Abstract

The permanent teeth with open apex and large periapical lesion are diffi cult to treat as a traditional root canal procedure, therefore calcium hydroxide place an important role in reducing the periapical infl ammation. Management of open apex can be done using mineral trioxide aggregate (MTA) which can be placed in apical 3-4 mm. 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 fi nal irrigation with 2% chlorhexidine. To obtain canal disinfection slurry of calcium hydroxide was temporized in the canal. In subsequent appointments, 3-4 mm was created with MTA and allowed to set. Subsequently, the root canals were obturated. A positive clinical resolution of this case is encouraging for the use of white MTA as an apical plug, in immature teeth with open apex.

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