13 years old boy
Coming to hospital seeking for restoring upper central
After clinical examination and radiographic examination I found the upper central incisors with open apex and incomplete root formation
With MTA root canal filling.
Ttt plan:
-Remove old endo filling ( MTA)
-TRIPLE AB for 3 weeks
– induce bleeding and blood clot capping by MTA to revascularization then MTA sealed by GIC and flowable composite then temporary crown to restore the easthatics done and waiting for complete root formation for final restoration
Preoperative canal filled by MTA
Rubber dam isolation ,MTA filling removal and intra canal Tri antibiotic paste application
Induce bleeding After 3 week of application of intracanal medication ,
Blood clot capping by MTA
MTA Capping sealed by light cured GIC.
Temporary indirect composite restoration to restore easthatic
after bonding temporary restoration
Wait for complete root formation and final restoration .
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