A root with an open apex is often used to describe an exceptionally wide apical foramen, in which preparation of an apical stop is difficult, if not impossible to achieve. In an open apex, it is imperative to limit the MTA placement within the confines of root canal for predictable healing. The placement of an internal matrix may limit the extrusion of MTA to some extent. Enhancement of the regenerative process of human body by utilizing the patient’s own blood is a unique concept in dentistry. Platelet rich fibrin (PRF) is coming up as a biological revolution in dental field. Platelet‑rich fibrin (PRF) a matrix of autologous fibrin, embedded with a large quantity of platelet and leukocyte cytokines can be used as an apical membrane. The PRF scaffold acts as an excellent biomatrix incorporating proteins responsible for healing. MTA has wider range of clinical applications of which, apexification is one among them. It has additional advantages like biocompatibility and good sealing ability. Present case report showing a successful nonsurgical endodontic management of open apex by using Combination of PRF membrane and MTA.
Prof. Dr. Bilal BİLGİN