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Pulp Therapy in Pediatric Dentistry

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Pediatric Dentistry

Part of the book series: Textbooks in Contemporary Dentistry ((TECD))

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Abstract

Chapter 14 is about the management of pulpally which involved primary and young permanent teeth. The aim of pulp treatment in primary teeth is to keep them in function until natural shedding or at least until a stable occlusion has been achieved.

Regarding the diagnostic procedure, the value of medical history is stressed along with correct assessment and interpretation of clinical signs and symptoms of the dental history, important for the reversibility of pulp inflammation. Concerning the radiographic evaluation all relevant information about pulp proximity of the carious lesion and the condition of roots, i.e., root canal obliteration, internal / external root resorption, bone radiolucency, is discussed. The management of pulp related emergency cases in children is always a challenge for the dentist and the administration of effective antimicrobial and pain control medication is described. The techniques along with the materials used in indirect / direct pulp capping, pulpotomy and pulpectomy in primary teeth are thoroughly analyzed. Finally, the corresponding techniques and materials for young carious permanent teeth, mainly aiming at allowing root development, are presented.

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References

  1. Laing E, Ashley P, Naini FB, Gill DS. Space maintenance. Int J Paediatr Dent. 2009;19:155–62. https://doi.org/10.1111/j.1365-263X.2008.00951.x.

    Article  PubMed  Google Scholar 

  2. Duggal MS, Nooh A, High A. Response of the primary pulp to inflammation: a review of the Leeds studies and challenges for the future. Eur J Paediatr Dent. 2002;3:111–4.

    PubMed  Google Scholar 

  3. Kassa D, Day P, High A, Duggal M. Histological comparison of pulpal inflammation in primary teeth with occlusal or proximal caries. Int J Paediatr Dent. 2009;19:26–33. https://doi.org/10.1111/j.1365-263X.2008.00962.x.

    Article  PubMed  Google Scholar 

  4. Finucane D. Rationale for restoration of carious primary teeth: a review. Eur Arch Paediatr Dent. 2012;13:281–92.

    Article  PubMed  Google Scholar 

  5. Tickle M, Milsom KM, Humphris GM, Blinkhorn AS. Parental attitudes to the care of the carious primary dentition. Br Dent J. 2003;195:451–5. https://doi.org/10.1038/sj.bdj.4810600.

    Article  PubMed  Google Scholar 

  6. American Academy of Pediatric Dentistry. Antibiotic prophylaxis for dental patients at risk for infection. Pediatr Dent. 2017;39:374–9.

    Google Scholar 

  7. Santamaria RM, Innes NP, Machiulskiene V, Evans DJ, Splieth CH. Caries management strategies for primary molars: 1-yr randomized control trial results. J Dent Res. 2014;93:1062–9. https://doi.org/10.1177/0022034514550717.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. British Society of Paediatric Dentistry. Pulp therapy for primary molars. Int J Paediatr Dent. 2006;16(Suppl 1):15–23. https://doi.org/10.1111/j.1365-263X.2006.00774.x.

    Article  PubMed  Google Scholar 

  9. Kotsanos N, Arizos S. Evaluation of a resin modified glass ionomer serving both as indirect pulp therapy and as restorative material for primary molars. Eur Arch Paediatr Dent. 2011;12:170–5.

    Article  PubMed  Google Scholar 

  10. Ballesio I, Campanella V, Gallusi G, Marzo G. Chemical and pharmacological shaping of necrotic primary teeth. Eur J Paediatr Dent. 2002;3:133–40.

    PubMed  Google Scholar 

  11. Roeykens H, De Moor R. The use of laser Doppler flowmetry in paediatric dentistry. Eur Arch Paediatr Dent. 2011;12:85–9.

    Article  PubMed  Google Scholar 

  12. Fuks AB. Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. Pediatr Dent. 2008;30:211–9.

    PubMed  Google Scholar 

  13. Sonmez D, Sari S, Cetinbaş T. A comparison of four pulpotomy techniques in primary molars: a long-term follow-up. J Endod. 2008;34:950–5. https://doi.org/10.1016/j.joen.2008.05.009.

    Article  PubMed  Google Scholar 

  14. Alaluusua S, Veerkamp J, Declerck D. Policy document for the use of antibiotics in paediatric dentistry. 2002. https://www.eapd.eu/uploads/20A87CB2_file.pdf. Accessed at 22 Jan 2019.

