Year : 2019

Volume : Volume 10

Issue : Issue 2

Address for correspondence :
Dr. Jasvir Kaur.
JasvirKaur@gmail.com

Abstract

Background:  One-step apexification procedure using MTA has gained wide acceptance due to lessened visits and better patient compliance. This prospective study was designed to assess the outcome of apexification with MTA as an apical barrier using a simple method with hand pluggers.  Materials and Methods: 32 children having wide-open apices of anterior and posterior teeth indicated for root canal treatment were the study subjects. The teeth were clinically and radiographically assessed (presence of pain, sinus and the PAI score) and the findings recorded. In the first visit, access preparation was done and Ca(OH)2 was packed within the canal. On the 2nd visit (one week later), MTA was placed in the apical area using customized hand pluggers. After a follow up period of one year, the teeth were reassessed and the findings compared with the initial findings. Results: No patient reported with pain after the treatment was completed and during the follow up period. If sinus was present, it was not seen after 1 week of commencement of treatment. Radio graphically, the PAI scores dropped by highly significant levels after one year. Conclusion: Both by clinical and radiographic criteria, apexification using MTA is a successful, predictable and a reproducible procedure. A simple method of placement employing hand pluggers, without use of carrier gun gives good results.

Keywords: MTA, wide open apices, apexification, calcium hydroxide.