International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 6 , ISSUE 1 ( January-March, 2016 ) > List of Articles


A Novel Approach for Apexification: A 2-year Follow-up

Pradnya V Bansode, Sagar S Deshpande

Citation Information : Bansode PV, Deshpande SS. A Novel Approach for Apexification: A 2-year Follow-up. Int J Prosthodont Restor Dent 2016; 6 (1):17-20.

DOI: 10.5005/jp-journals-10019-1147

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2016; The Author(s).



To present a novel approach for nonsurgical management of large periapical lesion with open apex by using White Portland Cement to create an apical plug leads to substantial periapical healing.


Radiographic examination in this case indicated previous root canal treated, immature tooth with a wide-open apex and a periapical radiolucency. After cleaning and shaping Triple antibiotic paste was placed for 3 weeks. Hydroxyapatite was mixed with sterile saline & placed beyond the canal apex until with the aim of creating a periapical barrier. WPC powder was then mixed with sterile water, carried inside the canal to create apical plug (4mm) and obturation. The remainder of the canal was filled with thermoplastic gutta-percha. This was followed by post &core and PFM crown. Clinical follow-up of 2 years revealed absence of clinical symptoms and substantial periapical healing.

How to cite this article

Deshpande SS, Bansode PV. A Novel Approach for Apexification: A 2-year Follow-up Case Report. Int J Prosthodont Restor Dent 2016;6(1)17-20.

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