J Interdiscip Dentistry
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CASE REPORT
Year : 2022  |  Volume : 12  |  Issue : 1  |  Page : 1-5

Rehabilitation of fractured nonvital immature tooth by nonsurgical treatment and post and core restoration: A case report and literature review


1 Private Pediatric Dental Practice, Aligarh, Uttar Pradesh, India
2 Department of Pediatric and Preventive Dentistry, Faculty of Medicine, Dr. Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

Correspondence Address:
Dr. Mohammad Kamran Khan
Hamdard Nagar-A, Civil Line, Aligarh, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jid.jid_38_21

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Nonvital immature permanent tooth presents several challenges to a clinician in performing conventional endodontic therapy due to the lack of apical constriction and thin root walls. Apexification has been serving as the gold standard therapeutic modality for managing nonvital teeth with wide-open apex. The present case report demonstrates the successful rehabilitation of fractured immature nonvital permanent tooth of a healthy 8.5-year-old male patient by apexification procedure using the premixed mixture of calcium hydroxide and iodoform with vehicle of silicone oil (Metapex). The dental procedure resulted in favorable treatment outcomes with Frank's Type-1 apical closure of root and optimum periapical healing within comparatively shorter duration. Subsequently, fractured crown was successfully restored for function and esthetics using fiber-reinforced post and core and composite restoration. In follow-up visits, the patient was found asymptomatic and satisfactory with the treatment results.


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