Teeth with open apices: New strategies in apexogenesis and pulp regeneration.

Type of programme
Specialization courses
between 07-06-2024 and 07-06-2024
€510.00. *Prices corresponding to the 2023-2024 academic year.
From 9.00 am to 7.00 pm
Spanish (secondary language: English)
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This course is intended for general dentists who seek to further their knowledge in the management of young permanent teeth, and in the use of biomaterials in the pulp treatment of these teeth.

Course objectives

  • To learn in depth about the nature and characteristics of young permanent teeth.
  • To study the most frequent etiologic factors.
  • To understand the keys to accurate diagnosis in young permanent teeth
  • To establish treatment goals.
  • To know the recommended treatment for teeth with vital pulp
  • To know the recommended treatment for teeth with non-vital pulp
  • To analyse the characteristics and clinical management of biomaterials

Competences to be acquired by students

The student will be able to diagnose and treat young permanent teeth based on the approach of minimally invasive dentistry.

Prospective students

Holder of a bachelor’s degree in dentistry and/or stomatology.

Course Coordinator:

  • Dr Karem Marfisi, Dr Francisco Guinot

Course programme

The course involves one lecture on the diagnosis and treatment of immature permanent teeth, as well as the characteristics and applications of bioceramics.

Students will explore pertinent clinical cases.

Students will gain hands-on experience to fully understand the clinical techniques associated with treating immature permanent teeth.

Theoretical part

Module 1

1. Definition and characteristics of immature permanent teeth:

  • Anatomical characteristics
  • Physiological characteristics
  • Root formation

Module 2

1. Aetiology of pulp involvement:

  • Traumatic dental injuries
  • Cavities
  • Malformation or hypoplasia
  • Coronal root furrows

Module 3

1. Diagnostics in immature permanent dentition

  • Anamnesis (history of pain)
  • Clinical and complementary tests
  • X-ray assessment
  • Pulp exposure and bleeding

2. Factors that hinder diagnosis

Module 4

1. Treatment objectives

2. Factors that hinder treatment

Module 5

1. Vital pulp therapy (apexogenesis)

  • Indirect pulp capping
  • Selective caries removal, one-step technique
  • Stepwise removal
  • Direct pulp capping (Class I, Class II)
  • Partial pulpotomy
  • Full pulpotomy
  • Pulpectomy

2.  Vital pulp therapy

  • Revascularisation
  • Apexification

Module 6

1. Bioceramic cement

2. Ideal biomaterial properties

3. Composition

4. Clinical indications

Module 7

1. Presentation and discussion of clinical cases involving immature permanent teeth

Hands-on practice

Module 8

1. Vital pulp therapy:

We will discuss clinical cases step-by-step

Module 9

1. Partial pulpotomy/total pulpotomy. We will practice the steps involved in both techniques for extracting molars.

Module 10

1. Apexification: Access and biomechanical preparation of the root canal system. Handling bioceramic cements


Study programme and subjects 2023-2024

Subjects in course 1 Type Term ECTS
Teeth with Open Apices: New Strategies in Apexogenesis and Pulp Regeneration Type: OB Term: Second semester ECTS: 1
  • ECTS: European Credit Transfer System
  • Term: calendar period
  • (a): subjects which are taught in English


Dra. Karem Marfisi

Prerequisites & admissions

Prerequisites and admissions

  • The course is aimed at Graduates / Graduates in Dentistry or Stomatologists