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Apexification and Apexogenesis
Apexification and Apexogenesis
APEXIFICATION
Dr.Sharaz Ahmed
Operative Dentistry
APEXOGENESIS
APEXOGENESIS
A vital pulp therapy procedure performed to
encourage physiological development and
formation of the root end.
OR
with MTA
procedure
Anesthesia and isolatio, appropriate access cavity
Removal of necrotic pulp; barbed broach or H files
Workinglength determination 2mm short of apex then
cleaning, shaping and copious irrigation and then dry the
canals.
MTA is mixed according to manufacturer instructions then
introduced into the canal with MTA carrier checked with
radiographs.
Pluggers are used to condense MTA into an apical 3-4 mm
barrier.
A moist cotton pellet is place and left to ensure setting
Recall after 48 hrs for obturating the remaining part of the
root canal and placement of permanent restoration.
Apexification pre-treatment showing
open apex.