Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Source: Pediatric Dentistry , Number 6, Reference Manual 2016, pp. 2008-2009;30(7 Suppl):170-4. 0000004424 00000 n 0000004858 00000 n // Pediatric Dentistry;2012 Reference Manual, Vol. 0000002062 00000 n 2014. 34(6) 12/13:222–9. The recommendations given in American Academy of Pediatric Dentistry (AAPD) guidelines 2012 for pulp therapy in primary and young permanent teeth are being followed in the majority instances. 0000005931 00000 n Pulp therapy for primary and immature permanent teeth. This therapy is successful in young permanent teeth with extensive carious lesions with obvious risk of pulp exposure (Figure 17.1). American Academy of Pediatric Dentistry. Pediatr Dent. 0000011667 00000 n 0000005331 00000 n Guideline on pulp therapy for primary and young permanent teeth. 0000011434 00000 n Guideline on Pulp Therapy for Primary and Young Permanent Teeth Pediatr Dent. l�5����6�V͹[}�FP��uK� @article{2016GuidelineOP, title={Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Indirect Pulp Capping • a procedure in which a material is placed on a thin partition of remaining carious dentin that, if removed, might expose the pulp in immature permanent teeth. 0000006311 00000 n Review of pulp therapy in primary teeth Allan Abuabara1 Bruno Monguilhott Crozeta2 Flares Baratto-Filho3, 4 ... the permanent teeth. 0000001196 00000 n Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Buy Article: $37.00 + tax (Refund Policy) Or sign up for a free trial . American Academy of Pediatric Dentistry. AMERICAN ACADEMY OF PEDIATRIC DENTISTRY Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Originating Committee Clinical Affairs Committee – Pulp Therapy Subcommittee Review Council Council on Clinical Affairs Adopted 1991 Revised 1998, 2001, 2004, 2009 Purpose treatment of the young permanent … 0000022622 00000 n 0000001686 00000 n Guideline on Pulp Therapy for Primary and Immature Permanent ... 1. 0000021398 00000 n %PDF-1.4 %���� For any tooth that has undergone pulpal therapy, clini­cal signs and/or symptoms may prompt a clinician to select a … therapeutic interventions for pulp therapy in primary and im- mature permanent teeth. 0000019668 00000 n 0000007832 00000 n 0000013617 00000 n 0000013805 00000 n in pulp microcirculation that can lead to pulp necrosis and arrest root formation. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Buy Article: $37.00 + tax (Refund Policy) Or sign up for a free trial . Methods Recommendations on pulp therapy for primary and immature permanent teeth were developed by the Clinical Affairs Committee – Pulp Therapy Subcommittee and adopted in 1991. ISBN 978-3-319-27551-2. Therefore, the decision to extract a primary t … 0000030045 00000 n 0000018741 00000 n Springer International Publishing Switzerland 2016. Elsevier, 2019. 34 Issue 6, p222 . 0000015071 00000 n American Academy on Pediatric Dentistry Council on Clinical Affairs. Pulp Therapy for Primary and Young Permanent TeethIntroduction Diagnostic Vital pulp therapy. 0000032375 00000 n Guidelines on pulp therapy for primary and immature permanent teeth. 0000006395 00000 n �W(3� }, author={}, journal={Pediatric dentistry}, year={2016}, volume={38 6}, pages={ 280-288 } } Treatment Of Avulsed Permanent Incisor Teeth In Children (Peter Day. Use of rubber dam isolation is considered a gold standard17for pulpal treatment. 0000043265 00000 n Pulp Therapy for Primary and Immature Permanent Teeth. American Association of Endodontists Guide to Clinical Endodontics, 6th edition, updated 2019. The AAPD previously published a guideline on pulp therapy entitled “Pulp Therapy for Primary and Immature Permanent Teeth”, last revised in 2014.2 Evidence from “Primary Tooth Vital Pulp Therapy: A Systematic Review and Meta-Analysis”9 is the basis for the current guideline’s recommendations. American Academy on Pediatric Dentistry Clinical Affairs Committee-Pulp Therapy subcommittee; American Academy on Pediatric Dentistry Council on Clinical Affairs. Tapical h e bar-rier with mineral trioxide aggregate followed by root strengthening with bonded composite is reviewed. Teeth with immature roots Nonrestorable teeth ... P. Aguilar, P. LinsuwanontVital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. PMID: 27931467 No abstract available. 