Apexogenesis and Apexification – Dental Care Example

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"Apexogenesis and Apexification" is a wonderful example of a paper on dental care. Dental problems, difficulties, and injuries are very frequent in many children, more specifically between the ages between six and nine. When something such as a pulpal association and involvement of teeth that are already permanent with roots that are still not completely formed, there are a few techniques and methods that will help induce and stimulate apical closure. These must be done before any kind of endodontic therapy treatment starts. An injured or damaged tooth that is not yet completely mature may perhaps need among a couple of methods and processes that should advance and increase the likelihood of saving that particular tooth. The first known procedure is Apexogenesis.

“ Apxogenesis is a good option for young patients with immature teeth with carious exposures or pulp exposures due to trauma. ” (Kim) It denotes a fundamental procedure, a pulp therapy operated and performed to encourage and prompt physical and functional development, growth, and construction of the end of the root. This method pushes and instigates the continual formation and growth of the root until the healing of the pulp is complete.

The tissue that surrounds, connects, and supports it during the healing is sheltered with medical prescription to protect it while it grows and continues to develop. As the child grows a little older, the apex of the root’ s tip will incessantly close up. Sequentially, the tooth’ s root canal walls will, at the same time, start to solidify and thicken. If the healing of the pulp is complete, there are no further extra treatments that are usually needed to be done anymore. There is another procedure that one might be able to have to improve the chances of saving a tooth.

It is called apexification. “ For a long time, calcium hydroxide was the only material used in the apexification procedure. The treatment consists of repeated stimulations with calcium hydroxide, over a six to eighteen months' period, until the apical closure is achieved. Many studies in the literature report inconveniences linked to that procedure. ” (Trials Journal) Apexification is a process and an approach to induce and encourage a solidified wall right at the apex of a tooth that does not contain any nerve tissue that is living with root formation that is not complete.

In this specific situation, the pulp that is unhealthful is detached. The doctor will then consign a couple of different kinds of medication that will be applied to the root. This aids the formation of a hard tissue proximate the tip of the root. This strengthened tissue becomes a wall for the tooth’ s root canal filling. At that moment, the walls of the root canal will stop developing and growing.

Thus, it will make the tooth particularly vulnerable and predisposed to breakage. Therefore, it is very vital and significant for one to have this condition to properly fixed by a dentist.


Kim, Sarah. "Apexogenesis." Endo-Mail. N.p., n.d. Web. 10 June 2012.


"Mineral Trioxide Aggregate Versus Calcium Hydroxide in Apexification of Non-Vital

Immature Teeth: Study Protocol for a Randomized Controlled Trial." Trials Journal.

N.p., n.d. Web. 11 June 2012. .

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