An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontists. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers and revascularization. Calcium phosphate is a calcium silicate-based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of calcium phosphates as an apical matrix barrier in root end apexification procedure. This case report presents apexification and follow-up of a case with the use of calcium phosphate as an apical barrier matrix.

Dental fluorosis discoloration and maxillary anterior tooth spacing are problems that require aesthetic management. Various factors will influence the selection of restorative techniques and materials used for the treatment. The digital smile designing (DSD) is a tool that helps in diagnostic vision, improve communication, and enhance predictability throughout the treatment in esthetic dentistry. In this case report, a simplified version of DSD using Microsoft PowerPoint was described. Here, we also discuss the management of dental fluorosis and a maxillary anterior tooth spacing of a young female by microabrasion, frenectomy, and direct composite restoration.