MANAGEMENT OF THE YOUNG PERMANENT TEETHWITH PULP DISEASES – A THERAPEUTIC GUIDE OF TEETHWITH OPEN APEX
Abstract:
The treatment of the young permanent teeth with pulp diseases or necrosis is still a therapeutic
challenge for any specialist. During the last 10-15 years, the specific therapeutic methods for immature
teeth have evolved from conventional endodontic techniques to new concepts for regenerative
endodontic treatment belonging to tissue engineering field. Knowledge and choosing the most effective
therapeutic methods depends largely on determining the degree of pulp injury and the stage of root
development. This article presents a systematic review of young permanent teeth features and the most
used therapeutic methods and specific materials for immature teeth which are based on two different
approaches respectively, apexogenesis (maturogenesis) and apexification. A big challenge was launched
by a new concept regarding immature teeth clinically diagnosed with necrosis and apical periodontitis
which are able to initiate, even under these conditions, apexogenesis process that will generate a normal
thickness of dentine walls and an adequate root length.
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