Nonsurgical retreatment and apexification of two central incisors with wide open apex using biodentine in an adult patient

Abstract

Treatment of open apex cases with biodentine is promising over calcium hydroxide and alternative materials. The present case illustrates the successful management of teeth 11 and 21 with failed root canal treatment which was done so many years back with wide open apex. The apex of the tooth was sealed with biodentine to act as an apical barrier and to provide a platform for obturation, following canal cleaning with sodium hypochlorite and minimal biomechanical preparation. Intracanal medicament, calcium hydroxide was placed in both the tooth. Hand pluggers were used to compact biodentine to form an apical plug of adequate thickness. Thermoplasticized gutta percha was back filled or obturated in the remaining part of the radicular canal. One year follow-up revealed that the tooth was asymptomatic clinically as well as radiographically with the signs of healing and healing of periapical radiolucency supported the successful outcome results in the present case.

Keywords

• apical barrier
• biodentine
• open apex
• retreatment