PMC9200175_01
(a) Preoperative radiograph of tooyh #11 with thinning of dentinal walls and open apex. (b) working length radiograph with apical collagen barrier in place. (c) Apical plug formation and lateral wall build up eith Biodentine. (d) Fiber post try-in. (e) Immediate post obturation radiograph with periapical healing (f) Six months follow up radiograph
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F1
The upper left central incisor had grossly diminished root canal dentin walls with immature apex thus indicating poor prognosis, whereas the upper right central incisor had moderate loss of dentin from the root canal wall with an open apex [Figure 1a]. Biodentine was compacted to form an apical plug of approximately 5 mm [Figure 1c]. Biodentine (Septodont, St. Maur des Fosses, France) was also compacted along the lateral walls of the root canal with the help of hand pluggers to increase its thickness using the circumferential uncovering technique [Figure 1c]. Glass fiber post (Glassix, Nordin-Dental, Switzerland) was used to obturate the canal using resin luting cement (RelyX, 3M ESPE, USA), and coronal restoration was carried out with composite restoration (Tetric N-Ceram, Ivoclar Vivadent, Germany) [Figure 1d and e]. The patient was asymptomatic at regular follow-up visits at 1, 4, and 6 months [Figure 1f].