Clinical Management of a Tooth that Presented with Necrotic Pulp and an Open Apex: A Case Report

Authors

DOI:

https://doi.org/10.17159/sadj.v80i05.21934

Keywords:

Apexification, hypochlorite, physiological, necrotic

Abstract

Pulpal injuries that occur during root development usually present challenges to the treating clinicians. Two approaches are usually taken, which are the apexification or the apexogenesis. Successful treatment is dependent upon prompt diagnosis and complete understanding of the biological processes.

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Author Biography

  • Mmakereke Portia Sithole



References

1. Rafter M. Apexification: a review. Dent Traumatol. 2005; 21(1): 1-8. DOI: https://doi.org/10.1111/j.1600-9657.2004.00284.x

2. Goldstein S, Sedaghat-Zandi A, Greenberg M, Friedman S. Apexification &apexogenesis. N Y State Dent J. 1999; 65(5): 23-5.

3. Mousivand S, Sheikhnezami M, Moradi S, Koohestanian N, Jafarzadeh H. Evaluation of the outcome of apexogenesis in traumatised anterior and carious posterior teethusing mineral trioxide aggregate: a 5-year retrospective study. Aust Endod J. 2022;48(3). DOI: https://doi.org/10.1111/aej.12583

4. Murray PE. Review of guidance for the selection of regenerative endodontics,apexogenesis, apexification, pulpotomy, and other endodontic treatments forimmature permanent teeth. Int Endod J. 2023; 56 (Suppl 2): 188-99. DOI: https://doi.org/10.1111/iej.13809

5. Levin L, Day PF, Hicks L, et al. International Association of Dental Traumatologyguidelines for the management of traumatic dental injuries: General introduction. DentTraumatol. 2020; 36(4): 309-13. DOI: https://doi.org/10.1111/edt.12574

6. Shaik I, Dasari B, Kolichala R, et al. Comparison of the Success Rate of MineralTrioxide Aggregate, Endosequence Bioceramic Root Repair Material, and Calcium Hydroxide for Apexification of Immature Permanent Teeth: Systematic Review andMeta-Analysis. J Pharm Bioallied Sci. 2021; 13(Suppl 1): S43-7. DOI: https://doi.org/10.4103/jpbs.JPBS_810_20

7. do Couto AM, Espaladori MC, Leite APP, Martins CC, de Aguiar MCF, Abreu LG. ASystematic Review of Pulp Revascularization Using a Triple Antibiotic Paste. PediatrDent. 2019; 41(5): 341-53.

8. Sari S. Cvek pulpotomy: report of a case with five-year follow-up. ASDC J Dent Child.2002; 69(1): 27-30.

9. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol. 1993; 9(6): 238-42. DOI: https://doi.org/10.1111/j.1600-9657.1993.tb00279.x

10. Jiang J, Zuo J, Chen SH, Holliday LS. Calcium hydroxide reduces lipopolysaccharidestimulated osteoclast formation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2003; 95(3): 348-54. DOI: https://doi.org/10.1067/moe.2003.18

11. Guerrero F, Mendoza A, Ribas D, Aspiazu K. Apexification: A systematic review. JConserv Dent. 2018; 21(5): 462-5. DOI: https://doi.org/10.4103/JCD.JCD_96_18

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Published

2025-08-26

How to Cite

Kabini, S. N., & Sithole, M. P. (2025). Clinical Management of a Tooth that Presented with Necrotic Pulp and an Open Apex: A Case Report. South African Dental Journal, 80(05), 263-265. https://doi.org/10.17159/sadj.v80i05.21934

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