Management of Immature Teeth - A Paradigm Shift From Apexification To Apexogenesis.

ABSTRACT

Apexification has been a routine procedure for treating immature non-vital teeth with apical pathosis. Even with the advent of single visit apexification procedure using MTA as an apical barrier, no apexification method can produce the outcome that apexogenesis can achieve. Two new clinical concepts have emerged recently. A revascularization procedure is one approach, in which new vital tissue is expected to form in the cleaned canal space, allowing continued root development in terms of both length and thickness. The other approach is the tissue engineering technology to implant or regenerate the pulp tissue. This article will review the recent concepts in the treatment of immature teeth with non-vital pulps.