Abstract

CARDOSO PEREIRA, Andrea et al. Clinical alternatives for treatment of traumatized immature teeth: an update review. Rev. Estomatol. Herediana [online]. 2016, vol.26, n.4, pp.271-280. ISSN 1019-4355.

Necrotic pulp of teeth with open apex leads to challenges in endodontic treatment because the anatomy of the root canal is incompletely formed with widely open apex, root walls thin and fragile and reduced root length. In these situations, four treatment options are available: 1) Apexification with periodic exchanges of intracanal medication (ICM), until radiographic evidence of apical closure; 2) Apexification without exchanges of ICM; 3) Apical barrier using mineral-trioxide-aggregate (MTA) or Biodentine; 4) Pulp revascularization. The endodontist should be attentive to the evolution of treatment techniques and dental materials, with their limitations and directions. This article reviews the literature on the different forms of treatment in cases of traumatized immature teeth, indicating the advantages, disadvantages and limitations of each one.

Keywords : Apexification; calcium hydroxide; biocompatible materials.

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