Management of non-vital anterior teeth with open apex: A report of two cases

Management of non-vital anterior teeth with open apex: A report of two cases [Turk Endod J]

Turk Endod J. 2020; 5(1): 7-10 | DOI: 10.14744/TEJ.2020.09609

Management of non-vital anterior teeth with open apex: A report of two cases

Beliz �zel¹, Raif Erisen²
¹Department of Endodontics, Yeditepe University Faculty of Dentistry, ?stanbul, Turkey
²Department of Endodontics, ?stanbul University Faculty of Dentistry, ?stanbul, Turkey

Treatment of teeth with open apex requires careful handling and diligence in clinical practice. Prognosis of endodontic treatment in such cases is directly related to the quality of apical obturation. Previously, a calcified barrier using calcium hydroxide treatment was recommended as an approach for these cases however due to various drawback of this method, current management approach suggests apexification through an apical plug at the apical segment.This report describes two cases of apexification of upper left incisor using mineral trioxide aggregate plug. After two year follow up, both teeth are clinically and radiographically asypmtomatic and the healing of the apical area is visible.

Keywords: Apexification, mineral trioxide aggregate, upper incisors.

A�?k apeksli �n di?lerde endodontik tedavi yakla??m?: iki olgu sunumu

Beliz �zel¹, Raif Erisen²
¹Yeditepe �niversitesi Di? Hekimli?i Fak�ltesi, Endodonti Anabilim Dal?, ?stanbul
²Istanbul �niversitesi Di? Hekimli?i Fak�ltesi, Endodonti Anabilim Dal?, ?stanbul

A�?k apeksli di?lerin klinik tedavisi hassas ve dikkatli bir yakla??m gerektirmektedir. Bu vakalarda yap?lan endodontik tedavinin prognozu apikal obturasyonun kalitesi ile yak?ndan alakal?d?r. �nceden uygulanan tedavi yakla??m? kanal i�ine kalsiyum hidroksit uygulamas?n? takiben kalsifiye bariyer olu?turmak �zerineyken, bu y�ntemin �e?itli zorluklar? nedeniyle g�ncel tedavi yakla??m? olarak apikal b�lgeye yerle?tirilecek bir t?ka� ile apeksifikasyon olu?turulmas?n? �nermektedir. Bu rapor, iki farkl? vakada �st sol kesici di?e uygulanan mineral trioksit aggregat t?kac? tedavisini sunmakad?r. ?ki sene takip sonras? vakalar klinik olarak asemptomatik, radyolojik olarak apikal b�lgede iyile?meyi g�sterir niteliktedir.

Anahtar Kelimeler: Apexification, mineral trioxide aggregate; upper incisors.

Beliz �zel, Raif Erisen. Management of non-vital anterior teeth with open apex: A report of two cases. Turk Endod J. 2020; 5(1): 7-10

Corresponding Author: Beliz �zel, T�rkiye

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