Open Apex: Challenges And Treatment Strategies

The golden rule of endodontic treatment is to remove all the debris, shape the root canal irrigate and obturate the canals efficiently in three dimensions in a specific amount of time and appointments of a reasonable time of a normal patient. Most of the endodontic treatment cases can be managed predictably and comfortably, there are some patients that defy the predictable routine treatment. This patients are those which have teeth with immature apical formation. Teeth with incomplete rhizogenesis, pose a special challenge to the dentists because of large open apices, divergent root walls, thin dentinal walls that are susceptible to fracture and frequent periapical lesions. This patients requires a specially treatment plan, different from the other patients, requiring much more time to complete depending on the degree of apical immaturity.