  15. Peretz B, Nisan S, Herteanu L, Blumer S. Root resorption patterns of primary mandibular molars and location of the premolar successors: a radiographic evaluation. Pediatr Dent. 2013;35:426–9.

    PubMed  Google Scholar 

  16. Lugliè PF, Grabesu V, Spano G, Lumbau A. Accessory foramina in the furcation area of primary molars. A SEM investigation. Eur J Paediatr Dent. 2012;13:329–32.

    PubMed  Google Scholar 

  17. Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, FronChabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2018;5:CD003220. https://doi.org/10.1002/14651858.CD003220.pub3.

    Article  PubMed  Google Scholar 

  18. Dimitraki D, Papageorgiou SN, Kotsanos N. Direct pulp capping versus pulpotomy with MTA for carious primary molars: a randomised clinical trial. Eur Arch Paediatr Dent. 2019;20(5):431–40. https://doi.org/10.1007/s40368-019-00419-7.

    Article  PubMed  Google Scholar 

  19. Segura-Egea JJ, Gould K, Şen BH, Jonasson P, Cotti E, Mazzoni A, et al. European Society of Endodontology position statement: the use of antibiotics in endodontics: a review. Int Endod J. 2018;51:20–5. https://doi.org/10.1111/iej.12781.

    Article  PubMed  Google Scholar 

  20. Dhar V, Marghalani AA, Crystal YO, Kumar A, Ritwik P, Tulunoglu O, et al. Use of vital pulp therapies in primary teeth with deep caries lesions. Pediatr Dent. 2017;39(5):146–59.

    PubMed  Google Scholar 

  21. Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L. Primary tooth vital pulp therapy: a systematic review and Meta-analysis. Pediatr Dent. 2017;39(1):16–123.

    PubMed  Google Scholar 

  22. Massara ML, Alves JB, Brandao PR. Atraumatic restorative treatment: clinical, ultrastructural and chemical analysis. Caries Res. 2002;36:430–6. https://doi.org/10.1159/000066534.

    Article  PubMed  Google Scholar 

  23. Boutsiouki C, Frankenberger R, Krämer N. Relative effectiveness of direct and indirect pulp capping in the primary dentition. Eur Arch Paediatr Dent. 2018;19:297–309. https://doi.org/10.1007/s40368-018-0360-x.

    Article  PubMed  Google Scholar 

  24. Ni Chaollai A, Monteiro J, Duggal MS. The teaching of management of the pulp in primary molars in Europe: a preliminary investigation in Ireland and the UK. Eur Arch Paediatr Dent. 2009;10:98–103.

    Article  PubMed  Google Scholar 

  25. American Academy of Pediatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2016;38:280–8.

    Google Scholar 

  26. Coll JA. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Pediatr Dent. 2008;30:230–6.

    PubMed  Google Scholar 

  27. Tuna D, Olmez A. Clinical long-term evaluation of MTA as a direct pulp capping material in primary teeth. Int Endod J. 2008;41:273–8.

    Article  PubMed  Google Scholar 

  28. Trairatvorakul C, Koothiratrakarn A. Calcium hydroxide partial pulpotomy is an alternative to formocresol pulpotomy based on a 3-year randomized trial. Int J Paediatr Dent. 2012;22:382–9. https://doi.org/10.1111/j.1365-263X.2011.01211.x.

    Article  PubMed  Google Scholar 

  29. Leye Benoist F, Gaye Ndiaye F, Kane AW, Benoist HM, Farge P. Evaluation of mineral trioxide aggregate (MTA) versus calcium hydroxide cement (Dycal®) in the formation of a dentin bridge: a randomised controlled trial. Int Dent J. 2012;62:33–9. https://doi.org/10.1111/j.1875-595X.2011.00084.x.

    Article  PubMed  Google Scholar 

  30. Schwendicke F, Brouwer F, Schwendicke A, Paris S. Different materials for direct pulp capping: systematic review and meta-analysis and trial sequential analysis. Clin Oral Investig. 2016;20:1121–32. https://doi.org/10.1007/s00784-016-1802-7.

    Article  PubMed  Google Scholar 

  31. Srinivasan V, Patchett CL, Waterhouse PJ. Is there life after Buckley’s Formocresol? Part I - a narrative review of alternative interventions and materials. Int J Paediatr Dent. 2006;16:117–27.

