Journal of Contemporary Dentistry

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VOLUME 1 , ISSUE 2 ( October-December, 2011 ) > List of Articles


Management of non vital maxillary central incisors with open apex using Mineral Trioxide Aggregate apical plugs – Case report

M.V. Sumanthini, Mausami A Malgaonkar

Citation Information : Sumanthini M, Malgaonkar MA. Management of non vital maxillary central incisors with open apex using Mineral Trioxide Aggregate apical plugs – Case report. J Contemp Dent 2011; 1 (2):40-43.

DOI: 10.5005/jcd-1-2-40

License: CC BY-ND 3.0

Published Online: 01-11-2003

Copyright Statement:  Copyright © 2011; The Author(s).


The case report describes the treatment of maxillary central incisors with open apex, due to apical root resorption, as a consequence of trauma experienced three years earlier. Open apices pose a challenge during endodontic treatment. Several materials and methods have been widely studied and tried in the past. Obtaining an adequate apical seal is of paramount importance regardless of the material or technique used. In the present case the involved teeth were treated nonsurgically using white Mineral Trioxide Aggregate (MTA) as an artificial apical barrier. The treated teeth were asymptomatic and the follow up clinical and radiographic examination showed healing with apparent regeneration of periradicular tissues. Extrusion of MTA beyond the root end was not an obstacle in the healing process. MTA can be considered an effective material to treat infected open apex teeth with large periapical lesions.

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