Endodontic Management of Immature Non-vital Permanent
Teeth with Two Apexification Materials
Revathy Viswanathan, Abharna Raghunathan, Sathya Reshmi*, Suganthi and
Janak Harish Kumar
Abstract:
Immature teeth with open apices and pulpal necrosis are very difficult to treat due to the
absence of an apical barrier. The method of inducing the formation of this apical barrier is called
apexification. Calcium hydroxide has been the gold standard material for apexification. Due to
certain limiting factors, other materials like Mineral Trioxide Aggregate (MTA), collagen etc. were
being used. Recently, single visit apexification using a calcium silicate based material – Bio-dentine has become popular. This article is about a case which presented with immature non-vital
upper central incisors with open apices. Treatment plan consisting of calcium hydroxide apexification in both the teeth was framed. Progressive results showed apex closure in one tooth, but
not in the other. Owing to the repeated visits required for calcium hydroxide apexification and
poor patient compliance, single visit Bio-dentine apexification was done in the other tooth and it
showed superior results.
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