title: Role of cone beam computed tomography and white mineral trioxide aggregate in the successful management of a permanent anterior tooth with open apex.
abstract: Cone beam computed tomography (CBCT) is a recent three-dimensional (3D) radiographic imaging modality used for the accurate diagnosis, management and follow-up of endodontic problems. In tooth with open apex and periapical lesion, the use of new obturation material such as white mineral trioxide aggregate (wMTA) facilitates faster and more predictable closure of root apex and periapical healing. The objective of this case report was to evaluate the role of CBCT and wMTA obturation in management of a permanent anterior tooth with open apex and periapical lesion. After CBCT evaluation of maxillary left central incisor with open apex and periapical lesion, it was endodontically treated with wMTA obturation. The patient was recalled regularly for 6 months. CBCT was found to be a useful tool for the diagnosis and post-operative evaluation of this case. The wMTA used for obturation in two visit endodontic treatment resulted in successful outcome, both clinically and radiographically.
authors.affiliation: Senior Lecturer, Department of Conservative Dentistry and Endodontics, Hazaribagh College of Dental Sciences and Hospital, Hazaribagh, Jharkhand, India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Shekhar
authors.affiliation: Senior Lecturer, Department of Conservative Dentistry and Endodontics, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Ruchi
authors.initials: R
authors.lastname: Arora
authors.affiliation: Reader, Department of Conservative Dentistry and Endodontics, Dr. B. R. Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar, India.
authors.forename: Mukesh
authors.initials: M
authors.lastname: Roy
keywords: Cone beam computed tomography; open apex; periapical lesion; white mineral trioxide aggregate