Healing the Open Apex: A Case Report on Innovative Apexogenesis of a Maxillary Molar Using Bio-C Repair

Preserving pulp vitality in developing permanent teeth is paramount. This approach facilitates continued root formation, ultimately leading to apical closure, enhanced root strength, and improved overall tooth integrity. This case report details the management of a 17-year-old female patient presenting with dental caries on the right permanent maxillary molar. Clinical and radiographic examinations revealed reversible pulpitis in the tooth with an immature apex. The case highlights the use of a novel bioceramic cement, Bio-C Repair (Angelus, Londrina, Brazil), for apexogenesis. Treatment was performed under rubber dam isolation. This involved caries removal and extirpation of the inflamed coronal pulp. Subsequently, the residual radicular pulp was covered with Bio-C Repair cement. Follow-up examinations at one, three, and six months demonstrated normal tooth function and a normal response to pulp sensibility tests. No signs or symptoms of pulpal pathology were observed. The radiographic evaluation confirmed complete root development. Therefore, Bio-C Repair, with its convenient ready-to-use format, can facilitate faster and more efficient management of open apices.