A peer-reviewed course written by Rico D. Short, DMD, BCE, FICD
The management of immature permanent teeth with pulpal disease can be a daunting task. It is critical to properly diagnose and understand how to treat these cases. Modern technology in dentistry, such as cone beam technology, microscopes, and bioceramics, has made diagnosing and treating these teeth much more predictable. Without these advances in dentistry, it would be difficult to properly debride, clean, and shape thin dentinal walls, which can result in cervical fracture. An extraction or fracture will present a restorative and esthetic problem, especially if it is a young patient, due to the fact that the bone is too immature for an implant. Apexogenesis, apexification, and regenerative endodontics are exciting techniques in dentistry today. Knowledge in pulp biology, intracanal medicaments, and dental trauma lays the framework in which these procedures should be understood in order to perform them properly and successfully.
“Managing the immature apex in permanent teeth” Educational objectives
- Describe the etiological causes for an open apex in permanent teeth
- Identify challenges that may arise in treating teeth with open apices
- Demonstrate techniques to treat permanent teeth with immature apices
RICO D. SHORT, DMD, BCE, FICD, is an expert spokesperson on endodontics for the American Dental Association with more than 20 years of experience in dentistry and more than 15 years in endodontics. He is a member of the International College of Dentists, a graduate of the ADA Institute of Diversity in Leadership program, and an ADA Success Speaker. He is also an expert consultant in endodontics to the Georgia Board of Dentistry and an assistant clinical professor at the Dental College of Georgia in Augusta. Dr. Short is an independent national lecturer and an opinion leader on various dental products. He has published in several journals and on social media. Dr. Short was named one of the Top 40 Dentists under 40 in America by Incisal Edge magazine in 2013, Top 20 Alumni Under 40 by Augusta University, and has been named in Dentistry Today consistently as one of the top leaders in continuing education. Dr. Short attained his dental degree from the Medical College of Georgia School of Dentistry in 1999. In 2002 he earned a postdoctorate degree in endodontics from Nova Southeastern University. In 2009 he was awarded a Diplomate of the American Board of Endodontics. His private practice, Apex Endodontics PC, was opened in 2004 and is located in Smyrna, Georgia.
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