Читать книгу Endodontic Materials in Clinical Practice - Группа авторов - Страница 35

VPT is of particular importance in immature permanent teeth where root formation is not complete and the root structure is weak. Successful maintenance of pulp vitality will allow root formation to continue in a process known as apexogenesis. In reality, the term ‘apexogenesis’ is seldom used in modern endodontics, first because it is often confused with apexification, and second because it simply refers to pulp capping: a partial or full pulpotomy procedure carried out in a tooth with an immature root structure. VPT on immature teeth is most commonly carried out following trauma on the anterior teeth, which for practical reasons may be better treated with a partial or ‘Cvek’ pulpotomy, where part of the exposed pulp tissue is removed and a capping material is placed [60]. Young patients presenting with an open apex will have a greater blood supply and increased cellularity of their pulps, which has been suggested to result in more predictable healing [86]. However, the influence of age has not generally been linked to improved healing in VPT [64, 87].