Endodontic management of a traumatized maxillary central incisor with open apex by MTA apexification

Abstract Managing teeth with an open apex necessitates meticulous care and attention in clinical procedures. The success of endodontic treatments in these situations is closely tied to the effectiveness of apical sealing. In the past, a calcified barrier created with calcium hydroxide was advocated for these conditions; however, due to the various limitations associated with this method, the current practice recommends apexification via an apical plug at the apex of the tooth. This report presents apexification in an upper left incisor utilizing a mineral trioxide aggregate plug. After a follow-up period of 6 months, the tooth remained asymptomatic clinically and radiographically, with visible healing observed in the apical region.