European Archives of Paediatric Dentistry

, Volume 19, Issue 1, pp 65–71 | Cite as

Root lengthening with apical closure in two maxillary immature permanent central incisors after placement of mineral trioxide aggregate (MTA) as an apical plug

  • F. Masmoudi
  • I. Bourmeche
  • A. Sebai
  • Z. Baccouche
  • F. Maatouk
Case Report



Necrosis of permanent immature teeth is a common reason for consultation in paediatric dentistry. Apexification is a therapeutic procedure aiming to create an apical calcified barrier in open apex teeth.

Case report

Two cases are presented in which apexification were completed on immature permanent traumatised incisors using a mineral trioxide aggregate (MTA) plug.


At 2 and 5 years showed apical closure and radicular elongation beyond the MTA plug.


Unexpectedly, a regeneration of mineral tissues beyond the MTA plug occurred which is an uncommon outcome.


Permanent immature teeth Apexification Mineral trioxide aggregate (MTA) Radicular elongation Regeneration 


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Copyright information

© European Academy of Paediatric Dentistry 2018

Authors and Affiliations

  • F. Masmoudi
    • 1
    • 3
  • I. Bourmeche
    • 1
    • 3
  • A. Sebai
    • 1
    • 3
  • Z. Baccouche
    • 2
  • F. Maatouk
    • 1
    • 3
  1. 1.Department of Paediatric Dentistry, Faculty of DentistryUniversity of MonastirMonastirTunisia
  2. 2.Department of Endodontics, Faculty of DentistryUniversity of MonastirMonastirTunisia
  3. 3.Biological and Clinical Dento-Facial Approach Laboratory LR12ES10MonastirTunisia

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