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Pulp exposure management

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Abstract

The maintenance of healthy pulp tissue and the prevention of apical periodontitis form the basis of minimally invasive dentistry. Although, the dental pulp exhibits an array of strategies to protect itself against irritation, the conservative management of the exposed pulp has traditionally been unpredictable. Recent dental biomaterial advances, as well as an evolving understanding of molecular biology and regenerative medicine have led to the development of new treatment strategies for the exposed pulp. Although calcium-silicate cements now represent the gold standard capping material, but stimulate repair non-specifically and have some practical limitations.

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Further reading

  1. Duncan HF, Yamauchi Y (2019) Current and future views on pulp exposure management and epigenetic influences In: Duncan HF, Cooper PR (eds) Clinical approaches in endodontic regeneration. Springer, Berlin, pp 55–75. https://doi.org/10.1007/978-3-319-96848-3_4

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  2. Farges JC, Alliot-Licht B, Renard E et al (2015) Dental pulp defence and repair mechanisms in dental caries. Mediat Inflamm 2015:230251

    Article  Google Scholar 

  3. Nair PN, Duncan HF, Pitt Ford TR, Luder HU (2008) Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial. Int Endod J 41(2):128–150

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  4. Ricucci D, Loghin S, Siqueira J Jr (2014) Correlation between clinical and histologic pulp diagnoses. J Endod 40:1932–1939

    Article  Google Scholar 

  5. Sangwan P, Sangwan A, Duhan J, Rohilla A (2013) Tertiary dentinogenesis with calcium hydroxide: a review of proposed mechanisms. Int Endod J 46:3–19

    Article  Google Scholar 

  6. Schwendicke F, Frencken JE, Bjørndal L et al (2016) Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res 28:58–67

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  7. Wolters WJ, Duncan HF, Tomson PL, Karim IE, McKenna G, Dorri M, Stangvaltaite L, van der Sluis LWM (2017) Minimally invasive endodontics: a new diagnostic system for assessing pulpitis and subsequent treatment needs. Int Endod J 50:825–829

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  8. Duncan HF, Galler KM, Tomson PL, Simon S, El-Karim I, Kundzina R, Krastl G, Dammaschke T, Fransson H, Markvart M, Zehnder M, Bjørndal L, Dummer PMH (2019) European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J. https://doi.org/10.1111/iej.13080. (Epub ahead of print)

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Authors and Affiliations

  1. Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Lincoln Place, Dublin 2, Ireland

    Henry F. Duncan & Yukako Yamauchi

Authors
  1. Henry F. Duncan
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  2. Yukako Yamauchi
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Correspondence to Henry F. Duncan.

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Duncan, H.F., Yamauchi, Y. Pulp exposure management. Clin Dent Rev 3, 4 (2019). https://doi.org/10.1007/s41894-019-0043-y

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  • DOI: https://doi.org/10.1007/s41894-019-0043-y

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