Interventions for managing necrotic immature permanent teeth following traumatic dental injury



Gartshore, Laura Margaret ORCID: 0000-0002-4272-5179
(2017) Interventions for managing necrotic immature permanent teeth following traumatic dental injury. PhD thesis, University of Liverpool.

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Abstract

Background: There is debate in the literature as to whether an optimal intervention exists for the management of necrotic, immature, permanent teeth following traumatic dental injury. There are currently three recognised intervention strategies, including apexification with calcium hydroxide (CaOH), apexification with mineral trioxide aggregate (MTA), and regenerative endodontic procedures (REP). Affected children face unexplored outcomes. Adherence to evidence-based best practice is impeded. Aim: To address the research question: Is there an optimal intervention for the management of necrotic, immature, permanent teeth? Methods: A survey was designed to determine the clinical decision-making practices of specialists in paediatric dentistry and endodontics. A systematic review was carried out to produce a thorough, explicit and objective description of the relevant literature. A randomised controlled trial was conducted, of participants aged 7-21 years, with a history of traumatic dental injury, and a diagnosis of a non-vital, permanent maxillary central incisor, to compare outcomes of endodontic success for immature teeth, following REP or MTA. Results: Some 89% of specialists agree that young people have ... (continues)

Item Type: Thesis (PhD)
Divisions: Faculty of Health and Life Sciences > Faculty of Health and Life Sciences
Depositing User: Symplectic Admin
Date Deposited: 01 Feb 2019 14:39
Last Modified: 08 Feb 2025 01:34
DOI: 10.17638/03010451
Supervisors:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3010451