Endodontic Management of Traumatized Permanent Teeth in the Pediatric Patient: Narrative Review

Résumé fourni par la source

Traumatic dental injuries in children and adolescents commonly affect the anterior permanent teeth and can threaten pulp vitality, root development and long-term survival. Management is more challenging in immature teeth, where the right choice depends on the type of injury, the state of the pulp and the extent of root formation. Diagnosis is the decisive first step: sensibility tests should be read over several visits rather than judged at a single visit and cone-beam computed tomography is used only when it will change the plan. When the pulp can be kept alive, vital pulp therapy, particularly partial pulpotomy, gives high success rates, with mineral trioxide aggregate and biodentine performing comparably. For necrotic immature teeth, mineral trioxide aggregate apexification produces a reliable apical barrier in fewer visits than calcium hydroxide does, while regenerative procedures also allow the root to continue developing. Early treatment, biologically driven planning and consistent long-term follow-up remain the basis of a good outcome.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.