Abstract

KABINI, SN  and  SITHOLE, MP. Clinical Management of a Tooth that Presented with Necrotic Pulp and an Open Apex: A Case Report. S. Afr. dent. j. [online]. 2025, vol.80, n.5, pp.263-265. ISSN 0375-1562.  https://doi.org/10.17159/sadj.v80i05.21934.

INTRODUCTION: 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. AIMS AND OBJECTIVES: This case study aims to report on six-week follow-ups on a young patient who presented with a necrotic pulp on a tooth with an open apex. METHODS: A 14-year-old female patient presented with a fractured right central incisor tooth. The radiographic examination demonstrated an open apex with internal root resorption. The tooth was filed with ProTaper Next files and irrigated with sodium hypochlorite. Calcium hydroxide was placed in the root canal and the tooth was temporarily restored with glass ionomer material. The patient was seen after six weeks to evaluate the progress of treatment. RESULTS: There were signs of apex formation and narrowing of the root canal after the placement of calcium hydroxide. CONCLUSIONS: Apexification was successfully accomplished in a young patient who presented with necrotic pulp that was treated with calcium hydroxide paste.

Keywords : Apexification; Apexogenesis; Calcium hydroxide; Mineral trioxide aggregate.

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