Open-access Apical plug with bioceramics: treatment of the open apex in one appointment

Abstract

Dental trauma is a frequent cause of pulp necrosis in anterior teeth, at an early age, which stops root development and complicates case management. Apexification with calcium hydroxide has been the treatment of choice for many years, however, it requires many appointments and it has been reported that its long-term use can weaken the dentinal walls. With the emergence of materials based on bioceramics, it is possible to perform this type of treatment in a single session and with more predictable results. Therefore, the objective of

this article is to show the management of the apexification in an appointment by creating an apical plug with MTA and its follow up to 4 years.

Key words: Dental trauma; open apex; apexification on appointment and bioceramics

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