Published Paper Details:

The completion of root development and closure of the apex occurs up to 3 years after the eruption of the tooth and any kind of pulpal injury during this period provides a significant challenge for the clinician. : Open apices commonly arise secondary to pulpal necrosis as a result of caries or trauma in an immature tooth with incomplete root formation. Apexification is a technique for inducing closure of the non-vital permanent teeth at the apex . A nonvital tooth with open apex is a challenging clinical condition for the dentist as it requires a systematic diagnosis of the problem and a customized treatment plan. The conventional method of apexification with calcium hydroxide has certain disadvantages such as a very long period of treatment, chances of tooth fracture and an incomplete calcification of the bridge. MTA has gained importance as an alternative treatment for management of open apices as it overcomes these disadvantages. Also MTA also has low cytotoxicity and superior biocompatibility as compared to calcium hydroxide used before. The current case report illustrates a case where MTA were used successfully for one step apexification in teeth with open apex.