The Management of Open Apex Using a Bioactive Material: A Case Report

Area of Science:

• Endodontics
• Regenerative Dentistry
• Biomaterials Science

Background:

• Teeth with open apices present significant endodontic management challenges.
• Effective strategies are needed to promote continued root development and maintain pulp vitality.
• Bioactive materials are emerging as a key therapeutic option.

Observation:

• Bioactive materials, exemplified by Biodentine, exhibit favorable physiochemical properties, biocompatibility, and dentinogenesis-stimulating potential.
• Their application as an apical plug addresses immediate treatment needs and supports long-term tooth health.
• Clinical cases and literature review highlight the importance of individualized treatment planning for open apex management.

Findings:

• Bioactive materials demonstrate efficacy in promoting continued root development in teeth with open apices.
• Apical plugging with these materials contributes to enhanced pulp vitality and tissue regeneration.
• Successful clinical and radiographic outcomes are associated with the use of bioactive materials.

Implications:

• Bioactive materials are reshaping endodontic interventions for open apices.
• These materials offer a promising approach to improve treatment success rates.
• Further research and clinical application can advance the management of immature teeth with necrotic pulps.