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Stomatologija 2012; 14 (3): 71-80 118 KB

Review of the success of pulp exposure treatment of cariously and traumatically exposed pulps in immature permanent incisors and molars

Jekaterina Gudkina, Anda Mindere, Gundega Locane, Anda Brinkmane

Summary

The decision to retain immature permanent tooth with pulp disease is problematical. Restoring the tooth would normally involve some form of pulp capping/pulpotomy procedure or a more radical pulpectomy and root canal treatment.

Pulp capping/pulpotomy procedures, where all or part of the pulp is retained, relies upon an accurate assessment of the pulp condition, and the careful management of the remaining healthy tissue. Pulpectomy or root canal treatment is technically difficult as the root apex is open with the result that conventional preparation and filling techniques are compromised. On the other hand, the inappropriate extraction of immature teeth with pulp disease will result in immediate aesthetic and functional difficulties that may require the patient to have orthodontic or restorative care that will have potential life-long implications, e. g. removable or fixed prosthesis. The aim of this article is to provide an overview of the aetiology of pulp disease in immature teeth and to review current evidence of the outcome of conservative pulp treatment.

Key words: non-formed apices, immature teeth, partial pulporomy, Ca(OH)2 pulpotomy, MTA pulpotomy.

Received: 21 10 2010

Accepted for publishing: 21 09 2012

¹Conservative Dentistry Department, Institute of Stomatology, Riga Stradins University, Riga, Latvia
²Private dental practice, Liepaja, Latvia

Jekaterina Gudkina¹ – MD, assist. prof.
Anda Mindere¹ – MD
Gundega Locane² – MD
Anda Brinkmane¹ – D.D.S., MD., PhD, prof.

Address correspondence to Dr. Jekaterina Gudkina, Conservative Dentistry Department, Institute of Stomatology, Riga Stradins University, Riga, Latvia.
E-mail address: andab@latnet.lv



	Baltic Dental and Maxillofacial Journal

September, 2012, Vol. 14, No. 3 CONTENTS REVIEWS Review of the success of pulp exposure treatment of cariously and traumatically exposed pulps in immature permanent incisors and molars Jekaterina Gudkina, Anda Mindere, Gundega Locane, Anda Brinkmane 71-80 SCIENTIFIC ARTICLES Needs for prosthetic treatment in Vilnius population at the age over 45 years old Kestutis Sveikata, Irena Balciuniene, Janina Tutkuviene 81-84 Augmentation of atrophic posterior maxilla by short implants and osteotome technique Mario Santagata, Salvatore D’Amato, Luigi Itro, Raffaele Rauso, Gianpaolo Tartaro 85-88 Immediate post-treatment crowned Herbst effects in growing patients Dalia Latkauskienė, Gundega Jakobsone 89-92 Standarts for permanent teeth emergence time and sequence in Lithuanian children, residents of Vilnius city Ruta Almonaitiene, Irena Balciuniene, Janina Tutkuviene 93-100 © 2012 Stomatologija		Stomatologija 2012; 14 (3): 71-80 118 KB Review of the success of pulp exposure treatment of cariously and traumatically exposed pulps in immature permanent incisors and molars Jekaterina Gudkina, Anda Mindere, Gundega Locane, Anda Brinkmane Summary The decision to retain immature permanent tooth with pulp disease is problematical. Restoring the tooth would normally involve some form of pulp capping/pulpotomy procedure or a more radical pulpectomy and root canal treatment. Pulp capping/pulpotomy procedures, where all or part of the pulp is retained, relies upon an accurate assessment of the pulp condition, and the careful management of the remaining healthy tissue. Pulpectomy or root canal treatment is technically difficult as the root apex is open with the result that conventional preparation and filling techniques are compromised. On the other hand, the inappropriate extraction of immature teeth with pulp disease will result in immediate aesthetic and functional difficulties that may require the patient to have orthodontic or restorative care that will have potential life-long implications, e. g. removable or fixed prosthesis. The aim of this article is to provide an overview of the aetiology of pulp disease in immature teeth and to review current evidence of the outcome of conservative pulp treatment. Key words: non-formed apices, immature teeth, partial pulporomy, Ca(OH)2 pulpotomy, MTA pulpotomy. Received: 21 10 2010 Accepted for publishing: 21 09 2012 ¹Conservative Dentistry Department, Institute of Stomatology, Riga Stradins University, Riga, Latvia ²Private dental practice, Liepaja, Latvia Jekaterina Gudkina¹ – MD, assist. prof. Anda Mindere¹ – MD Gundega Locane² – MD Anda Brinkmane¹ – D.D.S., MD., PhD, prof. Address correspondence to Dr. Jekaterina Gudkina, Conservative Dentistry Department, Institute of Stomatology, Riga Stradins University, Riga, Latvia. E-mail address: andab@latnet.lv