Apexification is a method of inducing the development of root apex in an immature pulpless tooth by formation of osteocementum or other bone like tissue. Below are given the indications of Apexification, objectives of Apexification & Materials used for Apexification.
INDICATIONS FOR APEXIFICATION
- It is indicated in cases where there is no normal pulp tissue
- i.e ,where the pulp has undergone irreversible pulpal necrosis.
- indicated for non-vital permanent teeth with incompletely formed roots.
- Normal root development takes place rarely.
Objectives of Apexification
Apexification procedure should induce root end closure at the apices of immature roots, as evidenced by periodic radiographic evaluation.
Post treatment, adverse clinical signs or symptoms such as a prolonged sensitivity, pain, or swelling should not be evident.
There should be no evidence of abnormal canal calcification or internal or external root resorption, lateral root pathosis, or breakdown of periradicular supporting tissues during or following treatment of Apexification.
Materials Required for Apexification
- Antiseptic & antibiotic paste
- Zinc oxide & metacresylacetate-camphorated para-chlorophenol
- Tricalcium phosphate
- Collagen-calcium phosphate gel
- Resorbable tricalcium phosphate
- Ceramic
- Calcium hydroxide