Children and Adolescents

Immature teeth sometimes behave differently than mature, fully-formed adult teeth and require specialized care. An injured immature tooth may need one of the following procedures to improve the chances of saving the tooth:

regeneration/Apexogenesis

This procedure encourages the root to continue development as the pulp is healed. Soft tissue is covered with medication to encourage growth. The tip of the root (apex) will continue to close as the child gets older. In turn, the walls of the root canal will thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better the chance to save the tooth.  New research in this area, called pulpal regeneration provides exciting new opportunities to save immature teeth and allow them to mature with minimal intervention.

Apexification

In this case, the unhealthy pulp is removed. The doctors place medication into the root to help a hard tissue form near the root tip. This hardened tissue provides a barrier for the root canal filling. At this point, the root canal walls will not continue to develop, making the tooth susceptible to fractures. So it is important to have the tooth properly restored by your dentist.