Global Journal of Oral Science

Global Journal of Oral Science - Volume 1

Management of an Immature Tooth Using MTA and Composite Canal Reinforcement

Published on: 21 September 2015

Pages: 9-12

Ganesh Ranganath Jadhav1 and Priya Mittal2

1Room 380, J.B. Macdonald Building, The University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3 and 2University of British Columbia, Faculty of Dentistry, Department of Periodontics, Room: JBM 366, 2199 Wesbrook Mall, Vancouver, British Columbia, Canada, V6T 1Z3.

Abstract: Complete debridement, thorough disinfection and optimal sealing of the root canal system are the major challenges associated with endodontic treatment of teeth with open apices. In such teeth, thin radicular dentinal walls are susceptible to fracture. To ensure a better prognosis in such fractured prone thin dentinal walls, internal radicular reinforcement with various adhesive materials like glass ionomer cement, composites is recommended. A 15-year boy reported to the department with tooth #21showing large periapical radiolucency in association with an immature tooth having flared wide root canal. Here presenting a management of this case using MTA as an apical plug and composite as canal reinforcement material. This case report highlights the use of apical stop and canal reinforcement technique for management of immature teeth with thin radicular walls.

Keywords: Open apex, Mineral trioxide aggregate (MTA), Apexification, Canal reinforcement, Apical plug.

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