0000040899 00000 n A vital pulp is necessary for the development and maturation of the tooth root. 0000029710 00000 n This guideline is intended to recommend the best currently-available clinical care for pulp treatment, but the AAPD encourages additional research for consistently successful and predictable techniques using biologically-compatible medicaments for vital and nonvital primary and immature permanent teeth. History, clinical evaluation and radiographic findings should be integrated to arrive at pulp diagnosis. 3. 0000006709 00000 n 0000012114 00000 n 2016 Oct;38(6):280-288. 0000022481 00000 n The aim of pulp therapy in primary and young permanent teeth is to maintain a functional tooth so that arch integrity is preserved in a growing child. 0000016008 00000 n Article Title: Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Journal: Pediatric Dentistry Volume (Number): 32(6). 0000001744 00000 n Premature loss of a primary tooth through trauma or infection has the potential to destabilize the developing occlusion with space loss, arch collapse and premature, delayed or ectopic eruption of the permanent successor teeth. Pulp therapy for primary molars ª 2006 BSPD and IAPD, International Journal of Paediatric Dentistry 16 (Suppl. 0000001885 00000 n 0000001216 00000 n 0000014485 00000 n ���2���WZ�NJput闦��0&%$�5����j�||�i�]�*����+ f�QlLOL����4�R�j��nՌ�0i����a���Yf0%%���4�f�&]�f��l6����E��NS^4�KQ�(*����T(CE2�TYO%P_�*ڛN�[�(�D���@�دd�A�T�e#��D1G���l���hc/�����a� = ���(��@[�:Uu�hsq�Q�0G�Of�\Mh)��1�]��o�����;�������C�U E6���@M�t���ᖚ#F�O�A(녝��}PB00 Main Purpose: Describe the diagnosis of pulp pathosis and set forth the indication, objectives, and medications for pulp therapy in primary and young permanent teeth. The article presents the American Academy of Pediatric Dentistry (AAPD) organization's guidelines related to pulp therapy for primary and immature permanent teeth. 0000002976 00000 n ΃I))���U���i�� Ɩ�@Z���"!|l>��n�/�b`��P��֘��( �@*C��q� � o�C��?X���4�4���9�S;���a����i�7��Y5��/:�j2�po���"�A�Q�1�9N_Of �3�~�k7�iK ���Ve�3��e���s EL�iF � ` D� endstream endobj 865 0 obj <>/Filter/FlateDecode/Index[54 768]/Length 49/Size 822/Type/XRef/W[1 1 1]>>stream 0000014043 00000 n Methods This guideline was originally developed by the Clinical Affairs Committe – Pulp Therapy Subcommittee and adopted in 1991. 0000012525 00000 n 0000009831 00000 n 0000012619 00000 n Current concepts in Pulp Therapy for Primary and Young Permanent Teeth. Methods Recommendations on pulp therapy for primary and immature permanent teeth were developed by the Clinical Affairs Committee – Pulp Therapy Subcommittee and adopted in 1991. 0000002549 00000 n Source: Pediatric Dentistry, Number 6, Reference Manual 2016, pp. 0000003470 00000 n %PDF-1.4 %���� Hani Nazzal and Monty S. Duggal. '0{���&�ߎ3Ȏ���~{.i��UY15H7 ~��g�� �?�vR�3n8%���Z+�C�4hnԚ"�hT�_��+z�[���>t�����E�&� �k2[�BD�ɫ��ˤ����JԜ�� S���Gg��QA�vo��s\��;��ش7�I@�-1e����A�����a��+��-g�T� �d�z��f ى��& �3��/��q��vkM�Tjbv>��ۊ2��_�$p���UV��? H�\�Kn�0@����f�I�DBH I$��� ��"c������T�%г=3~��eu�L7��� ��I�������+�:�X�NMK���ol��z'�+�A����O�����AWX���:sO�e�a}��z0��DQ �/��ؗ�Rں�~��������-����eԠa��טy�[!�oE F���w�vm�W�|x⃣(M�)�D�x�x���=q�!�)���{���|"Nb�3q!