    Article  PubMed  Google Scholar 

  32. Steffen R, van Waes H. Understanding mineral trioxide aggregate/Portland-cement: a review of literature and background factors. Eur Arch Paediatr Dent. 2009;10:93–7.

    Article  PubMed  Google Scholar 

  33. Costa CA, Hebling J, Hanks CT. Current status of pulp capping with dentin adhesive systems: a review. Dent Mater. 2000;16:188–97.

    Article  PubMed  Google Scholar 

  34. Tziafas D, Alvanou A, Komnenou A, Gasic J, Komnenou A. Effects of recombinant basic fibroblast growth factor, insulin-like growth factor-II and transforming growth factor-beta 1 on dog dental pulp cells in vivo. Arch Oral Biol. 1998;43:431–44.

    Article  PubMed  Google Scholar 

  35. Al-Hezaimi K, Javed F, Al-Fouzan K, Tay F. Efficacy of the enamel matrix derivative in direct pulp capping procedures: a systematic review. Aust Endod J. 2013;39:171–5. https://doi.org/10.1111/j.1747-4477.2012.00357.x.

    Article  PubMed  Google Scholar 

  36. Garrocho-Rangel A, Flores H, Silva-Herzog D, Hernandez-Sierra F, Mandeville P, Pozos-Guillen AJ. Efficacy of EMD versus calcium hydroxide in direct pulp capping of primary molars: a randomized controlled clinical trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:733–8. https://doi.org/10.1016/j.tripleo.2008.12.017.

    Article  PubMed  Google Scholar 

  37. Kotsanos N, Arapostathis KN, Arhakis A, Menexes G. Direct pulp capping of carious primary molars. A specialty practice based study. J Clin Pediatr Dent. 2014;38:307–12.

    Article  PubMed  Google Scholar 

  38. Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc. 2008;139:305–15.

    Article  PubMed  Google Scholar 

  39. Lin PY, Chen HS, Wang YH, Tu YK. Primary molar pulpotomy: a systematic review and network meta-analysis. J Dent. 2014;42:1060–77. https://doi.org/10.1016/j.jdent.2014.02.001.

    Article  PubMed  Google Scholar 

  40. Witherspoon DE, Small JC, Harris GZ. Mineral trioxide aggregate pulpotomies: a case series outcomes assessment. J Am Dent Assoc. 2006;137:610–8.

    Article  PubMed  Google Scholar 

  41. Barbosa AV, Sampaio GC, Gomes FA, de Oliveira DP, de Albuquerque DS, Sobral AP. Short-term analysis of human dental pulps after direct capping with Portland cement. Open Dent J. 2009;3:31–5. https://doi.org/10.2174/1874210600903010031.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Stringhini Junior E, Vitcel ME, Oliveira LB. Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol. Eur Arch Paediatr Dent. 2015;16:303–12. https://doi.org/10.1007/s40368-015-0174-z.

    Article  PubMed  Google Scholar 

  43. Moretti AB, Sakai VT, Oliveira TM, Fornetti AP, Santos CF, Machado MA, et al. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Int Endod J. 2008;41:547–55. https://doi.org/10.1111/j.1365-2591.2008.01377.x.

    Article  PubMed  Google Scholar 

  44. Ng FK, Messer LB. Mineral trioxide aggregate as a pulpotomy medicament: an evidence-based assessment. Eur Arch Paediatr Dent. 2008;9:58–73.

    Article  PubMed  Google Scholar 

  45. Milnes AR. Persuasive evidence that formocresol use in pediatric dentistry is safe. J Can Dent Assoc. 2006;72:247–8.

    PubMed  Google Scholar 

  46. Sakai VT, Moretti AB, Oliveira TM, Fornetti AP, Santos CF, Machado MA, et al. Pulpotomy of human primary molars with MTA and Portland cement: a randomised controlled trial. Br Dent J. 2009;207:E5. https://doi.org/10.1038/sj.bdj.2009.665.

    Article  PubMed  Google Scholar 

  47. Holan G, Eidelman E, Fuks AB. Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol. Pediatr Dent. 2005;27:129–36.

    PubMed  Google Scholar 

  48. Fuks AB, Papagiannoulis L. Pulpotomy in primary teeth: review of the literature according to standardized criteria. Eur Arch Paediatr Dent. 2006;7:64–71.

