Pulp therapy in young permanent teeth is essential in pediatric dentistry to preserve pulp vitality and tooth function after caries or trauma. These teeth often have incompletely developed roots and open apices, requiring tailored treatment to ensure continued root development or closure. Treatment options vary based on pulp status and include indirect and direct pulp capping, pulpotomy, apexogenesis, apexification, and regenerative endodontic procedures. Vital pulp therapies are used for reversible pulpitis, while non-vital therapies are suited for necrotic pulp. Advances in bioactive materials like MTA and biodentine have enhanced healing and dentin bridge formation. Accurate diagnosis, case selection, and follow-up are key for success. Early management ensures long-term tooth retention and supports facial and jaw development.

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