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Endodontic Treatment for Young Permanent Teeth

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Contemporary Endodontics for Children and Adolescents

Abstract

The endodontic treatment of young permanent immature teeth differs from that of mature permanent teeth due to their high potential healing properties. Diagnosis of the pulp status is critical in determining the appropriate treatment plan. It is based on clinical and radiographic examination and occasionally use of CBCT.

The gradual propagation of bacterial invasion into the pulp tissue enables the removal of the coronal part of pulp tissue followed by the placement of a bioceramic material. The decision to perform a partial or cervical pulpotomy is based on the ability to stop the bleeding. The use of mineral trioxide aggregate and other calcium silicate cements is associated with better outcomes than calcium hydroxide. The procedure is expected to promote healing and preserve the vitality of the tooth.

If the pulp becomes necrotic, revascularization of the immature pulp can enable periapical repair and continued root development. Following pulp space disinfection and blood clot induction, a bioceramic material is placed over the clot. Favorable results and high survival rates were reported.

In almost mature roots, when other treatment options fail, root canal treatment is carried out. Distinct problems in disinfection and obturation make the treatment more challenging and may also necessitate apexification.

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Authors and Affiliations

  1. Department of Endodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel

    Eyal Nuni

  2. Department of Endodontics, Galilee College of Dental Sciences, Nahariya, Israel

    Iris Slutzky-Goldberg

  3. Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel

    Iris Slutzky-Goldberg

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  1. Eyal Nuni
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  2. Iris Slutzky-Goldberg
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Editors and Affiliations

  1. Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Anna B. Fuks

  2. Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel

    Moti Moskovitz

  3. The Goodman Faculty of Life Sciences, Bar Ilan University, Ramat Gan, Israel

    Nili Tickotsky

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Nuni, E., Slutzky-Goldberg, I. (2023). Endodontic Treatment for Young Permanent Teeth. In: Fuks, A.B., Moskovitz, M., Tickotsky, N. (eds) Contemporary Endodontics for Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-031-23980-9_17

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  • DOI: https://doi.org/10.1007/978-3-031-23980-9_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-23979-3

  • Online ISBN: 978-3-031-23980-9

  • eBook Packages: MedicineMedicine (R0)

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