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Guideline on Pulp Therapy for Primary and Immature Permanent Teeth

Pulp Therapy

The American Academy of Pediatric Dentistry (AAPD) intends this guideline to aid in the diagnosis of pulp health versus pathosis and to set forth the indications, objectives, and therapeutic interventions for pulp therapy in primary and immature permanent teeth.

The primary objective of pulp therapy is to maintain the integrity and health of the teeth and their supporting tissues.


It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes.

Especially in young permanent teeth with immature roots, the pulp is integral to continue apexogenesis. Long term retention of a permanent tooth requires a root with a favorable crown/ root ratio and dentinal walls that are thick enough to withstand normal function.

Read Also: ENDODONTIC treatment for children

Therefore, pulp preservation is a primary goal for treatment of the young permanent dentition.

A tooth without a vital pulp, however, can remain clinically functional.

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° aapd.org
° AMERICAN ACADEMY OF PEDIATRIC DENTISTRY