Achieving Root End Closure in a Non Vital Immature Tooth Using MTA: A Case Report

Abstract

Apexification using Mineral trioxide aggregate (MTA) is proven to be more advantageous when compared to the conventional calcium hydroxide (Ca(OH)2) technique owing to the fewer visits required for the treatment and also MTA causing no significant mechanical harm to dentin properties. Limited literature is available on the outcome of MTA apexification. The present case report illustrates successful root closure of a necrotic immature tooth where MTA was used as an apexification material. The current case depicts an immature left maxillary central incisor that underwent pulpal necrosis due to trauma 12 years back. A conventional root canal treatment was initiated with placement of MTA apical plug followed by gutta percha obturation. Initiation of root apex formation was seen after 3 months and a complete root closure was achieved after 12 months.