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Article: Volume 41 Number 7 Page 596 - September 2014

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  Dent Update 2014; 41: 596-604

Paediatric dentistry:  The Management of Non-Vital Immature Permanent Incisors

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Abstract: The management of pulp necrosis in an immature permanent incisor can pose a significant challenge with regards to both operator technique and patient management. The main aim of this paper is to outline techniques described in the endodontic management of the immature incisor: calcium hydroxide apexification; one-visit apexification; and root revascularization.

Clinical relevance: With 5% of 8-year-olds in the UK reported to have evidence of trauma to the permanent incisors,1 an awareness of the challenges posed and techniques available for management is essential for general dental practitioners, should these teeth subsequently become non-vital.

Author notes: Jillian M Phillips, BDS(Hons), MFDS RCPS(Glasg), MPaedDent, MClinDent(Edin), Specialist Registrar in Paediatric Dentistry and Vidya Srinivasan, BDS, MDS(Rest Dent), FDS RCS(Ed), MClinDent (Edin), MPaedDent RCSEng, FDS(Paed Dent) RCS(Ed), DipConsSed(Newc), Consultant in Paediatric Dentistry, Edinburgh Dental Institute and Royal Hospital for Sick Children, Edinburgh, UK.

Objective: To understand the potential difficulties associated with endodontic management of the non-vital immature incisor and currently available techniques.