Apexification in anterior tooth: case report

ABSTRACT Incomplete root formation is characterized by the apical end of the root not being fully developed. This condition can occur due to traumatic oral injuries in children and adolescents, carious lesions, or other events that may cause partial or total damage to the pulp tissue. The treatment...

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Main Authors: Maria Luiza Zamparoni Victorino, Gláucia Beatriz Gonçalves, Thais Cristina Vendrameto Borges, Marcelo Augusto Seron, Ricardo Sérgio Almeida, Fausto Rodrigo Victorino
Format: Article
Language:English
Published: Faculdade São Leopoldo Mandic 2025-04-01
Series:RGO: Revista Gaúcha de Odontologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372025000100803&lng=en&tlng=en
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author Maria Luiza Zamparoni Victorino
Gláucia Beatriz Gonçalves
Thais Cristina Vendrameto Borges
Marcelo Augusto Seron
Ricardo Sérgio Almeida
Fausto Rodrigo Victorino
author_facet Maria Luiza Zamparoni Victorino
Gláucia Beatriz Gonçalves
Thais Cristina Vendrameto Borges
Marcelo Augusto Seron
Ricardo Sérgio Almeida
Fausto Rodrigo Victorino
author_sort Maria Luiza Zamparoni Victorino
collection DOAJ
description ABSTRACT Incomplete root formation is characterized by the apical end of the root not being fully developed. This condition can occur due to traumatic oral injuries in children and adolescents, carious lesions, or other events that may cause partial or total damage to the pulp tissue. The treatment of these teeth requires special attention due to their anatomical characteristics, such as wide canals and thin, fragile canal walls. Therefore, the objective of this study was to present a clinical case of endodontic treatment in tooth 21 with incomplete root formation. The patient was referred to the endodontic specialization clinic, an initial periapical radiograph was taken which revealed that tooth 21 had incomplete root formation and a periapical lesion, and a CT scan was requested. After clinical and imaging examinations, it was diagnosed as chronic apical abscess. The endodontic treatment was initiated, with intracanal medication exchanges using calcium hydroxide, the creation of an apical plug, and obturation using Hemospon and MTA, and it was restored with composite resin. It was concluded that endodontic treatment using an apical plug with Hemospon in teeth with incomplete root formation is an effective technique, and prolonged follow-up is suggested.
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spelling doaj-art-8eef42f0053648e4a661407f36a5fafa2025-08-20T02:26:02ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372025-04-017310.1590/1981-86372025000620240051Apexification in anterior tooth: case reportMaria Luiza Zamparoni Victorinohttps://orcid.org/0000-0002-4483-0984Gláucia Beatriz Gonçalveshttps://orcid.org/0009-0005-9999-4635Thais Cristina Vendrameto Borgeshttps://orcid.org/0009-0006-0064-6372Marcelo Augusto Seronhttps://orcid.org/0000-0001-7160-6550Ricardo Sérgio Almeidahttps://orcid.org/0000-0002-1427-936XFausto Rodrigo Victorinohttps://orcid.org/0000-0002-4603-5829ABSTRACT Incomplete root formation is characterized by the apical end of the root not being fully developed. This condition can occur due to traumatic oral injuries in children and adolescents, carious lesions, or other events that may cause partial or total damage to the pulp tissue. The treatment of these teeth requires special attention due to their anatomical characteristics, such as wide canals and thin, fragile canal walls. Therefore, the objective of this study was to present a clinical case of endodontic treatment in tooth 21 with incomplete root formation. The patient was referred to the endodontic specialization clinic, an initial periapical radiograph was taken which revealed that tooth 21 had incomplete root formation and a periapical lesion, and a CT scan was requested. After clinical and imaging examinations, it was diagnosed as chronic apical abscess. The endodontic treatment was initiated, with intracanal medication exchanges using calcium hydroxide, the creation of an apical plug, and obturation using Hemospon and MTA, and it was restored with composite resin. It was concluded that endodontic treatment using an apical plug with Hemospon in teeth with incomplete root formation is an effective technique, and prolonged follow-up is suggested.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372025000100803&lng=en&tlng=enCoated materials, biocompatibleCone beam computed tomographyDentistryEndodonticsOral pathology
spellingShingle Maria Luiza Zamparoni Victorino
Gláucia Beatriz Gonçalves
Thais Cristina Vendrameto Borges
Marcelo Augusto Seron
Ricardo Sérgio Almeida
Fausto Rodrigo Victorino
Apexification in anterior tooth: case report
RGO: Revista Gaúcha de Odontologia
Coated materials, biocompatible
Cone beam computed tomography
Dentistry
Endodontics
Oral pathology
title Apexification in anterior tooth: case report
title_full Apexification in anterior tooth: case report
title_fullStr Apexification in anterior tooth: case report
title_full_unstemmed Apexification in anterior tooth: case report
title_short Apexification in anterior tooth: case report
title_sort apexification in anterior tooth case report
topic Coated materials, biocompatible
Cone beam computed tomography
Dentistry
Endodontics
Oral pathology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372025000100803&lng=en&tlng=en
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