Apexification of an infected untreated immature tooth with calplus (Calcium hydroxide paste with Iodoform)

Apexification is a method to induce a calcific barrier across an open apex or the sustained apical development of an incomplete root in teeth with necrotic pulp. Apical closure occurs approximately three years after eruption. Apexification is a treatment option that is done with the aim of apical repair by formation of hard tissue barrier through apex. Conventionally, a calcified barrier is inducted using a calcium hydroxide mixture. Various materials that can be used for apexification include Calcium hydroxide, MTA, Tricalcium phosphate, Dentin chips, Calcium phosphate ceramics and hydroxyapatite and bone morphogenetic proteins. Calcium hydroxide is the most common and traditional material employed for inducing apexification. Multi visit technique requiring 6-24 months to complete by using calcium hydroxide paste with Iodoform.