Please use this identifier to cite or link to this item: https://doi.org/10.1007/s40368-017-0289-5
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dc.titleInterventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry
dc.contributor.authorDuggal, M
dc.contributor.authorTong, H.J
dc.contributor.authorAl-Ansary, M
dc.contributor.authorTwati, W
dc.contributor.authorDay, P.F
dc.contributor.authorNazzal, H
dc.date.accessioned2020-10-23T04:45:34Z
dc.date.available2020-10-23T04:45:34Z
dc.date.issued2017
dc.identifier.citationDuggal, M, Tong, H.J, Al-Ansary, M, Twati, W, Day, P.F, Nazzal, H (2017). Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry. European Archives of Paediatric Dentistry 18 (3) : 139-151. ScholarBank@NUS Repository. https://doi.org/10.1007/s40368-017-0289-5
dc.identifier.issn18186300
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/179491
dc.description.abstractAim: This systematic review was undertaken in order to develop guidelines for the European Academy of Paediatric Dentistry for the management of non-vital permanent anterior teeth with incomplete root development. Methods: Three techniques were considered; apexification by single or multiple applications of calcium hydroxide, use of Mineral Trioxide Aggregate (MTA) for the creation of an apical plug followed by obturation of the root canal, and finally a Regenerative Endodontic Technique (RET). Scottish Intercollegiate Guideline Network (SIGN) Guidelines (2008) were used for the synthesis of evidence and grade of recommendation. Results: Variable levels of evidence were found and generally evidence related to these areas was found to be weak and of low quality. It was not possible to produce evidence-based guidelines based on the strength of evidence that is currently available for the management of non-vital immature permanent incisors. Conclusions: Based on the available evidence the European Academy of Paediatric Dentistry proposes Good Clinical Practice Points as a guideline for the management of such teeth. It is proposed that the long term use of calcium hydroxide in the root canals of immature teeth should be avoided and apexification with calcium hydroxide is no longer advocated. The evidence related to the use of a Regenerative Endodontic Technique is currently extremely weak and therefore this technique should only be used in very limited situations where the prognosis with other techniques is deemed to be extremely poor. The current review supports the use of MTA followed by root canal obturation as the treatment of choice. @ 2017, The Author(s).
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceUnpaywall 20201031
dc.subjectadolescent
dc.subjectchild
dc.subjectendodontic procedure
dc.subjectevidence based dentistry
dc.subjecthuman
dc.subjectpractice guideline
dc.subjectprocedures
dc.subjectregenerative medicine
dc.subjectroot canal obturation
dc.subjectsecondary dentition
dc.subjectstandards
dc.subjecttooth pulp disease
dc.subjectAdolescent
dc.subjectChild
dc.subjectDentition, Permanent
dc.subjectEvidence-Based Dentistry
dc.subjectHumans
dc.subjectPractice Guidelines as Topic
dc.subjectRegenerative Medicine
dc.subjectRoot Canal Obturation
dc.subjectRoot Canal Therapy
dc.subjectTooth, Nonvital
dc.typeReview
dc.contributor.departmentDENTISTRY
dc.description.doi10.1007/s40368-017-0289-5
dc.description.sourcetitleEuropean Archives of Paediatric Dentistry
dc.description.volume18
dc.description.issue3
dc.description.page139-151
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