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Preserving pulp vitality: part one - strategies for managing deep caries in permanent teeth

British Dental Journal volume 230, pages 77–82 (2021)Cite this article

Abstract

This is the first article in a series reviewing the current literature surrounding the management of deep caries in permanent teeth. Approaches to caries management are continuing to evolve, with more conservative management increasingly favoured. This philosophy has never been more important than in managing the deep carious lesion. Evidence is emerging that the use of selective caries removal to reduce the risk of pulp exposure, in conjunction with calcium silicate cements, can be successful in maintaining pulp vitality, delaying the restorative cycle and prolonging the lifespan of the tooth.

Key points

  • Non-selective caries removal is currently not recommended in the management of deep carious lesions.

  • Selective caries removal should be considered ahead of a stepwise approach.

  • Selective caries removal minimises the risk of pulp exposure and improves pulp survival in the short-to-medium term.

  • Calcium silicate cements show potential in the management of deep caries.

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Authors and Affiliations

  1. Restorative Dentistry (Endodontics), Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, NE2 4AZ, UK

    David Edwards

  2. Restorative Dentistry, School of Dental Sciences, Framlington Place, Newcastle upon Tyne, NE2 4BW, UK

    Simon Stone & Oliver Bailey

  3. School of Dentistry, University of Birmingham, UK

    Phillip Tomson

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  2. Simon Stone
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Correspondence to David Edwards.

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Edwards, D., Stone, S., Bailey, O. et al. Preserving pulp vitality: part one - strategies for managing deep caries in permanent teeth. Br Dent J 230, 77–82 (2021). https://doi.org/10.1038/s41415-020-2590-7

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