Root apex closure may occur up to few years following the eruption of the tooth. Pulpal involvement due to trauma or caries in immature permanent teeth can trigger the loss of pulpal vitality as well as directly affect root development. The treatment approach involves closure of apex with a material having good biocompatibility as well as filling of remaining root canal space with bioceramic material.
Saikat Chatterjee, Debarpan Mandal, Abiskrita Das, Indrajit Biswas, Raghunath Shil, Paromita Mazumdar, Niladri Maiti. Endodontic management of open apices by two bioactive materials: A case series. International Journal of Medical and Health Research, Volume 5, Issue 8, 2019, Pages 19-22