_8��YF�XSJ�#ř�� �D޲֔�����2�g4����d�4A^����Af�=%�g��g��� ����3������7"7����K��D����x�5;X��~ � � endstream endobj 826 0 obj <> endobj 827 0 obj <>stream 0000040144 00000 n h�bb�d`b``Ń3� ���ţ�1�x4>F�c���0@� �� v endstream endobj 823 0 obj <>/Metadata 52 0 R/PageLabels 49 0 R/Pages 51 0 R/StructTreeRoot 54 0 R/Type/Catalog/ViewerPreferences<>>> endobj 824 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 4/TrimBox[0.0 0.0 594.0 783.0]/Type/Page>> endobj 825 0 obj <>stream 0000014860 00000 n Pulp therapy requires periodic clinical and radiographic assessment of the treated tooth and the supporting … Reunión Clínica Niña 9 años de edad Se presenta a la consulta clínica 17 horas despues del trauma Fractura coronaria complicada en diente 2.1 Apice abierto, sin lesion periapical y sin fractura osea o radicular Guideline on Pulp Therapy for Primary and Immature Permanent Teeth, Definitions for the quality of the evidence (High, Moderate, Low, Very Low) and the strength of recommendations (Strong, Conditional) are provided at the end of the "Major Recommendations" field.Question 1. 4. In vital primary teeth with deep caries lesions requiring pulp therapy, is one particular therapy (indirect pulp therapy [IPT], direct pulp cap [DPC], pulpotomy) more successful than others? 0000019916 00000 n The concluding chapter looks to the future and the potential value of stem cells in pulp therapy. 0000006901 00000 n 0000012340 00000 n 0000033845 00000 n Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. This guideline is intended to recommend the best currently-available clinical care for pulp treatment, but the AAPD encourages additional research for consistently success- ful and predictable techniques using biologically-compatible medicaments for vital and nonvital primary and immature permanent teeth. Springer International Publishing, 2018. 619 0 obj <> endobj xref 619 46 0000000016 00000 n Pulpotomy is one of the most widely used methods in preserving vital pulp in teeth, which is of great significance in achieving continue root formation in immature permanent teeth suffering from dental caries or trauma. 0000002564 00000 n Es un manual de referencia sobre terapia en denticion permanente joven For any tooth that has undergone pulpal therapy, clinical signs and/or symptoms may prompt a clinician to select a more frequent periodicity of reassessment. 280-288(9) Publisher: American Academy of Pediatric Dentistry Pulp Therapy of Immature Permanent Teeth. Pediatr Dent. 0000003383 00000 n An immature permanent tooth is defined by the British Society of Paediatric Dentistry as [1]: … a tooth which is not fully formed, particularly the root apex. Therefore, Biodentine™ has been used in many clinical situations for vital pulp therapy of both primary teeth and immature permanent teeth (George & P. 2010, JungWei & Monserrat 2010. 0000007129 00000 n 0000042978 00000 n AAPD (2015). Main Purpose: To aid in the diagnosis of pulp health vs. pathosis and to give indications, objectives, and interventions for pulp therapy in primary and immature permanent teeth. 0000003157 00000 n 0000034236 00000 n [3] The treatment of young necrotic permanent tooth with an immature open apex still presents multiple There is a discrepancy in the choice of treatment and medications for pulp therapy primary teeth between general practitioners and pediatric dentists. h�b```b``Sa`c`��� �� @16�92@��c�׸��� /�6��+��>�. 0000003271 00000 n trailer <<11673B67E9A94E149BC3A86D0D67CC18>]/Prev 129300/XRefStm 1686>> startxref 0 %%EOF 866 0 obj <>stream REFERENCE MANUAL V 37 / NO 6 15 / 16 Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Originating Committee Clinical Affairs Committee – Pulp Therapy Subcommittee Review Council Council on Clinical Affairs Adopted 1991 Revised 1998, 2001, 2004, 2009, 2014 Purpose The indications, objectives, and type of pulpal therapy he American Academy of Pediatric Dentistry … 0000036399 00000 n Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. 0000003284 00000 n 2004;26(7 Suppl):115-9. "q'�����tˀN�����. 0000008392 00000 n Introduction. 