What Is Apexification?
When a young permanent tooth is injured or infected before it's fully developed, traditional root canal treatment may not be possible right away. That's because the root tip, or apex, hasn't closed yet — and without that closure, the root canal can't be properly sealed. Apexification at Silberman Endodontics is a specialized procedure that encourages the root to form a hard barrier at the tip, giving the tooth a better chance of long-term health and stability. Drs. Jaime Silberman and Lawrence Posner use apexification treatment to stop infection and support healing in immature teeth with damaged or dead pulp (often following an injury). By placing a biocompatible material inside the root canal, we can create the conditions needed for the body to form a calcified barrier at the root tip. This allows us to seal the canal and preserve the natural tooth, even in cases where normal root development has stopped. If your child has a permanent tooth that is showing signs of infection, we urge you to schedule a consultation and exam at our endodontic practice in Boynton Beach, FL to learn how we can help preserve their natural smile.
How Does an Apexification Treatment Work?
Your child's apexification procedure will take place in several steps and may require one or multiple visits to our Boynton Beach, FL practice. The process begins with a careful evaluation and digital imaging to confirm that the root is underdeveloped and to check for infection. If there is still some healthy inner pulp, we may instead recommend apexogenesis, a similar treatment aimed at preserving as much healthy tissue as possible. After examining the tooth, we'll gently clean out the root canal and disinfect the area to remove bacteria and inflamed tissue. At that point, we'll apply a biocompatible material to the root canal, which will encourage the body to form a hard, calcified barrier at the tip. Depending on how the tooth responds, we may schedule follow-up apexification appointments to ensure the root is properly sealed. Once a solid barrier has formed, we'll complete the apexification treatment with a permanent filling and discuss dental restorations to maintain the tooth's strength and function.
What Are the Benefits of Apexification?
Apexification encourages the root to close naturally, helping to preserve the tooth's function and appearance and giving it a stronger foundation for future care. We prefer apexification whenever possible at Silberman Endodontics because it offers a predictable way to save a still-developing tooth that might otherwise be lost. The benefits of apexification for your child include:
- Saves teeth with undeveloped roots that would otherwise be lost
- Stimulates natural healing at the root tip
- Reduces the risk of reinfection or structural damage
- Creates the conditions needed for successful root canal filling
- Preserves bite alignment and long-term oral health
- Allows for future restoration with a crown if needed
Silberman Endodontics Reviews
Today I had a root canal performed by Dr. Posner, and it was truly an outstanding experience from start to finish. Scheduling the appointment was easy, and the treatment itself exceeded all my expectations.Dr. Posner took the time to explain the entire procedure before getting started, which made me feel very comfortable and confident. During the root canal, I barely felt a thing. It has now been over eight hours since the procedure, and I have not needed to take a single painkiller.This was, without a doubt, the best dental experience I have ever had. Dr. Posner’s professionalism, skill, and caring approach are exceptional. I only wish they offered general dentistry as well, because I would gladly make them my full-time dental office.Thank you, Dr. Posner and your entire team, for such excellent care.Ashok Kumar
As a physician myself I appreciate the outstanding care I received on a a challenging root canal .thanks
Dr Silberman operates a very efficient office and his assistant was very professional. He carefully explained everything regarding my root canal procedure. Thank you for making this unpleasant experience tolerable!
I honestly cannot say enough good things about my experience with Silberman Endodontics. From my initial consultation to my treatment today, the entire process exceeded every expectation I had.The office is welcoming, professional, and incredibly well-run. Every staff member I interacted with was kind, attentive, and genuinely cared about making me feel comfortable. Going to an endodontist is not exactly something most people look forward to, but they made the experience surprisingly stress-free from start to finish.Dr. Jaime Silberman is outstanding. He took the time to thoroughly explain everything, answered all of my questions, and made me feel completely confident in the treatment plan. His skill, professionalism, and attention to detail were obvious throughout the entire procedure. What could have been a nerve-wracking experience turned into one that was smooth, comfortable, and reassuring.If you need endodontic treatment, I would recommend Silberman Endodontics without hesitation. Five stars isn't enough. Thank you to Dr. Silberman and the entire team for such an outstanding experience.
Amazing place! Very professional, teeth done well, clean space, great staff, and doctor Posner is very sweet and good with his patients.
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Stronger, Healthier Teeth for Your Child
At Silberman Endodontics, Drs. Jaime Silberman and Lawrence Posner specialize in preserving natural teeth — even in complex cases like immature roots and early trauma. If your child or teen has a damaged tooth that hasn't fully developed, apexification may offer a safe, effective way to support healing and avoid tooth loss. Call our Boynton Beach, FL office today to schedule a consultation and learn whether this treatment is the right option for long-term protection and care.