In cariously exposed immature permanent teeth, the treatment choice is controversial in pediatric dentistry. Radical root canal treatment usually appears to be the solution for these teeth. Even partial pulpotomy is a vital treatment for traumatically exposed immature permanent teeth; extending the borders of indication towards cariously exposed immature permanent teeth with reversible pulpitis...

dental trauma generally requires multidisciplinary planning and treatment for good prognosis. when immature teeth are traumatized to a degree where pulp necrosis ensues, the objective of root canal treatment should be apexogenesis and root maturation. apexification of the root is the conventional choice, which involves cleaning the canal and filling it with a temporary medication that stimulate...

this case report describes the multidisciplinary management of subgingival horizontal crown–root fracture of an immature permanent maxillary central incisor in a 10-year-old boy. after removal of the fractured fragment, pulpotomy was performed within 48 h from the injury to promote apexogenesis. the tooth was orthodontically extruded until the fracture line was located above the alveolar bone l...

BACKGROUND INFORMATION Stem cells from apical papilla (SCAPs) are a potent candidate for the apexogenesis/apexification due to their multiple differentiation capacity. During the orthodontic treatment of developing teeth, SCAPs in vivo are usually subjected to the cyclic stress induced by compression forces. However, it remains unclear whether mechanical stress can affect the proliferation and ...

BACKGROUND Pulp capping in carious teeth has been considered unpredictable and therefore contraindicated. A recently developed material, mineral trioxide aggregate (MTA), resists bacterial leakage and may provide protection for the pulp, allowing repair and continued pulp vitality in teeth when used in combination with a sealed restoration. METHODS Forty patients aged 7 to 45 years accepted p...

Introduction: Complicated crown fractures involve enamel, dentin, and pulp and occur in 0.9 to l3% of all dental injuries. If left untreated, will always result in pulp necrosis but, if it handled correctly, prognosis of the pulp following a traumatic crown fracture can be favorable. Case Report: The present case report describes an apexogenesis report of a 9-year old boy referred to department...

Background Currently, clinical endodontics includes procedures that are based on the ability of stem cells to accomplish repair (eg, direct pulp capping, apexogenesis, apexification, and even pulpal regeneration). An attempt is made to critically assess the current status in pulp regeneration therapy. Methods: Systematically, 2 distinctly different strategies exist involving stem cells for t...

Introduction: Complicated crown fractures involve enamel, dentin, and pulp and occur in 0.9 to l3% of all dental injuries. If left untreated, will always result in pulp necrosis but, if it handled correctly, prognosis of the pulp following a traumatic crown fracture can be favorable. Correspondence: Saeedeh Sadr, DMS, MS. ...

The aim of this paper is to show and asses the clinical applications of the Mineral Trioxide Aggregate (MTA) in pediatric dentistry, either on primary teeth or on immature apex permanent teeth. We have described the primary tooth pulpotomy technique using MTA, that is characterized by a superior biocompatibility and a sealing ability that make it a more suitable compound compared to other mater...

Currently calcium hydroxide is often used as an intra-canal medication during root canal treatment. It has a pH of approximately 12.5, and it has antimicrobial activity, tissue-dissolving ability, inhibits tooth resorption and induces repair by hard tissue formation. It has been promoted for intra-canal placement for various endodontic conditions, including apexification, apexogenesis, after tr...