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endodontics - 3 Questions
Class III: Enamel-Dentin-Pulp Fracture
For a child with mid-crown fracture in permanent maxillary central incisor with necrotic pulp and incompletely formed root with open apex, the treatment of choice is apexification. This procedure is indicated because: 1) Open apex prevents conventional root canal obturation, 2) Necrotic pulp requires complete debridement, 3) Apexification induces calcified barrier formation at root apex, 4) Allows subsequent root canal obturation, 5) Preserves the tooth for normal function. Calcium hydroxide or MTA are commonly used materials for apexification. Pulpotomies are not indicated for necrotic pulps.
Root resorption in endodontically treated (root canal) teeth is the same as in normal, vital teeth.