SP-22 Dilemmas in Managing Immature Teeth
CE: 1.0
Course Description:
Immature teeth with pulpless and infected root canal systems and apical periodontitis or apical abscesses pose significant management dilemmas for clinicians. These cases may result from a dens evaginatus (typically mandibular premolars) or from trauma to the tooth at a young age (typically maxillary incisors). These two scenarios are quite different and will have different possible healing responses. The traumatised tooth may also be associated with trauma to the periapical tissues whereas the dens evaginatus cases do not have this same periapical damage. Clinicians have three options to manage such teeth - apexification using calcium hydroxide, placing an “apical plug” (such as MTA or other bioceramic material), or a repair procedure (often called “regeneration” or “revascularisation” - but these terms are usually not applicable to the trauma situation). This presentation will explore the concepts behind these options and will discuss the findings reported in the literature. The outcomes of these three options, their longevity, practical aspects and suitability for re-treatment will be compared to enable clinicians to choose the appropriate management option for individual cases.
At the conclusion, participants should be able to:
- Describe the management options for pulpless, infected immature teeth.
- Evaluate the advantages and disadvantages of the three management options for pulpless, infected immature teeth.
- Choose the appropriate management option for the various situations where immature teeth have become pulpless and infected.
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Paul V. Abbott, B.D.Sc., M.D.S., FRACDS(Endo)
Paul Abbott is an Emeritus Professor of Dentistry at The University of Western Australia. He is a Specialist Endodontist. Prior to taking a full-time University position in 2002, he spent 17 years in private specialist endodontic practice and he also held part-time academic positions at The University of Western Australia and the University of Melbourne. He was Dean and Head of the School of Dentistry at The University of Western Australia and Director of the Oral Health Centre of Western Australia from 2003- 2009. He has presented over 1000 lectures and courses in 49 countries. He has published 230 articles in refereed journals, 25 textbook chapters and 47 Newsletter articles. From 2015-2022, he was the Editor-in-Chief of the international journal Dental Traumatology. Prof. Abbott’s main research and clinical interests revolve around dental
traumatology, tooth resorption, the diagnosis and management of pulp, root canal and peri-radicular conditions, with particular emphasis on pain control and disinfection of the root canal system. Prof. Abbott has received numerous awards for excellence in teaching and service to the dental profession, particularly in education and research. In 2015, the Governor-General of Australia appointed Prof. Abbott as an Officer of the Order of Australia (AO) - one of the highest honours in Australia – “For distinguished service to clinical dentistry, and to higher education, as an academic, researcher and author, to endodontics as a practitioner, and to professional organisations.”
Paul Vincent. Abbott, B,D.Sc., MDS, FRACDS
I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: OzDent Pty Ltd () : Consultant, Honorarium
