Stepwise carious tissue removal

Lars Bjørndal

doi:10.1007/978-3-319-61370-3_4

Stepwise carious tissue removal

Lars Bjørndal^*

^*Corresponding author for this work

Section 02 - Paediatric Dentistry

1 Citation (Scopus)

Abstract

For deep lesions (defined as those lesions radiographically penetrating into the pulpal third or quarter of the dentin) in teeth with vital pulps, selective removal to soft dentin and stepwise carious tissue removal are two recommended options, while nonselective or selective removal to firm dentin often result in pulp exposure. The therapy of such exposures using direct capping has a poor prognosis, while initiating root canal treatment for exposed vital pulps is more successful, but nevertheless reduces the survival of teeth. We discuss the histologic basis for performing stepwise removal and describe the clinical procedure.

Original language	English
Title of host publication	Management of Deep Carious Lesions
Editors	Falk Schwendicke
Number of pages	7
Publisher	Springer
Publication date	2018
Pages	47-53
Chapter	4
ISBN (Print)	978-3-319-61369-7
ISBN (Electronic)	978-3-319-61370-3
DOIs	https://doi.org/10.1007/978-3-319-61370-3_4
Publication status	Published - 2018

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10.1007/978-3-319-61370-3_4

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title = "Stepwise carious tissue removal",

abstract = "For deep lesions (defined as those lesions radiographically penetrating into the pulpal third or quarter of the dentin) in teeth with vital pulps, selective removal to soft dentin and stepwise carious tissue removal are two recommended options, while nonselective or selective removal to firm dentin often result in pulp exposure. The therapy of such exposures using direct capping has a poor prognosis, while initiating root canal treatment for exposed vital pulps is more successful, but nevertheless reduces the survival of teeth. We discuss the histologic basis for performing stepwise removal and describe the clinical procedure.",

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AB - For deep lesions (defined as those lesions radiographically penetrating into the pulpal third or quarter of the dentin) in teeth with vital pulps, selective removal to soft dentin and stepwise carious tissue removal are two recommended options, while nonselective or selective removal to firm dentin often result in pulp exposure. The therapy of such exposures using direct capping has a poor prognosis, while initiating root canal treatment for exposed vital pulps is more successful, but nevertheless reduces the survival of teeth. We discuss the histologic basis for performing stepwise removal and describe the clinical procedure.

U2 - 10.1007/978-3-319-61370-3_4

DO - 10.1007/978-3-319-61370-3_4

M3 - Book chapter

AN - SCOPUS:85045700803

SN - 978-3-319-61369-7

SP - 47

EP - 53

BT - Management of Deep Carious Lesions

A2 - Schwendicke, Falk

PB - Springer

ER -

Stepwise carious tissue removal

Abstract

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