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Regenerative endodontic treatment helps in true pulpal regeneration and re-establishment of the pulp-dentin complex, which leads to revitalisation of the tooth. It may be an alternative treatment option in the management of root resorption especially when the prognosis is deemed poor because of severe resorption.
Visual of tooth decay. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. [1] The minimally invasive, endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp tissues to heal and regenerate plus the availability of advanced endodontic materials.
Apexogenesis (Vital pulp) The process of maintaining pulp vitality during pulpal treatment to allow continued development of the entire root (apical closure occurs approximately 3 years after eruption). 1. Isolate the tooth with a rubber dam 2. Perform a pulpotomy procedure. 3.
Apexification is a method of dental treatment to induce a calcific barrier in a root with incomplete formation or open apex of a tooth with necrotic pulp. [1] Pulpal involvement usually occurs as a consequence of trauma or caries involvement of young or immature permanent teeth. As a sequelae of untreated pulp involvement, loss of pulp vitality ...
Exposure of the pulp causes pulpitis (an inflammation which can become irreversible, leading to pain and pulp necrosis, and necessitating either root canal treatment or extraction). [1] The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy (or reversibly inflammed) dental pulp, and avoid the need for root canal ...
This allows the endodontist to choose the most appropriate treatment option, allowing preservation and longevity of the tooth and surrounding tissues. Treatment options for an irreversibly inflamed pulp (irreversible pulpitis) include either extraction of the tooth or removal of the pulp. Partial pulp amputation (pulpotomy) is the treatment of ...
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Periradicular surgery should be very considered where previous endodontic treatment has failed, and possible re-root treatment is the preferred option. [4] If re-root treatment is not possible, will not correct the problem or patient factors prevent it, periradicular surgery is indicated.