Management of discolored immature permanent incisor associated with triple antibiotic therapy: A case report

Abstract

A mixture of minocycline, ciprofloxacin, and metronidazole, known as Triple Antibiotic Paste, was applied within the root canal as a medicament to disinfect it. While minocycline effectively combats bacteria, its use within the tooth crown can lead to noticeable discoloration. We presented a case of 11-year-old female reported with fractured immature teeth in the upper anterior region. The final diagnosis was Ellis class IV fracture IRT 11. Apexification with biodentine was planned, followed by root canal treatment. Triple antibiotic paste was used IRT 11 as an intra-canal medicament, resulting in dark discoloration. A walking bleach procedure was scheduled to address this aesthetic issue.