Management of the young permanent teeth ?????????

1
Management of the young permanent teeth
?????????
2
????

• ??????????
• ?????,????
• ????
• ??????
• ?????????

?? Indirect pulp capping Direct pulp capping
3
Characteristic of pulp and periapical disease in
immature permanent teeth?????????????????

• ????????????????????
• ???????? pulp polyp
• ?????????????
• ???????????

4

• Treatment
• ?????????????

• ??????????????
• ??
• Pulp capping
• CaOH Pulpotomy
• Apexification ???????

5
?????????

• ????,???????
• ??????????????????
• ?????????
• ????,????
• ?????????

6

• Management of traumatic injuries
• to young permanent teeth
• ?????????

Crown fracture Displacement Lateral
displacement Intrusion Total extrusion
7
Enamel fracture Restoration with composite resin
Dentine fracture with pulp exposure Direct pulp
capping CaOH pulpotomy Pulpectomy with
apexification
Dentine fracture without pulp exposure Indirect
pulp capping
8
Lateral displacement
Replacement 23? ???? apexification
9
Intrusion
Reeruption ???????? apexification
10
Total extrusion

1. ?????
2. ?????????

11
Extraction???????

• ???
• ?????????,?????
• ???????????????,??????????
• ???????
• ????

12
????????

• ???
• ??8 9?
• ?????????,????,??????
• X-ray?????????????????????
• ??????????

13
Occlusive guidance????

• ??
• ???????,????????????
• ??????????
• ??
• ??
• ??
• ??space maintenance

14
Brief summry

• Periapical disease including clinical
  characteristic and the treatment
• Dental disease in immature permanent teeth
  including characteristic and management of deep
  caries,pulpitis, periapical disease and trauma
• Extraction of the first permanent molar
• Definition of occlusive guidance

15
class is over