Apexification
Treatment to complete root development
What is apexification and what is the procedure?
Apicogenesis, also known as apexification, is an endodontic procedure performed on young, immature permanent teeth whose roots are not yet fully formed. This treatment is carried out when the pulp tissue in the root of the tooth is affected by infection or inflammation, which prevents the tooth root from developing properly.
The objective of apexification is to promote the development and closure of the affected tooth root. During the procedure, the following is done:
1. Pulp exposure
An opening is created in the crown of the tooth to access the dental pulp in the root. The infected or inflamed pulp is removed.
2. Disinfection
A thorough cleaning and disinfection of the root canals is performed using irrigating solutions and antimicrobial medications. This helps eliminate bacteria and promote healing.
3. Root formation stimulation
Once the root canals are clean, a specific medication is placed at the end of the root to stimulate growth and closure of the root. This medication can be calcium hydroxide or another substance that promotes apexification.
4. Control and follow-up
After the initial apexification, follow-up visits are scheduled to evaluate the progress of root closure. These visits allow the dentist or endodontist to monitor development and adjust treatment as necessary.
Once the tooth root has completed its formation, the final obturation of the root canals is performed to seal them and prevent reinfection. Additionally, the tooth is restored to restore its shape and function.
It is important to note that apexification is a specialized treatment that should be performed by a dentist or endodontist with experience in this procedure. The viability and success of the treatment depend on several factors, including the patient's age, the degree of root development, and the overall health of the affected tooth. Therefore, it is essential to consult with a dental professional for an adequate evaluation and personalized treatment plan.
Apexification treatment process
Apexification treatment follows a specific protocol designed to maximize the chances of success in root development.
Treatment phases
Diagnosis and Planning
A complete evaluation is performed with digital radiographs and cone beam computed tomography (CBCT) to accurately visualize the dental structure and degree of root development. This allows for effective treatment planning and prognosis determination.
Initial Treatment
The dental pulp is accessed, infected or necrotic tissue is removed, and thorough disinfection of the root canals is performed. The inducing medication (usually calcium hydroxide) is placed to stimulate apical barrier formation and root closure.
Follow-up and Evaluation
Regular visits are scheduled (every 3-6 months) to evaluate root development progress through radiographs. During these visits, the medication is renewed if necessary and the formation of the apical barrier is monitored until the root completes its development.
Treatment Completion
Once the root has completed its formation and the apex has closed, the definitive endodontic treatment with permanent obturation of the root canals is performed. Finally, the tooth is restored with a crown or appropriate restoration to protect it and restore its function.
The success of apexification depends on accurate diagnosis, adequate treatment, and constant follow-up. At ENIQ, we have the technology and experience necessary to perform this specialized procedure with the best results.
What are the benefits of having apexification at ENIQ?
The use of advanced technology in apexification significantly improves treatment outcomes and patient experience.
Precise diagnosis
Technology, such as digital radiographs and cone beam computed tomography (CBCT), allows for more precise and detailed visualization of the dental structure and roots in immature teeth. This helps the professional make an accurate diagnosis of the condition and root development, which is crucial for planning and performing apexification effectively.
Surgical guidance
Surgical guidance technology, such as computer-assisted surgery, can be used in apexification to improve the precision and safety of the procedure. Surgical guidance allows the professional to plan and visualize the exact location of the apexification, which facilitates precise placement of instruments and reduces associated risks.
Advanced instrumentation
Modern technology has improved the instruments used in apexification. Endodontic systems with advanced technology, such as rotary files and electronic apex locators, allow for more precise and efficient instrumentation of root canals. This can reduce treatment time and improve outcomes.
Effective disinfection and obturation
Technology in endodontics has improved the medications and obturation materials used in apexification. Modern irrigants and antimicrobial medications can effectively disinfect root canals and control infections, promoting faster healing and better long-term outcomes.
Follow-up and evaluation
Technology allows for more precise follow-up and evaluation of apexification progress. The use of digital images and other monitoring devices can help the professional evaluate root development and make adjustments to treatment as necessary.
It is important to note that the use of technology in apexification is a complementary tool to the experience and skills of the dental professional. Make sure to seek a qualified and updated dentist or endodontist in the use of technology to obtain the best results in your specific case.
How much does apexification cost?
Apexification
Innovative Endodontic Treatment
Specialized treatment to complete root development in young permanent teeth. Includes all necessary sessions until root formation is complete.
Complete diagnostic evaluation with digital radiographs
Between 3 and 6 treatment sessions depending on the case
Specialized medications (calcium hydroxide)
Follow-up and monitoring of root development
Advanced endodontic technology
FAQ
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