MTA Apexification

1. case 1
MTA APEXIFICATION

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

3. 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.

4. • 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.

5. 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 11
Pus discharging sinus in periapical region of 11

6. Intra-oral view showing 11

7. IOPAR of 11 showing periapical radiolucency with open apex.

8. TREATMENT PLANNING
• Non surgical treatment of periapical radiolucency i.r.t 11
• Followed by root canal treatment and crown on 11

9. 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

10. After 1 ½ months, IOPAR of 11 shows
decrease in size radiolucency. Patient
was further recalled after 1 ½ months.

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

12.  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

13. MTA dispensed on glass slab.

14. IOPAR of 11 showing obturation done by MTA.

15. Post space created. Fiber-
optic post fixed with
flowable light cure
composite
Coronal restoration was
build
by light cure composite

16. Post operative smile view