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Fusion is a rare occurrence and its definitive diagnosis is of prime importance for successful root canal treatment. This case report discusses the endodontic and esthetic management of fused maxillary right lateral incisor. Root canal treatment was performed on the fused tooth. Nickel Chromium with ceramic crown was fabricated in the shape of lateral incisor. The patient remained asymptomatic and there was a reduction in the size of periapical radiolucency after six months.

If dental pulp injury occurs in immature tooth, root develop- ment is halted producing several complications. There are a number of protocols to manage nonvital open-apex teeth. Platelet-rich fibrin (PRF) is widely used to accelerate soft and hard tissue healing which can be used as matrix. A 21-year-old male reported with the chief complaint of broken, discolored tooth, occasional pain, swelling and pus discharge in upper front region. Based on the clinical and radiologic findings the diagnosis of chronic periapical abscess with open apex with 11 was made. On first visit, triple antibiotic paste was placed in canal. On second visit after 21 days PRF was placed in periapical region over which mineral trioxide aggregate (MTA) plug was placed. On follow-up visit after 6 months, tooth was asymptomatic and nontender. Key messages This article presents a novel case report about the use of PRF as an autogenous, cost-effective and resorbable internal matrix prior to placement of MTA as an apical barrier. How to cite this article Bansode PV, Pathak S, Wavdhane M, Khedgikar S. Apexification of Immature Necrotic Tooth with MTA using Platelet Rich Fibrin as an Internal Matrix. Int J Prosthodont Restor Dent 2014;4(3):96-99.

Hypersensitive tooth is an old age complaint. It can be defined as pain arising from exposed dentin typically in response to chemical, thermal or osmotic stimuli that cannot be explained as arising from any other form of dental defect or pathology. This enigma of hypersensitivity commonly affects buccal cervical areas of premolars & canines. It affects the population at an age range of 20-40 yrs with peak at end of third decade. Sensitivity occurs when dentinal tubules are exposed. Four theories have been proposed to explain this mechanism, which are transducer, modulation, gate control and hydrodynamic. Hydrodynamic theory is widely accepted. Old remedies and materials used for management of hypersensitivity includes lung ash from mice, dried livers from lizards, salt lavage, potassium nitrate, alum, anodynes such as cocaine hydrochloride, menthol, phenol, eugenol, morphine or codeine sulfate. Caustics such as zinc chloride, absolute alcohol, trichloroacetic acid, silver nitrate and others such as carbolic acid, calcium compounds such as calcium hydroxide, dicalcium phosphate, oxalates. Stannous or sodium fluoride, fluoride iontophoresis or leukomscy's paste, glass ionomers, resins, cyanoacrylates and corticosteroids. Recent methods include dentin treatment by lasers, CCP- ACP, Pro-Argin technology.

Recognition of unusual variations in the root canal system is critical because it has been established that the root with a single tapering canal and apical foramen is the exception rather than the rule. C-shaped canal system is a variation that has a racial predilection and is commonly seen in mandibular second molars. The intricacies present in this variation of canal morphology can pose a challenge to the clinician during negotiation, debridement and obturation. The early recognition of these configurations facilitates cleaning, shaping, and obturation of the root canal system. “C” configuration, which is an important anatomic variation, presents a thin fin connecting the root canals. Knowledge of the C-shaped canal system is essential to achieve success in endodontic therapy. Radiographic and clinical diagnoses can aid in identification and negotiation of the fan shaped areas and intricacies of the C-shaped anatomy. The aim of this review is to discuss the etiology, incidence, classification, diagnosis and management of the C-shaped canal system.

This case report describes the management of complicated crown-root fracture of a maxillary central incisor. Initially, the fractured fragment was stabilized by splinting it with composite and wire splint to adjacent teeth. During next appointment single-visit endodontic treatment was performed, the fractured crown portion was reattached using fiber post and composite resin. Success was achieved by normality in function, esthetics, health of tooth and surrounding periodontal structures. This reattachment technique presents several advantages, such as better and long-lasting esthetics, improved function and a positive psychological response, faster and less complicated procedure. The main objective of the presented technique restoration is to provide highly conservative approach that combines esthetics and function. Advantages, disadvantages and prognosis of this treatment approach are discussed. How to cite this article Bansode PV, Pathak SD, Deore RB. Management of a Complicated Crown-Root Fracture using Single-Visit Endodontic Treatment and Fiber Post as an Intracanal Anchorage. Int J Prosthodont Restor Dent 2013; 3(1):33-36.