One Step Apexification in a Resorbed Tooth Using Autologous PRF as Internal Matrix and Biodentine Apical Plug

Abstract

Apexification is defined as a method to induce a calcific barrier in a root with open apex or the continued apical development of an incompletely formed root in teeth with necrotic pulp tissue. The presented case was of a 26‑year‑old male patient with discoloured tooth associated with external resorption and periapical pathology in relation to the upper front right tooth. Teeth with open apex due to root end resorption pose difficulties during endodontic treatment because of the wide‑open root apex and thin dentin walls. This article describes the procedure of single‑visit apexification using a new calcium silicate‑based material (Biodentine) as an apical barrier along with platelet‑rich fibrin as internal matrix.