    Article  PubMed  Google Scholar 

  49. Dunston B, Coll JA. A survey of primary tooth pulp therapy as taught in US dental schools and practiced by diplomates of the American Board of Pediatric Dentistry. Pediatr Dent. 2008;30:42–8.

    PubMed  Google Scholar 

  50. Odabaj ME, Bodur H, Baris E, Demir C. Clinical, radiographic, and histopathologic evaluation of Nd:YAG laser pulpotomy on human primary teeth. J Endod. 2007;33:415–21.

    Article  Google Scholar 

  51. Saltzman B, Sigal M, Clokie C, Rukavina J, Titley K, Kulkarni GV. Assessment of a novel alternative to conventional formocresol-zinc oxide eugenol pulpotomy for the treatment of pulp- ally involved human primary teeth: diode laser-mineral trioxide aggregate pulpotomy. Int J Paediatr Dent. 2005;15:437–47.

    Article  PubMed  Google Scholar 

  52. Fumes AC, Sousa-Neto MD, Leoni GB, Versiani MA, da Silva LA, da Silva RA, et al. Root canal morphology of primary molars: a micro-computed tomography study. Eur Arch Paediatr Dent. 2014;15:317–26. https://doi.org/10.1007/s40368-014-0117-0.

    Article  PubMed  Google Scholar 

  53. Ozcan G, Sekerci AE, Cantekin K, Aydinbelge M, Dogan S. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature. Acta Odontol Scand. 2016;74:250–8. https://doi.org/10.3109/00016357.2015.1104721.

    Article  PubMed  Google Scholar 

  54. Pozos-Guillen A, Garcia-Flores A, Esparza-Villalpando V, Garrocho-Rangel A. Intracanal irrigants for pulpectomy in primary teeth: a systematic review and meta-analysis. Int J Paediatr Dent. 2016;26:412–25. https://doi.org/10.1111/ipd.12228.

    Article  PubMed  Google Scholar 

  55. Pramila R, Muthu MS, Deepa G, Farzan JM, Rodrigues SJ. Pulpectomies in primary mandibular molars: a comparison of outcomes using three root filling materials. Int Endod J. 2016;49:413–21. https://doi.org/10.1111/iej.12478.

    Article  PubMed  Google Scholar 

  56. Barcelos R, Santos MP, Primo LG, Luiz RR, Maia LC. ZOE paste pulpectomies outcome in primary teeth: a systematic review. J Clin Pediatr Dent. 2011;35:241–8.

    Article  PubMed  Google Scholar 

  57. Chandrasekhar S, Prasad MG, Radhakrishna AN, Saujanya K, Raviteja NVK, Deepthi B, Ramakrishna J. A comparative In vivo efficacy of three spiral techniques versus incremental technique in obturating primary teeth. J Indian Soc Pedod Prev Dent. 2018;36:71–5. https://doi.org/10.4103/JISPPD.JISPPD_365_16.

    Article  PubMed  Google Scholar 

  58. Walia T, Ghanbari AH, Mathew S, Ziadlou AH. An in vitro comparison of three delivery techniques for obturation of root canals in primary molars. Eur Arch Paediatr Dent. 2017;18:17–23. https://doi.org/10.1007/s40368-016-0258-4.

    Article  PubMed  Google Scholar 

  59. Chen X, Liu X, Zhong J. Clinical and radiographic evaluation of pulpectomy in primary teeth: a 18-months clinical randomized controlled trial. Head Face Med. 2017;13:12. https://doi.org/10.1186/s13005-017-0145-1.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Holan G, Fuks AB. A comparison of pulpectomies using ZOE and KRI paste in primary molars: a retrospective study. Pediatr Dent. 1993;15(6):403–7.

    PubMed  Google Scholar 

  61. Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18(1):57–63.

    PubMed  Google Scholar 

  62. Conde MCM, Chisini LA, Sarkis-Onofre R, Schuch HS, Nör JE, Demarco FF. A scoping review of root canal revascularization: relevant aspects for clinical success and tissue formation. Int Endod J. 2017;50:860–74. https://doi.org/10.1111/iej.12711.

    Article  PubMed  Google Scholar 

  63. Hargreaves KM, Giesler T, Henry M, Wang Y. Regeneration potential of the young permanent tooth: what does the future hold? J Endod. 2008;34:S51–6. https://doi.org/10.1016/j.joen.2008.02.032.

