Surgical apical repair with super-EBA cement: a one-visit alternative treatment to apexification

This article presents an alternative one-visit treatment to conventional apexification. Time, patient compliance, and multiple office visits are required to complete an apexification successfully. In the technique described, the root canal system is instrumented and filled followed by immediate periradicular manipulation and apical repair with Super-EBA cement. Cases presented in this pilot study have a recall period ranging from 5 to 14 months. It is our contention that the results of this technique are highly predictable, with the added advantage that unsalvageable situations (e.g., vertical root fracture) can be assessed right away. In both instances, the patient will receive the precise prognostic assessment and treatment. Thus, patients are returned to their restorative dentists with minimal delay.