“BIODENTINE” THE DENTINE IN A CAPSULE AS AN APICAL BARRIER IN TRAUMATIZED MAXILLARY CENTRAL INCISOR WITH TWO YEARS FOLLOW UP.

Abstract

Immature teeth are difcult to manage with conventional endodontic treatments and thus it becomes very challenging for clinicians. This case report describes an apexication with Biodentine in a maxillary left central incisor. The tooth became necrotic after the traumatic injury. According to the treatment procedure root canals were chemo-mechanically prepared, medicated with triple antibiotic paste followed by Biodentine plug to stimulate hard tissue apical barrier formation. Follow-up clinical and radiographic examinations were done after 1st quarter, 2nd quarter, 4th quarter and 2 years respectively. After two years follow-up the tooth was completely asymptomatic as well as resolution of periapical radiolucency was seen. Biodentine can be considered as basic, simple, biologically active, more limited setting time, improved mechanical properties and worthy cost. Therefore, it is a promising approach to other methods of an apexication.