MANAGEMENTUL AFEC?IUNILOR PULPARE ALE DIN?ILOR PERMANEN?I TINERI – UN GHID TERAPEUTIC AL DIN?ILOR CU APEX DESCHIS

摘要

Treatment of young permanent teeth with pulp diseases or necrosis is still a therapeutic challenge for any specialist. During the last 10-15 years, the specific therapeutic methods for immature teeth have evolved from conventional endodontic techniques to new concepts for regenerative endodontic treatment belonging to tissue engineering field. Knowledge and choosing the most effective therapeutic methods depends largely on determining the degree of pulp injury and the stage of root development. This article presents a systematic review of young permanent teeth features and the most used therapeutic methods and specific materials for immature teeth which are based on two different approaches respectively, apexogenesis (maturogenesis) and apexification. A big challenge was launched by a new concept regarding immature teeth clinically diagnosed with necrosis and apical periodontitis which are able to initiate, even under these conditions, apexogenesis process that will generate a normal thickness of dentine walls and an adequate root length.