Clinical Solutions

Category: Mta

Mineral Trioxide Aggregate as an Apical Plug in Teeth with a Necrotic Pulp and an Immature Apex

By Dr. Barry H. Korzen | Posted June 28, 2016

One of the most challenging clinical situations we face in endodontic treatment are cases where there is an immature apex associated with a necrotic pulp and a periapical lesion. Not only is there the possibility of the apical region of the tooth potentially being compromised due to the thinness of the dentin walls, but the absence of an apical constriction and moisture contamination from the periapical lesion makes sealing the root difficult and long-term healing questionable.