TY - JOUR

T1 - The caries process and its effect on the pulp

T2 - the science is changing and so is our understanding

AU - Bjørndal, Lars

PY - 2008/7/12

Y1 - 2008/7/12

N2 - The understanding of the caries process and its effect on the pulp is presented in the context that caries does develop in various rates of progression. Early in the caries process, the pulp reflects changes within lesion activity. Thus, the early pulp response is reversible. Later, the rate of caries progression is reflected by the quality of the tertiary dentin. Slowly progressing lesions create tertiary dentin resembling normal tubular dentin. Rapidly progressing lesions lead to the production of a tubular dentin or complete absence of tertiary dentin, as well as pulp necrosis and apical pathology Finally, the nature of the untreated deep carious lesion is on ecosystem that might undergo significant changes. The untreated lesion is temporarily converted from an active and closed lesion environment into one that is open and slowly progressing. The analysis of untreated carious lesions has transformed the treatment philosophy of deep carious lesions.

AB - The understanding of the caries process and its effect on the pulp is presented in the context that caries does develop in various rates of progression. Early in the caries process, the pulp reflects changes within lesion activity. Thus, the early pulp response is reversible. Later, the rate of caries progression is reflected by the quality of the tertiary dentin. Slowly progressing lesions create tertiary dentin resembling normal tubular dentin. Rapidly progressing lesions lead to the production of a tubular dentin or complete absence of tertiary dentin, as well as pulp necrosis and apical pathology Finally, the nature of the untreated deep carious lesion is on ecosystem that might undergo significant changes. The untreated lesion is temporarily converted from an active and closed lesion environment into one that is open and slowly progressing. The analysis of untreated carious lesions has transformed the treatment philosophy of deep carious lesions.

KW - Dental Caries

KW - Dental Pulp Necrosis

KW - Dentin, Secondary

KW - Disease Progression

KW - Humans

M3 - Journal article

C2 - 18615983

VL - 30

SP - 192

EP - 196

JO - Pediatric Dentistry

JF - Pediatric Dentistry

SN - 0164-1263

IS - 3

ER -