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Das AN, Geetha K, Varghese Kurian A, et al. Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus. Case Rep Dent. 2015;2015:907324doi: 10.1155/2015/907324.
Das, A. N., Geetha, K., Varghese Kurian, A., Nair, R., & Nandakumar, K. (2015). Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus. Case reports in dentistry, 2015907324. https://doi.org/10.1155/2015/907324
Das, Anoop N, et al. "Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus." Case reports in dentistry vol. 2015 (2015): 907324. doi: https://doi.org/10.1155/2015/907324
Das AN, Geetha K, Varghese Kurian A, Nair R, Nandakumar K. Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus. Case Rep Dent. 2015;2015:907324. doi: 10.1155/2015/907324. Epub 2015 Sep 06. PMID: 26425373; PMCID: PMC4575728.
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Case Rep Dent. 2015;2015:907324. doi: 10.1155/2015/907324. Epub 2015 Sep 06.

Interdisciplinary Approach to a Tooth with Open Apex and Persistent Sinus.

Case reports in dentistry

Anoop N Das, Krishnamohan Geetha, Ajay Varghese Kurian, Radhakrishnan Nair, K Nandakumar

Affiliations

  1. Department of Conservative and Endodontics, Azeezia College of Dental Sciences and Research, Meeyannoor, Kollam, Kerala 691537, India.
  2. Department of Periodontics and Implantology, Azeezia College of Dental Sciences and Research, Meeyannoor, Kollam, Kerala 691537, India.

PMID: 26425373 PMCID: PMC4575728 DOI: 10.1155/2015/907324

Abstract

Traumatic injuries in childhood may disrupt root development leading to a tooth with open apex. Apexification procedures in such cases aim at root end closure after reasonable period of time. In some chronic cases, complete healing of the periapical area does not occur resulting in development of a nonhealing sinus. Failure of nonsurgical approach in such cases needs surgical intervention permitting thorough periapical curettage. In the present case, apexification procedure with MTA achieved root end closure but failed to heal the sinus for which surgical treatment was completed with thorough periapical curettage and application of platelet rich fibrin (PRF) and a combination of β-tricalcium phosphate and hydroxyapatite resulted in healing.

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