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SHORT COMMUNICATION Table of Contents   
Year : 2011  |  Volume : 22  |  Issue : 3  |  Page : 475-477
Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion


1 Department of Conservative Dentistry and Endodontics, Kalka Dental College, Meerut, Uttar Pradesh, India
2 Department of Periodontics, Kalka Dental College, Meerut, Uttar Pradesh, India

Correspondence Address:
Puneet Ajwani
Department of Conservative Dentistry and Endodontics, Kalka Dental College, Meerut, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9290.87074

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A 24-year-old female patient reported with a mutilated maxillary left central incisor. The coronal tooth structure remaining was very less, discolored, and brittle. She gave history of trauma about 15 years back when the tooth got fractured. An intraoral periapical radiograph revealed an open apex and a large periapical lesion. The case was managed successfully by conservative means using intracanal calcium hydroxide and mineral trioxide aggregate (MTA) apical barrier followed by a fiber post and a core. The final crown restored back esthetics and function. A 6-month follow-up demonstrated a clinically asymptomatic and adequately functional tooth, with radiological signs of healing.


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