Apexification and Apexogenesis


In pediatric patients, conventional root canal treatment may not be the optimal treatment, especially if the tooth isn't fully developed with an open root end.   Open apex teeth are managed slightly differently.  The types of treatment for immature teeth is collectively known as Vital Pulp Therapy (VPT) and are detailed below:


A bioactive material is placed as a barrier over the open apex. If successful, hard tissue forms over a period of 6 to 12 months near the root tip and closes the open apex. 




The unhealthy portion of the pulp tissue is removed and the remaining  exposed pulpal tissue is covered with a bioactive material.  This will shield the pulp from further damage and, if successful, will allow the tooth to mature and strengthen naturally. If the pulp heals, no additional endodontic treatment is necessary.

Regenerative Endodontics

This treatment is the most current accepted standard for the treatment of immature teeth with a dead or infected nerve.  It is a better alternative to the traditional apexification procedure.