Clinical Case 6
Pre-op Radiograph
CaOH placement
Radiograph - Apical Plug placement
Post-op Radiograph.
Management of Open Apex in a Maxillary Central Incisor
- UR1 with large PA radiolucency and labially draining sinus-treated over 2 visits
- C&S and copious irrigation with NaOCl 3%-multiple cycles of activation(sonic & US) and penultimate EDTA 17%
- CaOH as interim
- 2nd visit(repeat of irrigation as above)
- Apical plug placed using bioceramic putty
- Remainder canal obturated using GP-WVC backfill technique
- Direct composite to achieve an excellent corono-apical seal