European Society of Endodontology position statement: Management of deep caries and the exposed pulp

International Endodontic Journal - Tập 52 Số 7 - Trang 923-934 - 2019
Henry F. Duncan1, Kerstin M. Galler2, Phillip Tomson3, Stéphane Simon4, Ikhlas El Karim5, Rita Kundzina6, Gabriel Krastl7, Till Dammaschke8, Helena Fransson9, Merete Markvart10, Matthias Zehnder11, Lars Bjørndal10
1Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
2Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
3School of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK
4Paris Diderot University, Paris 7, Paris, France
5School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UK
6Faculty of Health Sciences Institute of Clinical Odontology UiT the Arctic University of Norway Tromsø Norway
7Department of Conservative Dentistry and Periodontology, University Hospital of Würzburg, Würzburg, Germany
8Department of Periodontology and Operative Dentistry, Westphalian Wilhelms University, Münster, Germany
9Faculty of Odontology Department of Endodontics Malmö University Malmö Sweden
10Cariology and Endodontics, Faculty of Health and Medical Sciences, Department of Odontology, University of Copenhagen, Copenhagen, Denmark
11Department of Preventive Dentistry, Periodontology, and Cariology, University of Zurich, Zurich, Switzerland

Tóm tắt

AbstractThis position statement on the management of deep caries and the exposed pulp represents the consensus of an expert committee, convened by the European Society of Endodontology (ESE). Preserving the pulp in a healthy state with sustained vitality, preventing apical periodontitis and developing minimally invasive biologically based therapies are key themes within contemporary clinical endodontics. The aim of this statement was to summarize current best evidence on the diagnosis and classification of deep caries and caries‐induced pulpal disease, as well as indicating appropriate clinical management strategies for avoiding and treating pulp exposure in permanent teeth with deep or extremely deep caries. In presenting these findings, areas of controversy, low‐quality evidence and uncertainties are highlighted, prior to recommendations for each area of interest. A recently published review article provides more detailed information and was the basis for this position statement (Bjørndal et al. 2019, International Endodontic Journal, doi:10.1111/iej.13128). The intention of this position statement is to provide the practitioner with relevant clinical guidance in this rapidly developing area. An update will be provided within 5 years as further evidence emerges.

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International Endodontic Journal

Tập 52 Số 7

923-934

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