Abstract:

Apexification with calcium hydroxide as an apical barrier technique was the treatment of choice for immature necrotic teeth with incomplete roots and large apical foramina. However, long treatment time required for formation of apical barrier, multi-visit treatment sessions necessitating patient compliance and tooth fracture susceptibility are the disadvantages of this approach. Mineral trioxide aggregate is the most popular material for synthetic apical barriers alternative to traditional apexification treatment method with calcium hydroxide. This report demonstrates management of an immature maxillary first molar with necrotic pulp and apical pathosis which was successfully treated using one step apexification procedure with MTA for apical barrier formation. The follow – up period shows, that the use of MTA for apical plugging appears to be a valid treatment option for immature permanent teeth.