1): 15–23 17. ... in permanent teeth of adults • The success rate for the use of LedermixTM as a There is a discrepancy in the choice of treatment and medications for pulp therapy primary teeth between general practitioners and pediatric dentists. The primary objective of pulp therapy is to maintain the integ-rity and health of the teeth and their supporting tissues. H�|UkT��aw�3� ͬdGg�� ^����"h.Jo첬����T��"B�Qp�e��h@� `�-jAk�.�R��zi�9)�G�崳����G�̿����y��{fhJ�D�4��]���H�n�!Yg6���f�OJOvT�c��S��$c* 0000010856 00000 n Guideline on pulp therapy for primary and young permanent teeth. 0000040387 00000 n 0000014790 00000 n Especially in young … Pediatric Endodontics: Current Concepts in Pulp Therapy for Primary and Young Permanent Teeth Anna B. Fuks , Benjamin Peretz (eds.) 0000017961 00000 n Guideline on pulp therapy for primary and immature permanent teeth [cited 2011 Sep 10]. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Guideline on pulp therapy for primary and immature permanent teeth. Main Purpose: To aid in the diagnosis of pulp health vs. pathosis and to give indications, objectives, and interventions for pulp therapy in primary and immature permanent teeth. 0000020854 00000 n 2014. 2008-2009;30(7 Suppl):170-4. Pulp therapy for immature permanent teeth should be reevaluate radiographically 6 and 12 months after treatment and then periodically at the discretion of the clinician. It … The major irritants to pulp tissue include various bacteria, trauma, dental proce-dure generating thermal stimulation, and chemical agents. 0000040774 00000 n The recommendations given in American Academy of Pediatric Dentistry (AAPD) guidelines 2012 for pulp therapy in primary and young permanent teeth are being followed in the majority instances. 0000012226 00000 n 1. 0000012664 00000 n AAPD (2015). Guideline on Pulp Therapy for Primary and Young Permanent Teeth Pediatr Dent. Pulp therapy for immature permanent teeth should be reevaluated radio- graphically six and 12 months after treatment and then periodically at the discretion of the clinician. American Association of Endodontists Glossary of Endodontic Terms, 9th edition, 2019. REFERENCE MANUAL V 37 / NO 6 15 / 16 Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Originating Committee Clinical Affairs Committee – Pulp Therapy Subcommittee Review Council Council on Clinical Affairs Adopted 1991 Revised 1998, 2001, 2004, 2009, 2014 Purpose The indications, objectives, and type of pulpal therapy he American Academy of Pediatric Dentistry … 0000005398 00000 n therapy, pulp capping, and pulpotomy for primary teeth and permanent teeth with open apex. Revised 2012) National Guidelines for Dentists with Special Interests (2010) Non-Pharmacological Behaviour Management (Revised 2011) Management And Root Canal Treatment Of Non-Vital Immature Permanent Incisor Teeth (2010) Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. J. Foley, A comparison of knowledge of local analgesia, pulp therapy and restoration of primary molar teeth amongst dental students, dentists and dental therapists within a Dental Hospital setting, European Archives of Paediatric Dentistry, 10.1007/BF03262579, 8, 2, (113-117), (2012). 822 0 obj <> endobj xref 822 45 0000000016 00000 n Volume (number). x�b```b``Se`c`��e�g@ ~�� Ɔw'h8�f�Z��~?/c�L�)X ��E7�C�:K���۵�|��mo��Y�m]�`�+��}ݢS As mentioned in the last chapter, primary teeth play an integral role in the development of the occlusion. Immature permanent teeth treated with pulp therapy also should have close clinical and radiographic follow-up to confirm that pulpal pathology is not developing.16Isolation is necessary to minimize bacterial contamination and to protect soft and hard tissues. Fuks, Anna B. #5 Pulp Therapy in Primary and Immature Permanent Teeth study guide by Lori_Gruskin includes 65 questions covering vocabulary, terms and more. Direct pulp capping 3. }, author={}, journal={Pediatric dentistry}, year={2016}, volume={38 6}, pages={ 280-288 } } The current evidence base for pulp therapy in the primary dentition is poor with a demonstrated paucity of prospective randomized controlled ... restoration is more or less likely to become infected if it has undergone endodontic treatment according to established guidelines. 