Protecting Young Smiles After Trauma: Apexification at Adelaide Gum Doctor with Dr. Deon Naicker

Unlike fully developed teeth, young permanent teeth have open, thin-walled root ends (apices). If the pulp in these immature teeth is compromised by trauma (like a blow or fracture), the root may stop developing. This open apex makes traditional root canal treatment challenging because there's no natural barrier to seal against.

Apexification is a specialized endodontic procedure performed by Dr. Deon Naicker to stimulate the formation of a hard tissue barrier at the open apex of an immature permanent tooth with a necrotic (dead) or infected pulp. This creates a closed end to the root, allowing for a predictable root canal filling and long-term tooth retention.

• Pulp Necrosis Occurs: The trauma damages the pulp beyond repair, leading to its death.
• Root Development is Incomplete: The root has not yet fully formed a closed apex.
• Traditional Root Canal is Difficult: The open apex makes it challenging to achieve a proper seal with conventional materials.

Without apexification, the tooth remains vulnerable to persistent infection, bone loss, and eventual tooth loss. Creating a closed apex allows for a stable and healthy long-term outcome.

• Diagnosis and Assessment: Clinical evaluation and high-resolution 3-D CBCT imaging to assess root development and infection extent.
• Anesthesia: The tooth and surrounding area are gently numbed with local anesthesia.
• Pulp Removal and Disinfection: Necrotic tissue is removed and the canal system thoroughly disinfected.
• Calcium Hydroxide Placement: Biocompatible medication is placed to disinfect and stimulate hard tissue barrier formation.
• Temporary Filling: Protects the tooth between appointments.
• Monitoring and Re-evaluation: Periodic clinical and radiographic checks over several months; medication may be refreshed.
• Confirmation of Apex Formation: Once the apical barrier forms, the final root canal filling is completed.
• Final Restoration: Your dentist will place a permanent restoration, often a crown, to protect the tooth.

The procedure is performed under local anesthesia, ensuring your child's comfort during treatment. Some mild sensitivity may occur after each appointment, but this is usually manageable with over-the-counter pain relievers.

• Saves Immature Permanent Teeth: Allows retention of a tooth that would otherwise be lost.
• Encourages Natural Root Closure: Stimulates the root to complete development.
• Creates a Sealable Root Apex: Enables successful, predictable root canal filling.
• Promotes Long-Term Tooth Health: Provides a stable foundation for function.
• Maintains Space for Adult Dentition: Helps prevent orthodontic issues from premature tooth loss.
• Expert and Gentle Care: Specialist endodontic skills for the best outcomes.
• Advanced Imaging: 3-D CBCT for accurate diagnosis and planning.

If your child has experienced trauma to a young permanent tooth, early intervention is crucial. Contact Adelaide Gum Doctor to schedule a consultation with Dr. Deon Naicker to discuss if apexification is the right treatment to protect their smile's future.