Apexification

Apexification is a dental procedure that induces calcified barrier formation in immature teeth with non-vital pulp, allowing proper root end closure and preserving tooth integrity for long-term oral health.

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When it comes to children or young adults with dental injuries or infected teeth, the root of the tooth might not be fully developed yet. In such cases, saving the tooth requires a special approach and that’s where a gentle and effective procedure called Apexification comes in.

What Is Apexification?

In simple words, apexification is a way to help a damaged or infected young tooth finish forming its root properly.

Normally, the roots of permanent teeth continue to develop for a while after they erupt. But if a young tooth is injured or has an infection before its root is fully grown, it becomes difficult to treat with regular root canal methods.

Apexification helps us create a natural barrier at the tip of the root, so we can safely clean and seal the tooth — and help it stay strong for years to come.

When Is Apexification Needed?

This treatment is usually recommended when:

  • A young permanent tooth gets injured or broken
  • The tooth has a deep cavity or infection
  • The root is not fully developed, making it hard to seal the tooth normally

Our goal is to save the natural tooth, even if it’s weak or not fully formed yet.

How Does It Work?

Here’s a quick and simple explanation:

  1. We gently clean the inside of the tooth to remove infection or damaged tissue.
  2. Then we place a special healing material inside (usually a calcium-based compound or a modern material like MTA or Biodentine).
  3. This helps your body form a hard barrier at the end of the root.
  4. Once the barrier forms, we finish the root canal treatment and seal the tooth.

It may take a few visits depending on how the root develops, but every step is done carefully and painlessly.

Apexification

Is It Safe? Will It Hurt?

Not at all. Apexification is:

✅ Completely safe and gentle
✅ Done under local anesthesia — no pain during treatment
✅ Aimed at saving the tooth rather than removing it
✅ Suitable for children and young adults

After treatment, there might be a little soreness for a day or two, which usually goes away with mild medication if needed.

Why It Matters

Losing a young tooth early can lead to many issues — from difficulty in chewing and speaking to problems with jaw growth and alignment. Apexification allows us to save that tooth and support healthy dental development.

It’s a small procedure that makes a big difference in keeping your child’s smile healthy and natural.

We’re Here to Help

If your child has suffered a dental injury or has a persistent tooth problem, don’t wait. Early care can save the tooth and prevent future trouble.

Talk to us today about apexification or any concerns you may have. We’re here to guide you — with care, kindness, and the best treatment options for your child.

Because every smile deserves a strong, healthy future.

Read also: Apexogenesis

Frequently Asked Questions

The apexification method is a dental procedure used to induce root-end closure in non-vital immature teeth with incomplete root formation. It involves cleaning the root canal, disinfecting it, and placing biocompatible materials like calcium hydroxide or mineral trioxide aggregate (MTA) to stimulate hard tissue barrier formation. This treatment helps stabilize the tooth’s structure and allows proper sealing, preventing reinfection while preserving tooth functionality, especially in young patients with developing permanent teeth.

The best material for apexification is Mineral Trioxide Aggregate (MTA) due to its proven success in stimulating apical barrier formation and maintaining periapical health. MTA’s biocompatibility, dimensional stability, and ability to set in moist environments make it superior to other materials. While calcium hydroxide was once the standard, MTA has largely replaced it in pediatric endodontics because it achieves predictable outcomes, reduces treatment time, and provides long-term success in root-end closure procedures.

The apex of the root is the tip or the very end of a tooth’s root. It is where the tooth’s root canal opens, allowing nerves and blood vessels to enter the tooth. The apex plays a crucial role in maintaining tooth vitality and supporting its connection to surrounding tissues.

Apexification and Apexogenesis are both endodontic procedures for immature teeth, but they differ in pulp vitality and treatment goals. Apexification is performed on non-vital teeth to create an artificial apical barrier and allow sealing of the root canal. In contrast, Apexogenesis in Pediatric Dentistry is done on vital teeth to preserve pulp tissue and promote natural root growth. The Apexogenesis procedure helps continue root development and strengthens the tooth, maintaining its natural vitality.

MTA (Mineral Trioxide Aggregate) is widely used in apexification because of its excellent sealing ability, biocompatibility, and ability to promote hard tissue formation at the root apex. It induces the deposition of cementum-like tissue, encouraging biological closure of the root tip. Additionally, MTA provides superior antibacterial properties, minimal microleakage, and faster healing compared to traditional calcium hydroxide, making it the material of choice in modern pediatric endodontic treatments like apexification procedures.

Yes, obturation can be performed using MTA, especially in cases of apexification where a complete apical barrier is formed. MTA not only acts as an apex-filling material but also provides an excellent seal against bacterial penetration. Its bioactive properties encourage periapical tissue regeneration, making it ideal for filling irregular canal spaces in immature teeth. Many clinicians prefer MTA obturation for young patients as it combines strength, biological compatibility, and durable sealing efficiency.

NABH Certified Clinic

Dr. Roshan Dental Care Centre proudly holds the prestigious NABH accreditation, a mark of excellence in healthcare quality and patient safety. This certification is rare and demonstrates our commitment to world-class dental care.

Key Highlights:

  • Only 400 dental hospitals in India have NABH certification
  • Among just 3 dental hospitals in Chennai with this accreditation
  • Recognition of our high standards in patient safety and clinical care
  • Commitment to continuous quality improvement and transparency