Single Visit Apexification In Young Permanent Tooth- A Case Report With 3 Year Follow Up.

Abstract

Trauma to permanent dentition during the period of root formation may result in inadequate root growth and an open apex. There is an enormous endodontic difficulty in treating these young permanent tooth with pulpal necrosis and periapical disease as there is absence of a natural apical constriction in these condition. Hence, in order to allow the obturating material to condense, an apical barrier must be induced or created.

Some disadvantages of the traditional calcium hydroxide apexification method include the requirement for long-term therapy to facilitate barrier development. Creating a dentinal bridge as an apical stop is the current trend.

Dentin bridge formation using recent materials, which have a more predictable outcome like mineral trioxide aggregate (MTA), Biodentine and other bioactive materials can show better results.

When compared to standard calcium hydroxide apexification, which takes an average of 12–19 months, one-step apexification with MTA shortens the treatment period and gives promising results.

In the root end apexification process, this case report documents apexification and effective healing using MTA as an apical barrier matrix in single visit.