Treatment of Immature Permanent Teeth with Pulpal Necrosis

Key Definitions and Indications

Conservative pulp treatment (pulp capping) performed on vital pulp in immature permanent teeth to allow continued physiologic root development, is indicated after crown fractures with pulp exposure when pulp vitality can be preserved through immediate intervention, and requires the tooth to be treated within hours of injury to maintain pulp vitality, as recommended by the American Academy of Pediatric Dentistry 1
The American Academy of Pediatric Dentistry recommends conservative pulp treatment (pulp capping) for vital pulp in immature permanent teeth to allow continued physiologic root development, with a high level of evidence 2

The American College of Radiology recommends follow-up imaging at 3 months, 6 months, 1 year, and annually for 3 years thereafter, using intraoral radiographs with dedicated holders and beam aiming devices as the imaging modality of choice, with a moderate level of evidence 2