with apexification and compo-post to support weak canal and to provide tooth structure. A 21-year-old male patient came to the Department of Conservative Dentistry and Endodontics, Jaipur Dental College and Hospital, Jaipur, with the chief complaint of broken upper front tooth due to accidental fall (6–7 years). Dental history of discontinued endodontic treatment 1-year back was observed. Treatment includes two phases – endodontic phase and re-construction phase followed by full-crown porcelain-fused metal prosthesis. This case report discussed an improved option of application of chairside customized made fiber posts are preferred as they stimulate the root canal anatomy, provides increased retention and adaptation and also esthetics.