What is the difference between apexification and Apexogenesis?
Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.
When do you use Apexogenesis?
Apexogenesis, which can be used when the pulp is injured but not necrotic, leaves the apical one-third of the dental pulp in the tooth, allowing the root to complete formation. Apexification stimulates cells in the periapical area of the tooth to form a dentin-like substance over the apex.
How do you perform apexification?
The following steps are included in this procedure:
- The affected tooth is isolated using rubber dam.
- An access opening is made to reach the pulp chamber.
- A file is placed in the root canal and a radiograph is taken to establish the root length.
- Remnants of the pulp are then removed using barbed broaches and files.
When do we use apexification?
Apexification is most often performed in incisors that lost vitality because of traumatic injury, after carious exposures, and in teeth with anatomic variations such as dens invaginatus with an immature root.
Why is Apexogenesis done?
Apexogenesis is a procedure where vital tissue within the tooth is maintained to facilitate continued development of the immature root. A portion of inflamed pulp is removed and filled with a bioceramic material that maintains vitality in the roots. Healthy tissue then allows for continued root development.
What is pulp regeneration?
Pulp regeneration is used to restore diseased or damaged dental pulp and to assist in healing. This should encourage dentin repair with the use of tooth regeneration scaffolding, a biodegradable substance that will encourage the tooth to repair itself.
How is Apexogenesis done?
Can apexification be done in primary teeth?
Apexification promotes elongation of the root and for- mation of a calcific closure across the enlarged apex of immature permanent teeth. Whether this procedure can be used successfully in primary teeth is unknown.