Apexification for Root End Closure in Twickenham

Apexification Consultation and Assessment at London Dental Specialists

At London Dental Specialists, our apexification procedure for root end closure begins with a thorough consultation and assessment. This crucial first step ensures we can provide the most effective treatment for patients with immature permanent teeth that have lost pulp vitality.

During your initial visit, our endodontic specialists will:

• Conduct a comprehensive dental examination, including detailed X-rays to assess the extent of root development and any periapical pathology


• Review your medical and dental history to understand any factors that may influence treatment


• Evaluate the tooth's restorability and long-term prognosis


• Discuss treatment options, including the benefits and potential risks of apexification

Our team will explain the apexification process, which involves inducing the formation of a calcified barrier at the root terminus. This procedure is crucial for:

• Preserving immature permanent teeth


• Facilitating proper root canal treatment


• Preventing further complications and potential tooth loss

What to Expect During Your Consultation

Following the assessment, our specialists will recommend the most appropriate apexification technique, which may involve either traditional calcium hydroxide treatment or modern biocompatible materials like Mineral Trioxide Aggregate (MTA) for a single-visit apexification procedure.

We prioritise patient comfort and understanding, ensuring you are fully informed and comfortable with the proposed treatment plan before proceeding to the next steps of the apexification process.

Apexification for Root End Closure: Custom Treatment Plan

At London Dental Specialists, our apexification procedure is tailored to each patient's unique needs. Following the initial consultation, we develop a customised treatment plan to address the specific challenges of your immature permanent tooth.

Key Components of Our Apexification Treatment Plan:

• Root Canal Disinfection: Thorough cleaning and sterilisation of the root canal system


• Barrier Material Selection: Choice between calcium hydroxide or Mineral Trioxide Aggregate (MTA)


• Apical Plug Formation: Creation of a biocompatible barrier at the root apex


• Root Canal Reinforcement: Strengthening of thin dentinal walls if necessary


• Follow-up Schedule: Planned appointments to monitor healing and root development

Our Apexification Procedure Steps:

1. Canal Preparation: Careful cleaning and shaping of the root canal system


2. Disinfection: Application of antimicrobial agents to eliminate bacteria


3. Barrier Material Placement: Insertion of calcium hydroxide or MTA to induce apical closure


4. Radiographic Confirmation: X-ray imaging to ensure proper placement of materials


5. Temporary Seal: Application of a temporary filling to protect the tooth between visits

Advantages of Our Modern Apexification Techniques:

Our endodontists at London Dental Specialists are skilled in both traditional and modern apexification techniques. We'll recommend the most suitable approach based on your specific case, considering factors such as root development stage, tooth position, and overall oral health.

Post-Treatment Care and Monitoring

Following the apexification procedure, we provide comprehensive aftercare instructions and schedule regular follow-up appointments to:

• Assess the formation of the apical barrier


• Monitor root development and tooth stability


• Evaluate the need for any additional treatments


• Ensure long-term success of the apexification

At London Dental Specialists, we're committed to preserving your natural teeth through advanced endodontic procedures like apexification. Our custom treatment plans are designed to provide the best possible outcomes, helping you maintain a healthy, functional smile for years to come.

Apexification for Root End Closure Treatment Procedures

Apexification is a vital endodontic procedure performed at London Dental Specialists to induce root end closure in immature permanent teeth with necrotic pulp. This treatment is crucial for preserving teeth that have incomplete root development due to trauma or infection.

Our specialists employ advanced techniques to create a calcified barrier at the root apex, allowing for proper sealing of the root canal system. The procedure typically involves:

• Thorough canal disinfection to eliminate bacteria and prevent further infection


• Application of biocompatible materials to stimulate apical barrier formation


• Careful monitoring of root development and healing over time

Key Steps in Our Apexification Process:

1. Canal preparation and cleaning: Removal of necrotic tissue and shaping of the root canal


2. Disinfection: Use of antimicrobial agents to ensure a sterile environment


3. Barrier material placement: Application of calcium hydroxide or Mineral Trioxide Aggregate (MTA)


4. Radiographic confirmation: X-ray imaging to verify correct material placement


5. Temporary sealing: Protection of the tooth between appointments

At London Dental Specialists, we offer both traditional and modern apexification techniques:

Our endodontists carefully assess each case to determine the most appropriate apexification method, considering factors such as:

• Stage of root development


• Presence of periapical pathology


• Patient's age and overall oral health

Post-Treatment Care and Follow-up

Following the apexification procedure, we provide comprehensive aftercare instructions and schedule regular follow-up appointments to:

• Monitor the formation of the apical barrier


• Assess root development and tooth stability


• Determine the appropriate time for final root canal obturation

At London Dental Specialists, our commitment to excellence ensures that your apexification treatment is performed with the utmost care and precision, giving your tooth the best chance for long-term retention and function.

Post Apexification for Root End Closure Treatment Care

Proper aftercare following apexification treatment is essential for ensuring successful root end closure and long-term tooth preservation. At London Dental Specialists, we provide comprehensive post-treatment care instructions to maximise the effectiveness of your apexification procedure and promote optimal healing.

After your apexification treatment, our endodontists will monitor the formation of the calcified barrier at the root apex through scheduled follow-up appointments. Regular radiographic assessment is crucial to evaluate the development of the apical barrier and determine when final root canal obturation can be completed.

Essential Post-Treatment Care Guidelines:

• Maintain excellent oral hygiene by brushing twice daily and flossing regularly


• Avoid biting on hard foods with the treated tooth until final restoration is placed


• Attend all scheduled follow-up appointments to monitor healing progress


• Take any prescribed medications as directed by your endodontist


• Report any unusual symptoms such as pain, swelling, or discomfort immediately

The healing process after apexification varies depending on the technique used. With traditional calcium hydroxide treatment, multiple visits over 6-24 months may be required to achieve complete apical barrier formation. MTA-based apexification typically requires fewer follow-up appointments but still necessitates careful monitoring.

What to Expect During Recovery:

Once the apical barrier is confirmed through radiographic examination, our specialists will complete the final root canal obturation and permanent restoration of your tooth. This final step is crucial for preventing reinfection and ensuring the long-term success of the apexification treatment.

At London Dental Specialists, we remain committed to your dental health throughout the entire apexification process. Our team is always available to address any concerns or questions you may have during your recovery period, ensuring you receive the highest standard of endodontic care.