Fig. 1

Pre-Op Situation , Broken Tooth below the Gum Line 

Fig. 2

The Pre-Op X-ray shows short filling ,open apex & gutta-percha extending to the coronal part of the tooth.

Fig. 3

Pre-operative situation & gutta-percha removal.

Fig. 4

Gutta-percha removal using micro tweezer.

Fig. 5

Working length determination

Fig. 6

Apical plug application

Fig. 7

Gutta-percha increment

Fig. 8

Final obturation and post placement

Full case video


Planning and assessment for the Cause of failure is extremely important before going through the treatment.

In cases of open apex it is advisable to use MTA to achieve the apical seal, then to complete the treatment with gutta percha and restoration.