New endodontic procedures using mineral trioxide aggregate (MTA) for teeth with traumatic injuries. Pediatr Dent 2008;30(1):34-41. Holan G, Fuks AB, Keltz N. Success rate of formocresol pulpotomy in primary molars restored with stainless steel crown vs amalgam. J Endod 2006;32(5):389-98. Fuks AB, Papagiannoulis L. Pulpotomy in primary teeth: Review of the literature according to standardized criteria. Eur Arch Paediatr Dent 2006;7(2):64-71. Fairbourn DR, Charbeneau GT, Loesche WJ. Pediatr Dent 2008;30(3):230-6. Pediatr Dent 2005;27(6):478-81. Indirect pulp treatment of primary posterior teeth: A retrospective study. Radiographic assessment of primary molar pulpotomies restored with resin-based materials. Camp JH, Fuks AB. Bakland LK. | Management of trauma to the teeth and supporting tissues. In: Dean JA, Avery DR, McDonald RE, eds. Endodontic management of immature young permanent teeth - Duration: 17:52. Rabchinsky J, Donly KJ. Patients were assessed for clinical and radiographic outcomes by 2 examiners. Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. Obturation as close as possible to the cementodentinal junction should be accomplished with gutta percha or other filling material acceptable as described in the AAE’s Guide to Clinical Endodontics.14, Apexification (root end closure). American Association of Endodontists. The first step is the removal of carious dentin along the dentin-enamel junction (DEJ) and excavation of only the outermost infected dentin, leaving a carious mass over the pulp. if obtainable, radiograph(s) to diagnose pulpitis or necrosis showing the involved tooth, furcation, periapical area, and the surrounding bone. Adverse post-treatment clinical signs or symptoms of sensitivity, pain, or swelling should not be evident. Results: The application of partial pulpotomy procedures in immature permanent teeth with complicated crown fractures has resulted in the formation of hard tissue barrier and complete root development. J Dent. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98(3): 376-9. There should be no radiographic evidence of internal or external root resorption, periapical radiolucency, abnormal calcification, or other pathologic changes. Burnett S, Walker J. The primary objective of pulpotomy is to preserve radicular pulpal tissues that may help to complete apexogenesis in immature permanent teeth. Indications: Direct pulp capping is indicated for a permanent tooth that has a small carious or mechanical exposure in a tooth with a normal pulp. Indirect pulp capping in the primary dentition: A 4 year follow-up study. Pediatr Dent 2007;29(3):228-35. Long-term outcomes of primary molar ferric sulfate pulpotomy and root canal therapy. In immature permanent teeth with traumatic exposed pulps, partial and total pulpotomy are the treatment of choice [6–15]. Quintessence Int 2006;37(4):297-303. However, iRoot BP was superior in terms of ease of clinical application, and would therefore be a better treatment alternative than MTA. 5 terms. ... what is used for a direct pulp cap for immature permanent teeth. Objectives: The tooth’s vitality should be maintained. Formation of the apex in vital, young, permanent teeth can be accomplished by implementing the appropriate vital pulp therapy described in this section (i.e., indirect pulp treatment, direct pulp capping, partial pulpotomy for carious exposures and traumatic exposures). Brännström M. Communication between the oral cavity and the dental pulp associated with restorative treatment. Partial pulpotomy for carious exposures. Indications: A partial pulpotomy is indicated in a young permanent tooth for a carious pulp exposure in which the pulpal bleeding is controlled within several minutes.
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