Ajwani, PuneetSaini, Nalini2012-08-032012-08-032011-05Ajwani Puneet, Saini Nalini. Non-surgical management of a mutilated maxillary central incisor with open apex and large periapical lesion. Indian Journal of Dental Research. 2011 May-Jun; 22(3): 475-477.http://imsear.searo.who.int/handle/123456789/140046A 24-year-old female patient reported with a mutilated maxillary left central incisor. The coronal tooth structure remaining was very less, discolored, and brittle. She gave history of trauma about 15 years back when the tooth got fractured. An intraoral periapical radiograph revealed an open apex and a large periapical lesion. The case was managed successfully by conservative means using intracanal calcium hydroxide and mineral trioxide aggregate (MTA) apical barrier followed by a fiber post and a core. The final crown restored back esthetics and function. A 6-month follow-up demonstrated a clinically asymptomatic and adequately functional tooth, with radiological signs of healing.enApical barrierMTAopen apexperiapical lesionAluminum Compounds --therapeutic useApexification --methodsCalcium Compounds --therapeutic useCalcium Hydroxide --therapeutic useCrownsDental Restoration FailureDental Restoration, Permanent --methodsDrug CombinationsFemaleFollow-Up StudiesHumansIncisor --injuriesIncisor --pathologyMaxillaOxides --therapeutic usePeriapical Diseases --etiologyPeriapical Diseases --therapyPost and Core TechniqueRoot Canal Filling Materials --therapeutic useRoot Canal TherapySilicates --therapeutic useTooth Crown --injuriesTooth Fractures --complicationsTooth Fractures --therapyTooth, Nonvital --therapyTreatment OutcomeYoung AdultArticle