Integrative management of open apex with regenerative endodontic therapy: A case report

In clinical practice, treating teeth with an open apex necessitates caution and diligence. In such circumstances, the grade of apical obturation has a direct bearing on the prognosis of endodontic treatment. Previously, a calcified barrier using calcium hydroxide treatment was advised as a therapy option for these patients; however, due to the method's numerous drawbacks, the current management approach advises apexogenesis via regenerative endodontic therapy. This report describes a case of regenerative endodontic treatment performed in immature permanent tooth with pulp necrosis & apical periodontitis as well as the effectiveness of a PRF-based regenerative protocol in non-vital young permanent tooth. After 1 year follow up, the tooth was clinically and radiographically asymptomatic and the healing of the apical area is visible.

Automated summary

Treating teeth with an open apex requires caution and diligence, as the apical obturation grade directly affects the prognosis of endodontic treatment. Regenerative endodontic therapy is now recommended over calcium hydroxide treatment for apexogenesis due to its advantages. This report presents a case of regenerative endodontic treatment in an immature permanent tooth and evaluates the effectiveness of a PRF-based regenerative protocol. After 1 year of follow-up, the tooth exhibited no symptoms and the apical area showed successful healing.