Mineral Trioxide Aggregate Apical Plug in Devital Teeth with an Open Apex: Case Series

Karaca A., Ekici M. A.

ESE BUDAPEST 2022, Budapest, Hungary, 7 - 10 September 2022, pp.14

  • Publication Type: Conference Paper / Full Text
  • City: Budapest
  • Country: Hungary
  • Page Numbers: pp.14
  • Gazi University Affiliated: Yes


AimThe purpose of these cases is to present the apexificationusing MTA and root canal treatment of maxillary andmandibular right central incisors which had an open apex.

IntroductionMineral trioxide aggregate (MTA) has been used in dentistry especially, teeth with an open apex, such as an immature teeth. It was possible to optimize the treatment time of these cases by immediate placement of apical plug and the root canal filling.

Case PresentationA 32 years old male patient referred toendodontic department for evaluation of tooth #11 and #31 with an open apex and periapical radiolucencyThe patienthad no symptomIn clinical evaluationnon-complicate crownfracture was determined for tooth #11 and #31 and they had been traumatized  when he was 8 years oldThe root canaltreatments were done under local anesthesia and rubber-dam isolationAfter shaping and irrigationcalcium hydroxide wasplaced as an intracanal medicamentAfter one weekcalciumhydroxide was removed chemomechanically. MTA was mixedand carried into the canal with special MTA carrier and wascondensed to apical portion of root canal with pluggersAfter24 hourscoronal parts of tooth were filled with gutta perchaand resin based sealers by using cold lateral condansationtechnique.

DiscussionApexification is described as a method to induce a calcified barrier of an incomplete root in teeth with necrotic pulp. This barrier that used in this case MTA is mandatory to allow the compaction of the root filling material.

Conclusion & Clinical RelevanceThe using of MTA forapical plug effectively treated teeth which had an apicallesions also with an open apexThe patient was recalled afteryearsClinical examination showed that satisfactory healingand the radiography was showed that adequate periapicalresponse as well.

ReferencesDe-Deus G, Coutinho-Filho T.  Int Endod J. 2007 Aug; 40(8):653-60

Graziele Magro M, et al. Iran Endod J. 2017; 12 (2): 248- 252