title: Healing of apical rarefaction of three nonvital open apex anterior teeth using a white portland cement apical plug.
abstract: The major challenge of performing root canal treatment in an open apex pulp-less tooth is to obtain a good apical seal. MTA has been successfully used to achieve a good apical seal, wherein the root canal obturation can be done immediately. MTA and White Portland Cement has been shown similarity in their physical, chemical and biological properties and has also shown similar outcome when used in animal studies and human trials. In our study, open apex of three non vital upper central incisors has been plugged using modified white Portland cement. 3 to 6 months follow up revealed absence of clinical symptoms and disappearance of peri-apical rarefactions. The positive clinical outcome may encourage the future use of white Portland cement as an apical plug material in case of non vital open apex tooth as much cheaper substitute of MTA.
authors.affiliation: Department of Pediatric and Preventive Dentistry, Haldia Institute of Dental Science and Research, Haldia, West Bengal, India.
authors.forename: Amitabha
authors.initials: A
authors.lastname: Chakraborty
authors.forename: Bibhas
authors.initials: B
authors.lastname: Dey
authors.forename: Reema
authors.initials: R
authors.lastname: Dhar
authors.forename: Prabir
authors.initials: P
authors.lastname: Sardar