Apexification of a young traumatized tooth

Abstract

Apexification or apicoformation is a procedure performed on young permanent traumatized teeth, whose objective is apical closure through intracanal medication (MIC) with periodic changes, changing a calcified barrier that allows its subsequent conservative treatment. A 10-year-old male patient attended the consultation of the Pediatric Dentistry postgraduate clinic of the Faculty of Dentistry of the National University of Asunción, due to trauma, as a result of an automobile accident on a bicycle, after the radiographic taking periapical in the affected area (anterosuperior), trauma with irreversible partial necrosis was established as diagnosed, opting as initial treatment, apical formation by Ca(OH)2, using the Frank technique, managing to create said apical stop after 9 months of treatment, with 2 medication changes as needed on a radiographic basis, then the endodontics was performed, its subsequent restoration, and a 3-year follow-up. With quite satisfactory and demonstrable results as it is an effective treatment for young permanent teeth or non-vital incomplete rhizogenesis (IR), despite the fact that the literature states that the prognosis of apexification with Ca (OH)2 is uncertain.