Root completion and root apex closure continues till 3 years following the eruption of the tooth. Pulpal involvement as a consequence of trauma or caries in immature permanent teeth can lead to the loss of pulpal vitality as well as directly affect root development, resulting in short roots with very thin walls producing a greater risk of fracture and thus hindering the treatment. 1 Apexification is the most conventional method for management of immature permanent tooth with open apex. It is defined as a method to induce a calcified barrier in a root with an open apex or continued apical development of an incompletely formed root in teeth with necrotic pulp tissue. 2
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