    Article  PubMed  Google Scholar 

  64. Slootweg PJ. Dental pathology, Ch. 8. In: Disorders of the dental pulp. 2nd ed. Springer-Verlag; 2013.

    Google Scholar 

  65. Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev. 2006;3:CD003808. https://doi.org/10.1002/14651858.CD003808.pub2.

    Article  Google Scholar 

  66. Hayashi M, Fujitani M, Yamaki C, Momoi Y. Ways of enhancing pulp preservation by stepwise excavation-a systematic review. J Dent. 2011;39:95–107. https://doi.org/10.1016/j.jdent.2010.10.012.

    Article  PubMed  Google Scholar 

  67. Thompson V, Craig RG, Curro FA, Green WS, Ship JA. Treatment of deep carious lesions by complete excavation or partial removal: a critical review. J Am Dent Assoc. 2008;139:705–12.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Parinyaprom N, Nirunsittirat A, Chuveera P, Na Lampang S, Srisuwan T, Sastraruji T, et al. Outcomes of direct pulp capping by using either ProRoot mineral trioxide aggregate or biodentine in permanent teeth with carious pulp exposure in 6- to 18-year-old patients: a randomized controlled trial. J Endod. 2018;44:341–8. https://doi.org/10.1016/j.joen.2017.10.012. Epub 2017 Dec 21

    Article  PubMed  Google Scholar 

  69. Tran XV, Gorin C, Willig C, Baroukh B, Pellat B, Decup F, et al. Effect of a calcium-silicate-based restorative cement on pulp repair. J Dent Res. 2012;91:1166–71. https://doi.org/10.1177/0022034512460833.

    Article  PubMed  Google Scholar 

  70. Rajasekharan S, Martens LC, Cauwels RGEC, Anthonappa RP, Verbeeck RMH. Biodentine™ material characteristics and clinical applications: a 3 year literature review and update. Eur Arch Paediatr Dent. 2018;19:1–22. https://doi.org/10.1007/s40368-018-0328-x.

    Article  PubMed  Google Scholar 

  71. Santos PSD, Pedrotti D, Braga MM, Rocha RO, Lenzi TL. Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis. Braz Oral Res. 2017;31:e101. https://doi.org/10.1590/1807-3107/2017.vol31.0101.

    Article  PubMed  Google Scholar 

  72. Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod. 2011;37:581–7. https://doi.org/10.1016/j.joen.2010.12.004.

    Article  PubMed  Google Scholar 

  73. Dammaschke T, Leidinger J, Schafer E. Long-term evaluation of direct pulp capping--treatment outcomes over an average period of 6.1 years. Clin Oral Investig. 2010;14:559–67. https://doi.org/10.1007/s00784-009-0326-9.

    Article  PubMed  Google Scholar 

  74. Chatzistavrou X, Papagerakis S, Ma PX, Papagerakis P. Innovative approaches to regenerate enamel and dentin. Int J Dent. 2012;2012:856470. https://doi.org/10.1155/2012/856470.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Besinis A, van Noort R, Martin N. Remineralization potential of fully demineralized dentin infiltrated with silica and hydroxyapatite nanoparticles. Dent Mater. 2014;30:249–62. https://doi.org/10.1016/j.dental.2013.11.014.

    Article  PubMed  Google Scholar 

  76. Mejare I, Cvek M. Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol. 1993;9:238–42.

    Article  PubMed  Google Scholar 

  77. Bjørndal L, Reit C, Bruun G, Markvart M, Kjaeldgaard M, Näsman P, et al. Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci. 2010;118:290–7. https://doi.org/10.1111/j.1600-0722.2010.00731.x.

    Article  PubMed  Google Scholar 

  78. Simon SR, Tomson PL, Berdal A. Regenerative endodontics: regeneration or repair? J Endod. 2014;40:S70–5. https://doi.org/10.1016/j.joen.2014.01.024.

    Article  PubMed  Google Scholar 

  79. Harlamb SC. Management of incompletely developed teeth requiring root canal treatment. Aust Dent J. 2016;61(Suppl 1):95–106. https://doi.org/10.1111/adj.12401.

