Endo-Aesthetic Management of Teeth with Open Apex: A Case Report

Treatment of teeth with open apex requires careful handling and clinical perseverance. The prognosis of endodontic treatment in such cases is specifically related to the quality of apical obturation. Previously treatment with calcium hydroxide was considered the gold standard for inducing a hard apical stop. However given the disadvantages associated with calcium hydroxide apexification using apical plug formation is now the preferred approach. This case report presents apexification of upper central incisors using a Mineral Trioxide Aggregate MTA apical plug followed by obturation with roll cone technique. At the two-year follow-up the teeth remained asymptomatic clinically and radiographically with clear evidence of apical healing.