Conservative management of discolored maxillary central incisor with open apex using Mineral Trioxide Aggregate (MTA) apical plug and walking bleach Method: A case report.

Vivek Kumar  Pathak; Taruna  Saxena; Kaushal  Singh

doi:10.21276/ujds.2020.6.3.22

Vivek Kumar Pathak Maharana Pratap College Of Dentistry and Research Centre, Gwalior
Taruna Saxena Seema Dental College and Hospital, Rishikesh
Kaushal Singh Maharana Pratap College Of Dentistry and Research Centre, Gwalior

DOI: https://doi.org/10.21276/ujds.2020.6.3.22

Keywords: Open Apex, MTA, Non-vital bleaching, Custom Made Gutta Purcha

Abstract

Esthetics enhancement is a better treatment option for a non-fracture discolored traumatic maxillary central incisor (Max CI). The traumatic injury occurred in Max CI teeth because it was present in the most anterior region of the jaw. Necrosis (pulpal) in Max CI is the second commonest complication after fracture due to trauma. Open apex, incomplete root development, root shortening, roots with a poor remaining dentinal thickness (RDT), and a compromised crown root ratio all these factors affect the survival prognosis of traumatized teeth. Nowadays MTA based bio regenerative material helps in treatment strategies like apexification that was a popular treatment of open apex cases. Necrosis associated discoloration is managed with a conservative approach non-vital bleaching, less time consuming, and satisfy the economical and esthetic aspect for the patient.

Author Biographies

Vivek Kumar Pathak , Maharana Pratap College Of Dentistry and Research Centre, Gwalior

Senior Lecturer, Department Of Conservative Dentistry & Endodontics

Taruna Saxena, Seema Dental College and Hospital, Rishikesh

Senior Lecturer, Department Of Conservative Dentistry & Endodontics,

Kaushal Singh, Maharana Pratap College Of Dentistry and Research Centre, Gwalior

Post Graduate Student, Department Of Conservative Dentistry & Endodontics,

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