Mastering the open apex: Evidence based strategies for clinical success

The management of teeth with open apices remains one of the most demanding challenges in endodontic practice, particularly in the presence of pulp necrosis. Achieving successful outcomes requires a deep understanding of the underlying biological processes and the application of modern, evidence-based treatment protocols with technical precision. This webinar will present current strategies for managing immature teeth with necrotic pulps and open apices, with a focus on achieving predictable and long-term results.

The management of teeth with open apices remains one of the most demanding challenges in endodontic practice, particularly in the presence of pulp necrosis. Achieving successful outcomes requires a deep understanding of the underlying biological processes and the application of modern, evidence-based treatment protocols with technical precision. This webinar will present current strategies for managing immature teeth with necrotic pulps and open apices, with a focus on achieving predictable and long-term results. Key topics will include updated disinfection protocols, the clinical decision-making process between regenerative endodontic procedures and apical barrier techniques, reinforcement of thin root canal walls and proper selection and application of advanced bioceramic materials. Through clinical case presentations and discussion of recent literature, participants will gain practical tools to support predictable decision-making and improve outcomes in the treatment of immature teeth.

Participants will learn to:

• Recognize clinical indications and challenges associated with open apices.
• Choose between apexification and regenerative techniques based on case factors.
• Apply evidence-based protocols for disinfection and apical seal formation.
• Improve long-term outcomes using advanced bioceramic materials and modern techniques.