Apexogenesis. This procedure encourages the root to continue development as the pulp is healed. The exposed pulpal tissue is covered with a medicament. What is apexogenesis & apexification? Patients with developing teeth may require endodontic intervention to help close the opening at the tip. Multiple techniques and materials have been described for apexogenesis and apexification in immature permanent teeth. Two cases in which.

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In the absence of a vital pulp, dentin deposition is arrested.

Maintenance of pulp vitality will allow continued root development along the entire root length. If the pulp heals, no additional treatment will be necessary.

Apexogenesis & Apexification – Endodontic Associates Toronto

If the tissues are bleeding too profusely, the MTA will be washed away; this would be an indication that the tissues remaining are still too inflammed to cap.

Apexogenesis Anv procedure encourages the root to continue development as the pulp is healed.

The dental pulp is an apeexogenesis derived connective tissue with certain unique properties such as being encased in hard tissues, which limits its collateral circulation. Drexel Hill, PA The MTA is sealed with a leak-proof restoration glass ionomer, apexificahion example and the patient is recalled at appropriate intervals to re-evaluate healing and continued root development. In turn, the walls of the root canal will thicken, and the tooth will become stronger.


This point is a judgement call, and clinical experience will dictate when enough tissue has been removed.

A small preparation is made into the dentin overlying the exposure site, using a sterile diamond round bur less potential to tear the pulpal tissue vs. If the exposure is non-carious mechanical and root development is incomplete, then apexifocation true pulp capping can be attempted. When an immature tooth is affected by caries or trauma, the pulp requires proper management according to the degree of inflammation and its vitality.

The coronal portion of the canal space is then acid-etched, and a bonded composite or galss ionomer is condensed into the canal to re-enforce the root and provide more sturctural qpexogenesis. This procedure encourages the root to continue development as the pulp is healed.


If the ans is irreversibly inflamed or necrotic, root-end closure procedures are required when the apex has not fully formed. This article will describe requirements for case selection and review the procedures for apexogenesis and apexification in immature permanent teeth.


The patient is recalled periodically to monitor the progress of the root-end closure, and decide whether other measures root-end surgery may be required.

The pulp provides a matrix for binding of its cells and provides support allowing communication between the cells. The more mature the root becomes, apeexogenesis better the chance for the survival of the tooth. Published by Elsevier Inc.

Apexogenesis/Apexification Worthington OH, Central Ohio Endodontics

Nonclinical and clinical data will be presented to support the recommendations, and outcomes will be presented from clinical studies. In apexogenesid to immune cells, the dental pulp contains odontoblasts, which are specialized cells capable of producing dentin. If the exposure was carious, or the traumatic exposure crown fracture, exposed pulp is longer than 24 hours, then the apexifiction pulpal tissues are too inflammed to survive a simple capping procedure.

In this case, the unhealthy pulp is removed.