Apexogenesis Versus Apexification

Endodontic management of the immature permanent tooth with an open apex is a challenge to clinicians. Their concerns when treating teeth with ¿blunderbuss¿ canals are primarily related to adequacy of disinfection of the canal space and obturation difficulties, especially in controlling working length .The appropriate treatment can be apexogenesis and apexification for managing the necrotic immature permanent teeth.