European Society of Endodontology position statement: Management of deep caries and the exposed pulp
European Society of Endodontology (ESE) developed by:, H F Duncan, K M Galler, P L Tomson, S Simon, I El-Karim, R Kundzina, G Krastl, T Dammaschke, H Fransson, M Markvart, M Zehnder, L Bjørndal, European Society of Endodontology (ESE) developed by:, H F Duncan, K M Galler, P L Tomson, S Simon, I El-Karim, R Kundzina, G Krastl, T Dammaschke, H Fransson, M Markvart, M Zehnder, L Bjørndal
Abstract
This 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.
Keywords: caries; dental pulp; pulp capping; pulpitis; pulpotomy; stepwise excavation; tertiary dentinogenesis; vital pulp treatment.
© 2019 International Endodontic Journal. Published by John Wiley & Sons Ltd.
Source: PubMed