YW and YC were involved in the conception and planning of the study. This chapter discusses in-depth various techniques that encourage continued root growth and root maturation in immature permanent teeth where the pulp is injured or necrosed. Tabarsi B, Parirokh M, Eghbal M, et al. Clinical and radiographic evaluation of partial pulpotomy in carious exposure of permanent molars. http://www.aapd.org/media/Policies_Guidelines/BP_PulpTherapy.pdf, https://www.aae.org/specialty/clinical-resources/guide-clinical-endodontics/, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12903-019-0917-z, Dental techniques; tools, materials and surgical research. 2014;40:599–605. 2008;87A:706–9. A natural meliorate: revolutionary tissue engineering in endodontics. Materials used in pulpotomy dressing usually affect the success rate of pulpotomy. Mineral trioxide aggregate (MTA) is a material used worldwide in a variety of clinical applications, such as an apical barrier for teeth with immature apices, repair of root perforations, root-end lling, pulp capping, and pulpotomy 2014;737503. NIH Pulpotomy is recommended by the American Association of Pediatric Dentistry for the management of pulp exposure in immature permanent teeth to achieve apexogenesis (continued root formation and closure of apex) . Vital pulp therapies have been used in primary teeth and immature permanent teeth. Sedigheh S, Alireza SS, Jafar EM. All of the included studies were evaluated to have a high risk of bias due to the types of interventions that do not permit the blinding of the operators. REFERENCES. Teeth with immature roots should show continued normal root development and apexogenesis . Vital pulpotomy in the primary dentition: attitudes and practices of specialists in Paediatric dentistry practising in the United Kingdom. Fifty-four teeth were treated successfully in the MTA group and 53 teeth were treated successfully, in the CH group. Of the five studies, four were parallel trials and the remaining study was a split-mouth trial. It is important to develop biocompatible treatment directed at … regarded complete apical closure as radiographic success criteria , Eppa et al. 2007 Jun;8(2):99-104. doi: 10.1007/BF03262577. BACKGROUND: Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. Cookies policy. Treatments were considered successful in all cases according to the following criteria: absence of clinical symptoms, … (a) (b) (c) (d) Figure 3 Radiographic … This article reports two cases of immature permanent mandibular molars with clinical signs of pulp vitality and radiographic images of periapical bone rarefaction, which were treated with calcium hydroxide pulpotomy. This conclusion may be biased, owing to the lack of high quality studies and limited number of study subjects. The challenge in the management of immature permanent teeth with pulp exposed to caries or trauma is to maintain the pulp vitality as well as achieve continued root formation. However, with the advent of new bioactive material, the paradigm is shifting toward permanent teeth with mature apices of roots. PubMed Google Scholar. 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