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Modern endodontic therapy for an incompletely developed tooth
Barry G Bishop1, Gordon W Woollard
1U.S. Army Dental Activity, Fort Benning, Georgia, USA.
General Dentistry
|July 16, 2002
Summary
Preserving immature teeth with irreversible pulp issues is key in dentistry. Apexogenesis and apexification techniques promote root development, with mineral trioxide aggregate showing promise.
Area of Science:
- Dentistry
- Endodontics
- Regenerative Endodontics
Background:
- Preserving a functional, esthetic, and pain-free dentition is a primary goal in modern dentistry.
- Irreversible pulp pathology in immature permanent teeth can interrupt normal apical maturation.
- Conventional endodontic obturation is challenging and potentially inadequate for immature teeth.
Purpose of the Study:
- To review conventional endodontic techniques for immature teeth with irreversible pulp pathology.
- To discuss the success of apexogenesis and apexification in root development and apical construction.
- To introduce mineral trioxide aggregate as a promising material in these treatments.
Main Methods:
- Review of existing literature on apexogenesis and apexification techniques.
- Analysis of conventional endodontic obturation challenges in immature teeth.
- Evaluation of mineral trioxide aggregate's properties and application.
Main Results:
- Apexogenesis and apexification have demonstrated success in achieving adequate root development and apical construction.
- Conventional obturation methods present difficulties in immature teeth.
- Mineral trioxide aggregate is identified as a material with potential benefits.
Conclusions:
- Apexogenesis and apexification are effective endodontic strategies for immature teeth with irreversible pulp pathology.
- Mineral trioxide aggregate warrants further investigation for its role in regenerative endodontics.
- Successful management of immature teeth ensures long-term dental health and function.