title: Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion.
abstract: A 24-year-old female patient reported with a mutilated maxillary left central incisor. The coronal tooth structure remaining was very less, discolored, and brittle. She gave history of trauma about 15 years back when the tooth got fractured. An intraoral periapical radiograph revealed an open apex and a large periapical lesion. The case was managed successfully by conservative means using intracanal calcium hydroxide and mineral trioxide aggregate (MTA) apical barrier followed by a fiber post and a core. The final crown restored back esthetics and function. A 6-month follow-up demonstrated a clinically asymptomatic and adequately functional tooth, with radiological signs of healing.
authors: Department of Conservative Dentistry and Endodontics, Kalka Dental College, Meerut, Uttar Pradesh, India. ajwanip@yahoo.co.in
authors: Puneet
authors: P
authors: Ajwani
authors: Nalini
authors: N
authors: Saini
mesh_terms: D017607:Aluminum Compounds / Q000627:therapeutic use; D056624:Apexification / Q000379:methods; D017610:Calcium Compounds / Q000627:therapeutic use; D002126:Calcium Hydroxide / Q000627:therapeutic use; D003442:Crowns; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods; D004338:Drug Combinations; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries / Q000473:pathology; D008437:Maxilla; D010087:Oxides / Q000627:therapeutic use; D010483:Periapical Diseases / Q000209:etiology / Q000628:therapy*; D011176:Post and Core Technique; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012390:Root Canal Therapy; D017640:Silicates / Q000627:therapeutic use; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000150:complications* / Q000628:therapy; D019553:Tooth, Nonvital / Q000628:therapy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate; D002126:Calcium Hydroxide