Review Article

Year : 2022

Volume : Volume 13

Issue : Issue 1

Management of Open Apex: A Review

Dr. Sejal Gandhi

Address for correspondence :
Dr. Sejal Gandhi
sejal995@gmail.com

Abstract


Endodontic management of immature permanent teeth is still a challenge for both clinicians and researchers. Previously our concers were only associated with achieving adequate levels of disinfection since “aggressive” instrumentation was contraindicated and hence there exists a much greater reliance on irrigants and medicaments. TOOTH with open apex has also presented difficulties during obturation basically in controlling length. Long-term apexification procedures with calcium hydroxide have proven to be successful in saving many of the immature infected teeth but due to perceived problems associated with long-term placement of calcium hydroxide, which make canal walls prone to cervical fracture. Regenerative endodontics has brought a revolutionizing tissue engineering concept in the field of endodontics for the treatment of immature permanent teeth. It’s been considered as a “paradigm shift” in the treatment modalities, as it fosters continued root maturation. Hence, this article reviews about the current techniques available for the management of permanent teeth with open apex.

Keywords: Apexification, Apexogenesis, MTA, Revascularization.