Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report

The study aims to determine the efficiency and effectiveness of apexification treatment using mineral trioxide aggregate (MTA). For this purpose, two cases were taken into consideration in the examination on the basis of clinical records in the Faculty of Dentistry at Recep Tayyip Erdo？an University. These cases were a female patient at the age of 16 and a male patient at the age of 8. A treatment protocol was designed for and applied on both cases. This way, the whole treatment could be divided into three stages: preoperative, procedural and follow-up steps. The follow-up process consisted of two parts: clinical and radiographic examinations. In the procedural stage, the clinician first rinsed the root canals with 5 ml of 2.5% NaOCl and administered calcium hydroxide (CH) in the canals and allowed it to remain within a 1-week period in order to fill the apical area (4 mm) of the immature, necrotic permanent incisors with an MTA plug. After MTA application, the clinic doctor filled the rest with gutta-percha cones. On the clinical and radiographic follow-ups performed semi-annually within one year, the lesions were dissected, and the tissues were regenerated in the periradicular area. In conclusion, use of MTA material was determined as an efficient and effective method in apexification with respect to time and quality of treatment and it is still a well-accepted technique