Abstract
Endodontic treatment of necrotic, immature teeth with open apices can present challenges to debridement, disinfection, and optimal obturation. These teeth may have widely flared canals and thin radicular dentinal walls that are susceptible to fracture. Management of the open apex can be performed using a mineral trioxide aggregate (MTA) apical plug. To ensure a better prognosis in such structurally compromised teeth, internal radicular reinforcement using fiber posts and a self-adhesive cement has been suggested. The present case report illustrates the management of a necrotic, immature maxillary right central incisor in a 10-year-old patient using the MTA apical barrier technique and canal reinforcement using a fiber post.
Highlights
Studies on the prevalence of dental trauma have shown 20%- 30% of children sustain traumatic dental injury to their permanent dentition.[1]
Endodontic treatment of necrotic, immature teeth with open apices can present challenges to debridement, disinfection, and optimal obturation. These teeth may have widely flared canals and thin radicular dentinal walls that are susceptible to fracture
The present case report illustrates the management of a necrotic, immature maxillary right central incisor in a 10-year-old patient using the mineral trioxide aggregate (MTA) apical barrier technique and canal reinforcement using a fiber post
Summary
Studies on the prevalence of dental trauma have shown 20%- 30% of children sustain traumatic dental injury to their permanent dentition.[1]. The purpose of this case report is to discuss the intricacies of treatment of a fractured, necrotic, immature maxillary central incisor using the MTA apical barrier technique and fiber post placement. A 10-year-old male patient with non-contributory medical history was referred for evaluation and treatment of his fractured immature maxillary right central incisor He had suffered a traumatic sporting injury with loss of the coronal fragment of the tooth and subsequent loss of vitality 12 months prior. Clinical examination revealed a complicated crown fracture of the maxillary right central incisor with evidence of an interim glass ionomer restoration over the access cavity (Fig. 1). Due to a history of poor compliance in attending regular appointments, the mineral trioxide aggregate (MTA) apical barrier technique (ProRoot MTA; Dentsply Tulsa Dental, Johnson City, TN, USA) was chosen as the most viable treatment option. It was further reiterated that the treatment provided is to ensure preservation of the tooth till craniofacial growth is completed, due care is advised
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