Apexification is the process of forming mineralized tissue at the apical portion of a tooth with an incompletely formed root. Although various materials and techniques for the endodontic treatment of such teeth have been employed for some time, selecting the appropriate material remains challenging due to limited literature. This report presents a case that evaluates the efficacy of a modified apexification procedure using mineral trioxide aggregate (MTA), followed by a walking-bleach technique to address discoloration resulting from trauma to anterior teeth. The patient was followed for 12 months after the procedure, during which we observed positive clinical and radiographic changes. The lesion size decreased, and root formation was completed, accompanied by a significant improvement in tooth shade. Based on our findings, we conclude that modified apexification followed by non-vital bleaching can be an effective treatment option for discolored trauma-affected teeth with incomplete root formation.
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| http://dx.doi.org/10.7759/cureus.71140 | DOI Listing |
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Apexification is the process of forming mineralized tissue at the apical portion of a tooth with an incompletely formed root. Although various materials and techniques for the endodontic treatment of such teeth have been employed for some time, selecting the appropriate material remains challenging due to limited literature. This report presents a case that evaluates the efficacy of a modified apexification procedure using mineral trioxide aggregate (MTA), followed by a walking-bleach technique to address discoloration resulting from trauma to anterior teeth.
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