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Management of Failed Apexification Associated with Internal Root Resorption and Apical Calcification: A 56-Month Case
1Department of Endodontics and Operative Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
Dentistry Journal
|July 27, 2026
Summary
A conservative endodontic approach successfully managed a complex failed apexification in a premolar with severe internal resorption and thin root walls. This technique preserved the natural tooth over 56 months, avoiding extraction.
Area of Science:
- Endodontics
- Regenerative Dentistry
- Dental Traumatology
Background:
- Failed apexification presents complex challenges, including internal root resorption and structural compromise.
- Severe root thinning and apical calcification complicate treatment, often leading to extraction.
- Conservative management is crucial for preserving natural dentition in challenging cases.