Abstract
Introduction: Apexification is a method to create a calcification barrier in teeth with open apex and pulp necrosis. For many years, calcium hydroxide was the most common substance for this purpose. Nowadays, apexification with other materials that can yield better results in one session has become more popular.
 Case report: For a 9-year-old boy complained of “tooth decay”, apexification treatment was performed by MTA on the lower right sixth permanent molar and by cold ceramic on the lower left sixth permanent molar. At one-year follow-up, no symptoms were observed on clinical examination and radiography of both teeth.
 Conclusion: Cold ceramic such as MTA can be considered effective in the apexification of immature tooth with pulp necrosis.
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