Clinical Case 6

by | Jun 4, 2022

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