What does “Apexification” mean?
Apexification creates or induces a barrier at the canal end in an immature permanent tooth with necrotic pulp and an open root tip. It addresses the open end to provide a basis for sealing the canal.
Why is a barrier needed?
If the root tip has not closed sufficiently, it is difficult to keep root canal filling material inside. Infection is managed and a barrier is formed at the end to establish conditions for filling.
What methods are available?
Approaches include using medication to induce a hard-tissue barrier or placing a biocompatible material to form an apical barrier. The choice depends on root development and infection.
How does it differ from apexogenesis?
It differs from apexogenesis, which preserves living pulp so that root development can continue. Regenerative endodontic treatment is another approach considered in immature teeth.
Frequently Asked Questions
Does forming a barrier make a thin root reach normal thickness?
The goal of creating an apical barrier differs from further development of the root walls. The fracture risk of the remaining root and the final restoration are considered together.
Is it the same as conventional root canal treatment in an adult tooth?
It has the specific requirement of managing an open apex. This distinguishes it from routine canal filling in a fully developed root.
Questions about apexification
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
Is the pulp living or necrotic?
Explanation and evidencePulp preservation, barrier formation, and regenerative approaches are distinguished according to pulp condition and the stage of root development.
Journal of the Korean Dental Association · Pulp Therapy for Immature Permanent Teeth - A choice suited to your condition
Are the remaining root walls adequate?
Explanation and evidenceIn addition to sealing the tip, thin tooth structure needs protection and follow-up care.
American Association of Endodontists · Regenerative Procedure Clinical Considerations
