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Traumatic injuries to anterior teeth can result in pulp necrosis, arrested root development, and formation of an open apices thereby complicating the endodontic management. This case report describes a multidisciplinary approach for the management of a fractured maxillary anterior teeth with an open apex and associated periapical pathology. Treatment involved root canal therapy, surgical enucleation of the cystic lesion, apicoectomy with retrograde filling using bioceramic putty, thermoplasticized obturation, and intracoronal non vital bleaching. The combined use of endodontic, surgical, and esthetic procedures resulted in the favorable healing and satisfactory esthetic outcomes. Thus, this report highlights the importance of an integrated treatment strategy for managing the complex traumatic dental injuries.

Bioceramic putty; non vital bleaching; open apex; periapical pathology; retrograde filling; thermoplasticized obturation.