A Paradigm upswing towards the conservative rejuvention of an traumatized tooth: A Case report

Traditionally, calcium hydroxide was the material of choice for apexification technique. However, the disadvantages of this technique includes delayed treatment, improper apical seal and increased risk of root fractures. Research for improved biocompatible materials resulted in evolving of higher characteristic materials such as Biodentine, a tricalcium silicate cement that possesses good handling and bioactive properties. This report describes the case of a 13-year-old boy who had traumatised his upper right central incisor which stunted the growth of root leaving it with open apex. The treatment of apexification with Biodentine and PRF as matrix was done. Prosthetic rehabilitation of endocrown fabricated with Lithium disilicate ceramic was delivered. Follow-ups were performed at 3rd, 6th and 12th month. The promising clinical and radiographic outcome in this case demonstrated that Biodentine may be an successful alternative to the conventional apexification materials and endocrown can be a conservative alternative to post and cores in such cases.   Keywords: Apexification, Biodentine, Post endodontic restoration, Endocrown,