Pulp treatment for immature permanent teeth

Song,  Je Seon

J Korean Dent Assoc > Volume 57(8); 2019 > Article

The Journal of The Korean Dental Association 2019;57(8):464-473.
Published online August 31, 2019.

미성숙 영구치의 치수치료

송제선

연세대학교 치과대학 소아치과학교실

Pulp treatment for immature permanent teeth

Je Seon Song

Yonsei University, Dental College

Abstract

For dental pulp treatment of immature permanent teeth, direct pulp capping or partial/cervical pulpotomy (apexogenesis) procedures can be used if the dental pulp is vital. MTA (Mineral Trioxide Aggregate) is regarded as the first choice dressing material for these procedures because its higher success rate. It can be also used successfully for devitalized dental pulp which has been treated by calcium hydroxide. This apexification procedure with MTA has a few advantage such as short treatment period and increase of resistance against root fracture. Recently, regenerative endodontic treatment was introduced for devitalized immature pulp. It can maintain pulp vitality and lead to continuing root development although the dental pulp was devitalized.

Key Words: immature teeth;MTA(Mineral trioxide aggregate);vital dental pulp;devitalized pulp;apexification;apexogenesis;regenerative endodontic treatment;