PMC6011120_01
Clinical photograph of tooth 45 with an occlusal restoration of the access cavity and fractured dens evaginatus tubercle of tooth 35.
CRID2018-6535480.001.jpg
PMC6011120_01_CRID2018-6535480.001.jpg
fig1
Tooth 45 has an occlusal glass ionomer dressing of the access cavity made for the pulp extirpation earlier by the GDP (Figure 1).
Periapical radiograph of tooth 45 showing immature root apex.
CRID2018-6535480.002.jpg
PMC6011120_01_CRID2018-6535480.002.jpg
fig2
The pulp space of tooth 45 is of an even width from the coronal to the apical portion (Figure 2).
Periapical radiograph of tooth 45 after apexification with EndoSequence Root Repair Material.
CRID2018-6535480.003.jpg
PMC6011120_01_CRID2018-6535480.003.jpg
fig3
Finally, under the guidance of a dental operating microscope (Carl Zeiss Surgical GmbH, S100), the apical region was filled using the EndoSequence (BC RRM-Fast Set Putty, Brasseler, USA) material up to 4 mm thickness to create an apical seal (Figure 3).
Periapical radiograph of tooth 45 after root canal obturation with thermoplasticised gutta-percha.
CRID2018-6535480.004.jpg
PMC6011120_01_CRID2018-6535480.004.jpg
fig4
NaOCl, and dried with paper points. Next, the dried canal was obturated with thermoplasticised gutta-perca using the Obtura III Max System (Obtura Spartan  Endodontics) (Figure 4).
Periapical radiograph of tooth 45, 6-month postapexification showing complete root maturogenesis.
CRID2018-6535480.005.jpg
PMC6011120_01_CRID2018-6535480.005.jpg
fig5
No evidence of periapical radiolucency was noted (Figure 5).