Two Different Sequelae of One Traumatic Injury in Adjacent Anterior Teeth - Calcific Metamorphosis and Open Apex: A Case Report

Dental trauma to the permanent dentition can lead to clinical complications and its management may considerably challenge a practitioner. The incidence of pulp canal obliteration following dental trauma has been reported to be approximately 3.8% – 24%. Attempting to locate canals following calcific metamorphosis and negotiating it to full working length may lead to iatrogenic errors such as fractured instrument and perforation. The process of forming mineralized tissue in the apical portion of an immature tooth with an infected necrotic pulp and an incompletely formed root is known as apexification. Although various materials and techniques for the endodontic treatment of such teeth have been employed for some time, selecting the appropriate material remains challenging due to limited literature.