0000005683 00000 n The main aim of primary tooth pulp therapy is to maintain arch length and integrity by preserving the pulpally involved tooth as a natural space maintainer. 0000008843 00000 n Reunión Clínica Niña 9 años de edad Se presenta a la consulta clínica 17 horas despues del trauma Fractura coronaria complicada en diente 2.1 Apice abierto, sin lesion periapical y sin fractura osea o radicular Guideline on Pulp Therapy for Primary and Immature Permanent Teeth, Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. 0000005469 00000 n OFFICIAL BUT UNFORMATTED Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Originating Committee Clinical Affairs Committee – Pulp Therapy Subcommittee Review Council Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. 0000037018 00000 n American Academy of Pediatric Dentistry (AAPD). Overview of method of research: MEDLINE search for pulpotomy, pulpectomy, IPT, stepwise excavation, pulp therapy, pulp exposure, calcium hydroxide, formocresol, ferric sulfate, and glass ionomer. Indirect pulp capping b. 0000006477 00000 n Reference Manual 2015e2016; 37:244e52. 2004;26(7 Suppl):115-9. The AAPD GUIDELINES ON PULP THERAPY FOR PRIMARY/IMMATURE PERMANENT TEETH recommend MTA for a variety of pediatric vital pulp therapy indications including pulp capping, pulpotomy, apexification. 0000029780 00000 n The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. \s�By�P�N o?��r�)xu\(�i����51��H8�K�G�M\ ���G.J\N��2��U��Iި�(eR���6,W�q�\MS�F������B�ǐ�c���9���Lf�W�;���KlPz&�v��b�_Ȣd�r���P^�,u�4�V�I�L��W��[�V��{,C]��'�B )p���c����ְ��%k#B� Fuks, Anna B., Peretz B. Pediatric Dentistry, 37, 244-252. has been cited by the following article: TITLE: Direct Measurements of Root Canal Length in Primary Anterior Teeth for Educational and Clinical Purposes 0000012797 00000 n 0000026363 00000 n J … Pediatr Dent. MTAs are the only vital pulp therapy medicaments that have been proven to be more effective than calcium hydroxide, and as effective as formocresol, for primary tooth vital pulp therapy. Google Scholar 0000007942 00000 n 1. Nowak, Arthur J. Pediatric Dentistry: Infancy through Adolescence. 0000036730 00000 n OFFICIAL BUT UNFORMATTED Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Originating Committee Clinical Affairs Committee – Pulp Therapy Subcommittee Review Council Pediatric Dentistry, 37, 244-252. has been cited by the following article: TITLE: Direct Measurements of Root Canal Length in Primary Anterior Teeth for Educational and Clinical Purposes Primary teeth adequately retain space for their successors and have been described as "the best space maintainers." Source: Pediatric Dentistry, Number 6, Reference Manual 2016, pp. The aim of pulp therapy in primary and young permanent teeth is to maintain a functional tooth so that arch integrity is preserved in a growing child. This revision included a new systematic litera- Guideline on Pulp Therapy for Primary and Young Permanent Teeth. 0000027797 00000 n Role of primary teeth. 0000004163 00000 n A further individual chapter is dedicated to restorations of teeth treated with the different types of pulp therapy. Guideline on pulp therapy for primary and young permanent teeth. 0000036660 00000 n This book provides dental professionals with a clear understanding of current clinical and scientific knowledge on the various aspects of pulp treatment for both primary and young permanent teeth. 