case 1

MTA APEXIFICATION

• Regd.no.-20452• Name of patient: Sayan Adhikary• Age: 11 years • Sex: Male• Place: Department of Pedodontics,GNIDSR.

The patient came to the out patient

department of pedodontics, with a chief complaint of pain and pus discharge from

anterior region of upper jaw.

• The patient was physically healthy and had no history of

relevant medical complications.

• Patient gives history of trauma in upper front tooth region of

mouth 3 years before.

Intra-oral examination• Intraoral examination revealed patient in mixed dentition stage with an Angle's class I molar relationship bilaterally present.•Clinical examination showed :Tooth discolouration i.r.t 11Pus discharging sinus in periapical region of 11

Intra-oral view showing 11

IOPAR of 11 showing periapical radiolucency with open apex.

TREATMENT PLANNING

•Non surgical treatment of periapical radiolucency i.r.t 11

• Followed by root canal treatment and crown on 11

Access opened, bmp done upto 40 size # , temporization done by ZOE.

After 1 week patient was recalled , canal was re-accessed, metapex given in the canal and temporization done by glass ionomer cement.

Recalled after 1 ½ months

After 1 ½ months, IOPAR of 11 shows decrease in size

radiolucency. Patient was further recalled after 1 ½ months.

After 3 months ,satisfactory decrease in periapical radiolucency was evident.

Calcium hydroxide removed from canal.

No calcific barrier formed at apical region.

It was planned to obturate 11 with mineral trioxide aggregate (MTA) followed by post and core.

After 4 months, removal of calcium hydroxide from canal was done

MTA dispensed on glass slab.

IOPAR of 11 showing obturation done by MTA.

Post space created. Fiber- optic post fixed

with flowable light cure composite

Coronal restoration was build

by light cure composite

Post operative smile view