Apexification of an Immature Tooth with Cold Ceramic: A Case Report

 Apexification with calcium hydroxide is the traditional method to create an apical seal in open-apex teeth. Recently, single-visit apexification with suitable materials has gained popularity. A material suggested for this aim should have low solubility, low toxicity, and biocompatibility, and induce a calcified barrier and regenerate bone and PDL. Cold ceramic, introduced as a root-end filling material, has exhibited favorable properties for apexification in previous studies.

This case report describes successful apexification of a maxillary right central incisor in a 10-year-old girl with cold ceramic. One- and two-year follow-ups showed resolution of the lesion, absence of any clinical signs, new PDL formation, and bone regeneration.

 According to the results, cold ceramic can be considered an effective material for apexification.