Traumatic dental injuries can affect the dental hard tissues, pulp, periodontium, alveolar bone, or gingiva, resulting in long‐term complications such as pulp canal obliteration and the cessation of root development. Such complications often defy conventional endodontic approaches. Maxillary central incisors are the most commonly affected teeth in cases of dental trauma. This report details a patient presenting with a primary complaint of pain in the upper front tooth region, accompanied by a history of dental trauma caused by a childhood fall onto the ground, though he could not recall specific details. Radiographic imaging revealed a calcified canal in the upper right central incisor (Tooth 11) and an immature apex in the upper left central incisor (Tooth 21). To manage the calcified canal, a 3D‐printed static guide was employed, minimizing the risk of iatrogenic errors often associated with traditional endodontic techniques. In Tooth 21, a biocompatible amniotic membrane plug was used as an apical matrix and biological scaffold during a modified apexification procedure aimed at enhancing apical healing and tissue response while preventing mineral trioxide aggregate (MTA) extrusion through the immature apex. Although classical regeneration was not achieved, the biologically active scaffold was intended to support healing and maturation of the apical tissues. The combination of appropriate techniques and biocompatible materials resulted in a favorable prognosis, confirmed over a follow‐up period of 1 year.
Mittal et al. (Thu,) studied this question.