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Related Experiment Video

Updated: Jul 4, 2026

Establishment of a Murine Pulp Exposure Model with a Novel Mouth-Gag for Pulpitis Research
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Establishment of a Murine Pulp Exposure Model with a Novel Mouth-Gag for Pulpitis Research

Published on: October 27, 2023

Indirect pulp therapy and stepwise excavation.

Lars Bjørndal1

  • 1Department of Cariology and Endodontics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark. lb@odont.ku.dk

Journal of Endodontics
|July 2, 2008
PubMed
Summary
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Optimal randomized clinical studies are lacking for deep carious lesions. Current observational studies show stepwise excavation and indirect pulp treatment avoid pulp exposure, but the best approach remains unclear.

Area of Science:

  • Dentistry
  • Cariology
  • Endodontics

Background:

  • Deep carious lesions present a treatment dilemma with a lack of high-quality evidence.
  • Existing systematic reviews are based on limited studies, highlighting the need for robust clinical trials.

Purpose of the Study:

  • To review current treatment concepts for deep carious lesions.
  • To discuss findings from observational studies and ongoing clinical trials.
  • To present treatment guidelines for managing deep caries.

Main Methods:

  • Review of recent systematic reviews on deep carious lesion management.
  • Analysis of observational studies on indirect pulp treatment and stepwise excavation.
  • Description of a modified stepwise excavation technique.

Related Experiment Videos

Last Updated: Jul 4, 2026

Establishment of a Murine Pulp Exposure Model with a Novel Mouth-Gag for Pulpitis Research
05:16

Establishment of a Murine Pulp Exposure Model with a Novel Mouth-Gag for Pulpitis Research

Published on: October 27, 2023

  • Information on the ongoing Caries and Pulp (CAP) trial.
  • Main Results:

    • Observational studies indicate indirect pulp treatment and stepwise excavation can prevent pulp exposure.
    • Evidence is insufficient to determine the optimal treatment between these approaches.
    • A modified stepwise excavation aims to arrest lesions non-invasively.

    Conclusions:

    • High-quality randomized clinical trials are crucial for definitive treatment recommendations.
    • Stepwise excavation is being investigated in a multi-center trial comparing 1-visit vs. 2-visit approaches.
    • Guidelines for managing deep caries are presented based on current evidence and ongoing research.