SINGLE VISIT APEXIFICATION USING THREE DIFFERENT APICAL MATRICES FOR OPEN APEX – A CASE SERIES

Dr. Prajakta Malode*, Dr. Dayanand Chole, Dr. Srinivas Bakle, Dr. Neha Gandhi, Dr. Nikhil Hatte, Dr. Rohini Pawar

ABSTRACT

In immature teeth with necrotic pulp caused by trauma, caries, and other insults, there absence of a natural constriction in the apex of the root canal can produce difficulties of apical obturation and the root-filling procedure.1There is an innovative technique and rationale for placing apical matrices prior to placement of barrier in apexification in the management of non-vital teeth with open apices. Over the years, there have been numerous methods for managing non-vital open apices; the oldest and first to be used was calcium hydroxide, but bioceramics are currently very popular in single visit apexification. Open apices are present in the vicinity of bone loss, So, before placing bioceramics, a variety of materials can be employed as a matrix. By placing a matrix, the biomaterial remains confined within the canal and cannot leach beyond the apex. In this case series three cases are discussed of single visit apexification using MTA as apical barrier and PRF, absorbable suture and absorbable collagen material as internal apical matrix.

Keywords: Internal matrix, mineral trioxide aggregate, single visit apexification, open apex, platelet rich fibrin, absorbable collagen, absorbable suture material.