Modified Apexification Procedures in Immature Necrotic Permanent Teeth: A Case Report

Immature necrotic permanent teeth with a significant amount of coronal hard tissue loss are treated by apexification procedures. These procedures do not encourage further root maturation, predisposing the teeth to possible root fractures. The modified apexification procedure simulates regenerative endodontic procedures in encouraging root development in terms of increased dentine thickness contributing to improved resistance to fracture, while allowing the canal space to be used for core retention. This case report presents an immature tooth treated by the modified apexification procedure with an 18-month follow-up. CPD/Clinical Relevance: An alternative therapy in managing immature necrotic permanent teeth is of relevance to clinicians.