Dental injuries in immature permanent teeth frequently lead to endodontic complications. Traditional apexification using calcium hydroxide has limitations, including prolonged treatment time, risk of tooth fracture, and incomplete root closure. Mineral trioxide aggregate (MTA) offers an effective alternative by forming an apical plug. Case Report: This report presents the successful management of maxillary central incisor in a 16-year-old girl with open apices and periapical lesions. MTA was used to create apical plugs, followed by gutta-percha and sealer in the coronal portions of the canals. At the 6-month follow-up, case showed healthy clinical outcomes and radiographic healing, with no signs of pathology. Conclusion: MTA appears to be a reliable material for apical plugging in teeth affected by trauma and endodontic issues.
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