Apexification in anterior tooth: case report

Apicificação em dente anterior: relato de caso

ABSTRACT

Incomplete root formation is characterized by the apical end of the root not being fully developed. This condition can occur due to traumatic oral injuries in children and adolescents, carious lesions, or other events that may cause partial or total damage to the pulp tissue. The treatment of these teeth requires special attention due to their anatomical characteristics, such as wide canals and thin, fragile canal walls. Therefore, the objective of this study was to present a clinical case of endodontic treatment in tooth 21 with incomplete root formation. The patient was referred to the endodontic specialization clinic, an initial periapical radiograph was taken which revealed that tooth 21 had incomplete root formation and a periapical lesion, and a CT scan was requested. After clinical and imaging examinations, it was diagnosed as chronic apical abscess. The endodontic treatment was initiated, with intracanal medication exchanges using calcium hydroxide, the creation of an apical plug, and obturation using Hemospon and MTA, and it was restored with composite resin. It was concluded that endodontic treatment using an apical plug with Hemospon in teeth with incomplete root formation is an effective technique, and prolonged follow-up is suggested.

Indexing terms
Coated materials, biocompatible; Cone beam computed tomography; Dentistry; Endodontics; Oral pathology