0000002101 00000 n A tooth without a The American Academy of Pediatric Dentistry (AAPD) intends vital pulp, however, can remain clinically functional.1 this guideline to aid in the diagnosis of pulp health versus patho- The indications, objectives, and type of pulpal therapy sis and to set forth the indications, objectives, and therapeutic depend on whether the pulp is vital or nonvital, based on the interventions … 7�c�hOG��.��S�L�{|�^(F����3[�j�����犡Pv��c{��7by�?yD_�I 1. Pediatr Dent. 2008-2009;30(7 Suppl):170-4. Guideline on Pulp Therapy for Primary and Young Permanent Teeth. 0000004885 00000 n Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. This document by the Council of Clinical Affairs is a revision of the previous version, last revised in 2009. Guideline on Pulp Therapy for Primary and Young Permanent Teeth. Pulp therapy for pediatric patients aims to alleviate pulpal infection, relieve associated symptoms, and, ultimately, preserve the tooth. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. Pulp therapy for immature permanent teeth should be reevaluated radiographically 6 and 12 months after treatment and then periodically at the discretion of the clini­cian. American Academy of Pediatric Dentistry. Pediatric Endodontics Current Concepts in Pulp Therapy for Primary and Young Permanent Teeth. The main aim of primary tooth pulp therapy is to maintain arch length and integrity by preserving the pulpally involved tooth as a natural space maintainer. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. 0000002894 00000 n Vital pulp therapy should be attempted whenever the pulp is diagnosed to be vital. This document by the Council of Clinical Affairs is a revision of the previous version, last revised in 2009. This document is a revision of the previous version, last revised in 2009. Reference Manual. @article{2016GuidelineOP, title={Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. trailer <]>> startxref 0 %%EOF 664 0 obj <>stream 0000008753 00000 n 0000001936 00000 n >��������Px-��E��pe>k��K�Uw�nÓ�n��i�*K]%�߬��ѕ����.���SE�(L��9����f�Df��^$5�Nt���S�Wi՜.P6����*::�&%%ec��${T This guideline is intended to recommend the best currently-available clinical care for pulp treatment, but the AAPD encourages additional research for consistently success- ful and predictable techniques using biologically-compatible medicaments for vital and nonvital primary and immature permanent teeth. These procedures are indicated for primary, immature permanent, and mature permanent teeth in children and adolescents. The various conservative treatment modalities are also presented, including specific treatments for immature nonvital permanent teeth. 0000015123 00000 n Article title: Guideline on Pulp Therapy for Primary and Young Permanent teeth Author(s): Pulp therapy Subcommittee Journal: Pediatric Dentistry Clinical Guidelines Year. It alleviates subjective symptoms and, according to the literature, the risk of pulp exposure at the final treatment is decreased compared to removal of all caries at the first treatment … Guideline on pulp therapy for primary and young permanent teeth. Pediatr Dent. In view of new insights into primary pulp biology [Rodd and Boissonade, 2001, 2002, 2005], develop-ments in pulpal medicaments and worldwide changes in clinical practice, it was felt necessary to update the previous Clinical Guideline on pulp treatment for the primary dentition [Llewelyn, 2000]. Article Title: Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Journal: Pediatric Dentistry Volume (Number): 32(6). 0000017047 00000 n 0000005540 00000 n 0000036991 00000 n - Pulp Capping a. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Pediatr Dent. 0000007871 00000 n 0000011929 00000 n Quizlet flashcards, activities and games help you improve your grades. 0000006928 00000 n 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. Best space maintainers. 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