Management of a Non-vital Discolored Tooth with an Open Apex using MTA and Walking Bleach Technique: A Case Report

Abstract

Trauma causes injury to the pulp causing necrosis. The necrotic agents or the hemolyzed products penetrate the dentinal

tubules causing discoloration. Any traumatic injury causing necrosis at an early stage before the root completion causes the

formation of open apex. A single visit apexification using mineral trioxide aggregate (MTA) is an efficient treatment option

for open apices and has gained popularity in the recent times. For discolored teeth, bleaching is an effective alternative to

direct and indirect restorations. In this case report, we have attempted to present successful treatment of a discolored maxillary

incisor with an open apex with MTA followed by walking bleach technique.

Key words: Apexification, Bleaching, Mineral trioxide aggregate