Which treatment is typically avoided in the management of a fractured tooth with immature apices?

In the management of a fractured tooth with immature apices, immediate extraction is typically avoided because the primary goal is to preserve the tooth and promote further root development. Immature teeth are characterized by incomplete root formation, making them more vulnerable to further complications if extracted.

Keeping the tooth allows for continued support of the periodontal structures and gives a chance for the pulp to heal or to undergo regenerative procedures that can aid in root development. Treatments such as partial pulpotomy, direct pulp cap, and pulpectomy are aimed at preserving the pulp tissue or the overall vitality of the tooth to facilitate the development of a complete root structure. These treatments help manage any pulp exposure and allow the tooth to remain in function while encouraging apexification or root maturation. Hence, immediate extraction is counterproductive to the goals of managing an immature tooth and is why it is avoided in this situation.