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Dental injuries are common in childhood especially in the peaks relating to the first instance of toddler's stage infant mobility, and later to increasing adventurous games and activities. Endodontic management of pulpless permanent tooth with a wide-open blunderbuss apex has long presented a challenge to dentistry. Although highly successful, apexification should be the treatment of last resort in a tooth with an incompletely formed root. Attention should be focused on the maintenance of vitality in these teeth so that as much root length and dentin formation as possible can occur in the root. Indirect pulp therapy, vital pulp capping and pulpotomy techniques have proved successful, aided by the tremendous blood supply present with the open apex. These procedures should be the treatment of choice if there is a possibility of success with any of them. When the tooth with an incompletely formed apex becomes pulpless or periapical disease has developed, apexification is the preferred treatment. Author Information Kavitarani Rudagi is Assistant Professor at the Datta Meghe Institute of Medical Sciences (Deemed University), Sharad Pawar Dental College, Conservative Dentistry and Endodontic department. Dr. Rudagi earned her B.D.S. degree from KLE’s Dental College, Belgaum. She pursued her M.D.S degree in the speciality of Conservative Dentistry and Endodontics at the Pravara Institute of Medical Sciences (Deemed University). She is on the Scientific Advisory Board as a reviewer for International Journal of Oral Sciences, has published in national and international peer reviewed journals. Currently, she is involved in various research projects like regenerative endodontics and biologic restorative materials. Her practice is restricted to Conservative Dentistry and Endodontics.
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