J Interdiscip Dentistry
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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 3  |  Page : 131-135

Comparison of mineral trioxide aggregate and biodentine for management of open apices


1 Private Practitioner, Chennai, Tamil Nadu, India
2 Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College, Aligarh, Uttar Pradesh, India

Correspondence Address:
Bhumika Kapoor
Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College, Aligarh, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5194.181379

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Open apices are a constant challenge to an endodontist. This case report describes the management of open apices with periapical radiolucencies in maxillary central incisors. Mineral trioxide aggregate (MTA) and biodentine were used to form an apical barrier and further obturation was completed with the same. The rationale of this case report was to observe the effect of MTA and biodentine on periapical healing in the same patient. It was concluded that initial healing was better in the case of biodentine while long-term effect of MTA was better. CLINICAL RELEVANCE TO INTERDISCIPLINARY DENTISTRY The rationale of endodontic treatment is to prevent and treat apical periodontitis. In this case, root was not completely formed and hence periodontium was not continuous. With root end closure using MTA and Biodentine, biomimetic activity was initiated which further led to healing of periapical radioluceny and bone formation. Proper coronal seal is inevitable to prevent leakage and further success of endodontic treatment. Hence, crown fabrication is important not only for esthetic purposes but for further long term success.


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