    Article  PubMed  Google Scholar 

  80. Hasselgren G, Olsson B, Cvek M. Effects of calcium hydroxide and sodium hypochlorite on the dissolution of necrotic porcine muscle tissue. J Endod. 1988;14:125–7. https://doi.org/10.1016/S0099-2399(88)80212-7.

    Article  PubMed  Google Scholar 

  81. Deepti A, Shifa S, Muthu MS, RathnaPrabhu V. Apical closure of immature molar roots: a rare case report. Int J Clin Pediatr Dent. 2008;1:54–7.

    Article  Google Scholar 

  82. Moore A, Howley MF, O'Connell AC. Treatment of open apex teeth using two types of white mineral trioxide aggregate after initial dressing with calcium hydroxide in children. Dent Traumatol. 2011;27:166–73. https://doi.org/10.1111/j.1600-9657.2011.00984.x.

    Article  PubMed  Google Scholar 

  83. Woelber JP, Bruder M, Tennert C, Wrbas KT. Assessment of endodontic treatment of c-shaped root canals. Swiss Dent J. 2014;124:11–5.

    PubMed  Google Scholar 

  84. Musale PK, Kothare S. Non-surgical endodontic management of immature permanent mandibular first molar: a 3 year follow-up. Eur Arch Paediatr Dent. 2018;19:373–7. https://doi.org/10.1007/s40368-018-0350-z.

    Article  PubMed  Google Scholar 

  85. Cotti E, Mereu M, Lusso D. Regenerative treatment of an immature, traumatized tooth with apical periodontitis: report of a case. J Endod. 2008;34:611–6. https://doi.org/10.1016/j.joen.2008.02.029.

    Article  PubMed  Google Scholar 

  86. Cehreli ZC, Isbitiren B, Sara S, Erbas G. Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. J Endod. 2011;37:1327–30. https://doi.org/10.1016/j.joen.2011.05.033.

    Article  PubMed  Google Scholar 

  87. Tzanetakis GN, Giannakoulas DG, Papanakou S, Gizani S, Lygidakis N. Regenerative endodontic therapy of immature permanent molars with pulp necrosis: a cases series and a literature review. Eur Arch Paediatr Dent. 2021;22(3):515–25. https://doi.org/10.1007/s40368-020-00550-w.

  88. Shimizu E, Ricucci D, Albert J, Alobaid AS, Gibbs JL, Huang GT, Lin LM. Clinical, radiographic, and histological observation of a human immature permanent tooth with chronic apical abscess after revitalization treatment. J Endod. 2013;39:1078–83. https://doi.org/10.1016/j.joen.2013.04.032.

    Article  PubMed  Google Scholar 

  89. Mitsiadis TA, Papagerakis P. Regenerated teeth: the future of tooth replacement? Regen Med. 2011;6:135–9. https://doi.org/10.2217/rme.14.78.

    Article  PubMed  Google Scholar 

  90. Marin PD, Heithersay GS, Bridges TE. A quantitative comparison of traditional and non-peroxide bleaching agents. Endod Dent Traumatol. 1998;14:64–8.

    Article  PubMed  Google Scholar 

  91. Abbott P, Heah SY. Internal bleaching of teeth: an analysis of 255 teeth. Aust Dent J. 2009;54:326–33. https://doi.org/10.1111/j.1834-7819.2009.01158.x.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Paediatric Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Aristidis Arhakis

  2. Department of Paediatric Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Nikolaos Kotsanos

  3. Department of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Italy

    Elisabetta Cotti

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  1. Aristidis Arhakis
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  2. Elisabetta Cotti
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  3. Nikolaos Kotsanos
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Correspondence to Aristidis Arhakis .

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Editors and Affiliations

  1. Department of Paediatric Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Nikolaos Kotsanos

  2. Department of Pediatric Dentistry, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel

    Haim Sarnat

  3. Institute of Oral Health Science, Samsung Medical Center, School of Medicine Sungkyunkwan University, Seoul, Korea (Republic of)

    Kitae Park

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Arhakis, A., Cotti, E., Kotsanos, N. (2022). Pulp Therapy in Pediatric Dentistry. In: Kotsanos, N., Sarnat, H., Park, K. (eds) Pediatric Dentistry. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-78003-6_14

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  • DOI: https://doi.org/10.1007/978-3-030-78003-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-78002-9

  • Online ISBN: 978-3-030-78003-6

  • eBook Packages: MedicineMedicine (R0)

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