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Apexification & apexogenesis
S Goldstein1, A Sedaghat-Zandi, M Greenberg
1SUNY Stony Brook School of Dental Medicine, Department of Endodontics, USA.
The New York State Dental Journal
|July 20, 1999
Summary
Apexification and apexogenesis are crucial procedures for permanent teeth with incomplete root formation and pulpal involvement. These treatments aim to induce apical closure or encourage root end development before initiating endodontic therapy.
Area of Science:
- Dentistry
- Endodontics
- Regenerative Dentistry
Background:
- Pulpal involvement in permanent teeth with incomplete root formation presents unique therapeutic challenges.
- Conventional endodontic therapy may be contraindicated until root development is addressed.
Observation:
- Apexification involves inducing a calcified barrier at the root apex in nonvital teeth.
- Apexogenesis focuses on vital pulp therapy to promote physiological root end development.
Findings:
- Both apexification and apexogenesis are techniques to manage incompletely formed roots before endodontic treatment.
- Successful induction of apical closure or root end formation is a prerequisite for subsequent endodontic procedures.
Implications:
- These procedures are essential for preserving immature permanent teeth.
- Effective management of immature teeth can improve long-term prognosis and prevent complications.
- Further research into optimizing these regenerative techniques is warranted.