You said after apexogenesis and apex closure or root formation has been achieved, you then do the conventional RCT. Why do you have to do the RCT when the tooth is still considered vital?
The radicular pulp will likely become necrotic eventually, its the same as if you were to expose a pulp during a routine restoration, but you were to remove the entire cervical pulpal tissue instead, imagine the consequences of leaving that long term. This technique is only used for an immature permanent tooth that already pulpally involved, so that we can achieve root formation and apex closure, thus allowing for a sufficient apical seal during RCT obturation. In short: Apexogenesis there is a possibility the tooth will become non-vital. So, you should tell the patient it may require a RCT and crown in the future. Another possible complication is root resorption.
@@jordansutherlandmtb3321 Is it correct to say that RCT dont always need to be done after apexognesis, unless there is evidence of tooth becoming non vital?
same question- why not just proceed directly to Apexofication if eventually after root formation, we,ll do rct anyways? either apexogenesis or apexofication😂
Which type of Ca(OH)2 is used in apexification? Li Cal or Iodoform with Ca(OH)2 ?
Wonderfully simple explanation. TYSM!
Well explained Sir👍
Amazing explanation ❤
You said after apexogenesis and apex closure or root formation has been achieved, you then do the conventional RCT.
Why do you have to do the RCT when the tooth is still considered vital?
The radicular pulp will likely become necrotic eventually, its the same as if you were to expose a pulp during a routine restoration, but you were to remove the entire cervical pulpal tissue instead, imagine the consequences of leaving that long term. This technique is only used for an immature permanent tooth that already pulpally involved, so that we can achieve root formation and apex closure, thus allowing for a sufficient apical seal during RCT obturation.
In short: Apexogenesis there is a possibility the tooth will become non-vital. So, you should tell the patient it may require a RCT and crown in the future. Another possible complication is root resorption.
There is no need of RCT in apexogenesis
@@jordansutherlandmtb3321 Is it correct to say that RCT dont always need to be done after apexognesis, unless there is evidence of tooth becoming non vital?
same question- why not just proceed directly to Apexofication if eventually after root formation, we,ll do rct anyways? either apexogenesis or apexofication😂
thank you so much for this amazing explanation
Wonderful...really helpful
Thank you sir
We can say apexogenesis is physiological process
While apexification is mechanical process?
Very helpful, thank you
Very useful 👌 thank you
So basically apoxogenesis is polpotomy
No
Yes why no the pulpotomy is used for open apex for permanent teeth to achieve close apex to do root canal treatment@@Yukti-e
Good jop 👏