What is apexogenesis or denervation in children? In many cases, endodontists encounter clinical cases where the tooth has not fully grown, but due to the extensive caries that has developed in it and due to the accident that damaged it, root canal treatment and interventions (pediatric nerve pulling) are necessary.. What is apexogenesis? Apexogenesis is a process that compensates for the deficiencies of the direct placement of the crown on the inflamed tooth pulp, which is not fully developed.... The purpose of apexogenesis is to preserve the living tissue of the pulp, so that its root growth continues even with the closure of the apical part. is.... At certain time intervals after the treatment, a chart is prepared to ensure the growth of the root.. It should be noted that in most cases the pulp recovers and no other treatment is needed.... This treatment requires the observance of very strict principles of the child's life... effectively by the root canal specialist. Implementation steps Children's neurosurgery For this process, most of the coronal part of the tooth pulp is drained, often until the canal is perforated, after which a calcium hydroxide paste is placed over the wound as a bandage.... To do this, it is strongly recommended that the process be carried out in a completely sterile environment, for this purpose, the use of a sterile abrasive is recommended... It can be a high-speed diamond drill that is sufficiently cooled by water, the purpose of which is to to cause the least damage to the underlying tissues of the pulp. After cutting the apical part of the dental pulp, the pulp cavity is washed with sterile saline solution or sterile water to remove all remaining particles... Then the excess fluid must be dried with a vacuum device or sterile cotton balls with great care... Air must not be introduced into the other tissue, which may cause drying of the pulp. get stuck. Finally, a crown restoration should be laid that ensures maximum flooding for a long time. care after neurectomy of children Up to one year after treatment, the patient should return for an examination every three months and then every six months for 2 to 4 years to determine whether the root formation was successful or not, and there are no signs and symptoms of pulp necrosis, root resorption, or disease around the root of the tooth. Materials used for coating on paper pulp Various materials are used to cover the pulp wound, but research has shown that the use of calcium peroxide is more predictable in terms of clinical success in the long term. Calcium peroxide paste with a pH of about 12.5 causes very limited and superficial chemical damage to the living tissues of the pulp. have given. Treatment Considerations Before starting any dental treatment, clinical examinations and detailed radiographs must be performed.... The vitality of the pulp and the health of the tissues around the root must be checked.. In most clinical situations, the pulp sensitivity test (temperature stimulus, electric pulp test) shows the presence or absence of the pulp.. Other clinical tests such as pressure and inflammatory changes of the tissue around the root also show.. Provide. Radiographic tests can provide specific information about the extent of carious lesions, root growth, the presence of peri-root disease, root or crown degeneration, or root failure. Source: https://www.oralhealthgroup.com/features/endodontics-apexogenesis-in-an-incompletely-developed-permanent-tooth -with-pulpal-exposure/#:~:text=Apexogenesis%20is%20a%20procedure%20which, with%20apical%20closure%20can%20 occur....