Nature’s Cure: Biomimetics for Apexification

Abstract

Teeth with open apices present a continuing challenge to even the most experienced dentists. The lack of an apical stop makes obturation and achieving a good apical seal more difficult. Apexification is seen to be the best option for treating such instances. In the past, calcium hydroxide was commonly employed for apexification. However, the drawbacks of long treatment times, tooth fracture, and incomplete calcification of the apical bridge have led to the development of newer biocompatible materials such as MTA as the material of choice due to its superior clinical properties and clinical success in hermetically sealing the pulp space and preventing bacterial contamination from the outside. The existence of a damaged upper central incisor is highlighted in this case report. The radiographic examination revealed blunderbuss apices, the canal was cleaned using intracanal instruments and 3% NaOCl and saline. Following that, 3-4 mm of MTA was applied and left to set in consecutive sessions. The root canals were then obturated with a thermoplasticized approach before being recalled for endodontic repair. As a result, the use of MTA as an apical stopper in teeth with an open apex has a favourable clinical outcome.