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Indirect Pulp Therapy and Stepwise Excavation

Authors
Journal
Journal of Endodontics
0099-2399
Publisher
Elsevier
Publication Date
Volume
34
Issue
7
Identifiers
DOI: 10.1016/j.joen.2008.02.035
Keywords
  • Caries
  • Dentin
  • Indirect Pulp Treatment
  • Pulp
  • Randomized Clinical Trial
  • Stepwise Excavation
  • Tertiary Dentin

Abstract

Abstract Various treatment concepts have been suggested to solve the deep carious lesion dilemma. Recent systematic reviews are presented. Their conclusions are based on very few studies, and the main message is that optimal randomized clinical studies are lacking. Observational studies on indirect pulp treatment and stepwise excavation demonstrate that these treatments avoid pulp exposures, but it cannot be said which approach is best. A less invasive modified stepwise excavation approach is described, focusing on changing an active lesion into an arrested lesion even without performing an excavation close to the pulp. In Denmark and Sweden a randomized clinical multi-center trial is currently taking place, the Caries and Pulp (CAP) trial. This trial is investigating the effects of stepwise excavation over 2 visits versus 1 complete excavation of deep caries in permanent teeth. Guidelines for treatment are presented.

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