Non-surgical apexification improved healing in an 8-year-old with blunderbuss canals, indicating effective treatment options.
INTRODUCTION. Trauma to developing permanent teeth can disrupt root formation, leading to open apices and weakened tooth structure. AIM. This report details the non-surgical management of an 8-year-old male with blunderbuss canals in anterior teeth using mineral trioxide aggregate (MTA) putty and a resorbable collagen membrane to support apical barrier formation and healing. MATERIALS AND METHODS. Non-surgical apexification was performed using MTA putty as the primary apical barrier material, supplemented by a resorbable collagen membrane to aid in barrier formation and periapical healing. RESULTS. Over 12 months, clinical and radiographic follow-ups showed successful healing with no periapical pathology.
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Singhania et al. (2025) studied this question.
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