Revista e Stomatologëve të Kosovës

Although dental trauma is difficult to manage by general dental practices, it is important to follow the appropriate steps to achieve optimal results. This case report describes the non-surgical management of a tooth with an open apex and necrotic pulp using MTA and CWC (continuous wave compaction) to achieve endodontic success. Although it is a controversial technique, if the right conditions are provided, the creation of an artificial barrier continues to preserve an adequately functional and healthy tooth in the arch while avoiding extensive surgical and prosthet- ic procedures to replace a potentially compressed tooth. This case report highlights the beneficial effects of MTA, which are very good in the field of apexification or even regenerative dentistry as a whole. The 29-year-old man presents post-traumatic necrosis of the maxillary lateral incisor (tooth 12) which has been closed in the apical part with MTA, artificial barriers have been created, achieving the disinfection of the root canal, the remission of apical periodontitis, and where after 7 months of follow-up we
have a lot of progress. The importance of using biocompatible materials such as MTA is emphasized, which in this case resulted in satisfactory results. This report reviews the management of a lateral incisor with open apex and necrotic pulp with apical plug with the aid of MTA and CWC achieving a successful apical and canalicular system seal.