Apicoformation or apicogenesis is an endodontic treatment performed on young permanent teeth. From the age of 6 to 18 years the eruption of permanent teeth takes place. It takes about three years from the time a permanent tooth erupts into the mouth until its root development is complete. If during this time pulp necrosis occurs, that is, the death of the nerve of the tooth, either due to caries or trauma, root development stops and the tooth will require endodontic treatment, known as apicoforming.
Since it is an immature tooth that has not completed its formation. The main difficulty of this treatment lies in sealing the apex (end of the root) which is much wider than in the adult tooth.
How long does the treatment of apicoformation last?
Traditionally, the formation of an apical stop was induced, which meant carrying out the treatment in multiple appointments every three months and for a period of up to three years. Today, we have a material (MTA) that, together with bioceramic materials, allows us to create an apical barrier, so that apicoforming is reduced to just a couple of sessions.
Can the patient bite normally after apicoforming?
Once the patient has overcome the typical postoperative discomfort, he/she will be able to bite normally, although he/she should always bear in mind that this is a tooth with more fragile walls, since it has not completed its development. If in doubt, consult a dental specialist.