MANAGEMENT OF OPEN APEX USING BIODENTINE BIOROOT INLAY: A CASE REPORT

Achieving an appropriate apical barrier is critical for the successful treatment of immature teeth with open apices. Biodentine, a calcium silicate–based bioactive cement, possesses superior biological and physical properties. While its orthograde placement is technique-sensitive and retrograde placement requires surgery, an alternative approach is the use of a prefabricated BioRoot inlay. This case report presents the management of a permanent maxillary central incisor with a wide-open apex and parallel dentinal walls using Biodentine BioRoot inlay. The inlay was fabricated as a custom-t, intraradicular prefabricated restoration and placed passively with Biodentine sealer to achieve a three-dimensional seal and stimulate apical barrier formation. Biodentine BioRoot inlay demonstrated effective sealing ability, promoted periapical healing, and provided an innovative solution for obturating wide-open apices.