The Complications of Apexification with Calcium Hydroxide: Two Case Reports

Traumas to immature permanent teeth (IPT) are very common. They are characterized not only by their complexity but also by their treatment particularity. These traumas can lead to necrosis resulting in the cessation of root formation. In this case, apexification would be one of the therapeutics to be used. It aims to induce the formation of an apical barrier using several materials such as calcium hydroxide (Ca (OH) 2). Recent studies have shown that the longterm use of calcium hydroxide as a root canal dressing may increase the risk of root fracture due to radicular dentin weakening. In this article, we will present two clinical cases that were treated in the Department of Pediatric Dentistry and Prevention at the Dental Clinic of Monastir. Two patients, aged 8 and 9, consulted at our department following a trauma with necrosis and cessation of root formation. Apexification using (Ca (OH) 2) was initiated few months ago.

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