Management of fractured anterior teeth with open apex – a case report

Traumatic injuries to young permanent teeth result in pulpal inflammation or necrosis & subsequent incomplete development of dentinal wall & root apices. Immature teeth that have lost substantial amount of crown structure and have wide root canals with weak root dentinal walls and thin radicular dentin are difficult to restore both esthetically & functionally. An apical barrier is necessary in such cases to facilitate proper endodontic treatment. Apexification using MTA can provide a good apical seal. The use of Biological Dentin Post can be considered as a novel alternative technique for the management of such cases. Biological post obtained through extracted teeth from another individual-represent a low-cost option for the morpho-functional recovery and intra-radicular rehabilitation of extensively damaged anterior teeth. This case report addresses the management fractured maxillary central incisors with open apices.