Methods to perform apexification in immature permanent teeth

Abstract

Trauma, caries or inadequate deep restorations can generate pulp necrosis in young permanent teeth and endodontic treatment in these cases becomes a challenge for the dental surgeon. The most common procedure in these situations is apexification, when a material is placed in the apical third of the root, forming a mineralized barrier. Over the years, calcium hydroxide has been the material of choice for this type of procedure, but due to its disadvantages, the creation of artificial apical barriers with other materials has been studied. They are: mineral trioxide (MTA), EndoSequence, BioAggregate and Biodentine e. The type of material most recommended today are bioceramic cements, due to their excellent characteristics. It is up to the dental surgeon to define which is the most appropriate for his work reality and which will best adapt.