Pediatric Endodontics
Study Course Implementer
Residency Speciality
Aleksandra.karkle@rsu.lv
About Study Course
Objective
The course provides advanced knowledge of the diagnosis and management of pulpal and periapical diseases in children and develops the resident's practical skills in the endodontic treatment of primary teeth and permanent teeth with incomplete root development. Residents acquire an evidence-based understanding of the biological principles, indications, clinical techniques and outcome assessment of regenerative endodontic procedures, enabling them to select the most appropriate treatment strategy for each clinical situation and promote the long-term preservation of the tooth and surrounding tissues.
Learning Outcomes
Knowledge
1.1. Acquire advanced knowledge of the diagnosis and management of pulpal and periapical diseases in children, including primary teeth and permanent teeth with incomplete root development. 2. Acquire knowledge of vital pulp therapy, apexogenesis, apexification, and the biological principles, indications, contraindications and clinical applications of regenerative endodontic procedures. 3. Acquire knowledge of the evaluation of regenerative endodontic treatment outcomes, long-term follow-up, and evidence-based clinical decision-making in paediatric endodontics.
Skills
1.1. Diagnose pulpal and periapical diseases in children and select the most appropriate treatment strategy for primary teeth and permanent teeth with incomplete root development. 2. Plan and perform vital pulp therapy, apexogenesis, apexification and regenerative endodontic procedures according to clinical indications and current clinical guidelines. 3. Evaluate treatment outcomes, interpret clinical and radiographic findings, and plan long-term follow-up following paediatric and regenerative endodontic treatment.
Competences
1.1. Integrate theoretical knowledge and practical skills to independently plan and perform paediatric endodontic treatment and the management of permanent teeth with incomplete root development in accordance with current scientific evidence and clinical guidelines. 2. Independently make clinical decisions in paediatric and regenerative endodontics by evaluating treatment indications, prognosis and long-term outcomes to optimise the preservation of the tooth and surrounding tissues.
Assessment
Examination
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Title
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% from total grade
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Grade
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1.
Test |
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10 points
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A written test assessing the resident's knowledge of the principles of diagnosis, treatment and clinical decision-making in paediatric and regenerative endodontics. |
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Study Course Theme Plan
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Seminar
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Modality
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Location
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On site
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Study room
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Topics
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Pediatric Endodontics I: Endodontic Treatment of Primary Teeth
Description
The resident acquires advanced knowledge of the diagnosis and management of pulpal and periapical diseases in primary teeth. The seminar covers the principles, indications and contraindications of vital pulp therapy, pulpotomy and pulpectomy, as well as treatment selection based on the stage of tooth development and clinical and radiographic findings. The resident develops knowledge of the clinical application of contemporary bioactive materials in paediatric endodontics, treatment outcome assessment and long-term follow-up principles. |
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Seminar
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Modality
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Location
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On site
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Study room
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Topics
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Pediatric Endodontics II: Management of Permanent Teeth with Incomplete Root Development
Description
The resident acquires advanced knowledge of the diagnosis and management of permanent teeth with incomplete root development. The seminar explores the role of vital pulp therapy in promoting continued root development, as well as the indications, contraindications and clinical application of apexogenesis and apexification. The resident develops the ability to select the most appropriate treatment strategy for each clinical situation, evaluate treatment prognosis and plan long-term follow-up in accordance with current scientific evidence and clinical guidelines. |
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Seminar
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Modality
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Location
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On site
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Study room
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Topics
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Regenerative Endodontic Procedures (REP): Biological Basis and Clinical Protocol
Description
The resident acquires advanced knowledge of the biological principles and clinical application of regenerative endodontic procedures in the management of permanent teeth with incomplete root development. The seminar covers case selection, indications and contraindications, the clinical protocol for regenerative endodontic procedures, the selection of biomaterials and intracanal medicaments, and the biological mechanisms underlying tissue healing and continued root development. The resident develops the ability to select the most appropriate treatment strategy, evaluate treatment outcomes and plan long-term follow-up in accordance with current scientific evidence and international clinical guidelines. |
Bibliography
Required Reading
American Academy of Pediatric Dentistry. Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. Pediatr Dent. 2024;46(1):13–26.
American Academy of Pediatric Dentistry. Pulp Therapy for Primary and Immature Permanent Teeth. The Reference Manual of Pediatric Dentistry. Chicago: AAPD; 2024.
Dhar V et al. Consensus-Based Recommendations on Pulp Therapies in Primary and Permanent Teeth: IAPD Porto Forum. Int J Paediatr Dent. 2026;36(2):371–386.
Murray PE. Review of guidance for the selection of regenerative endodontics, apexogenesis, apexification, pulpotomy, and other endodontic treatments for immature permanent teeth. Int Endod J. 2023;56(Suppl 2):188–199.
American Association of Endodontists. AAE Clinical Considerations for a Regenerative Procedure. Revised November 2022. Chicago: AAE; 2022.
Fan Z et al. Expert consensus on regenerative endodontic procedures. Int J Oral Sci. 2022;14(1):55.
Ørstavik D, Pitt Ford TR. Essential Endodontology. 3rd ed. Wiley-Blackwell; 2019.