IV Congresso internazionale SIE 2021
Lars Bjørndal

Lars Bjørndal

Born in 1963, graduated in 1988 as a dentist from the University of Copenhagen, Denmark.
In 1992: Ph.D. thesis on the topic: Caries progression in enamel and the pulp-dentin organ using thin undemineralized tooth sections.
In 2011: Dr. Odont. Thesis entitled: Endodontic treatment: reason, prevention and quality-shaping factors.
From 1993-1998: Assistant professor at the Department of Cariology and Endodontics, University of Copenhagen.
1999-2001: received specific postgraduate endodontic specialist courses in collaboration with the universities in Copenhagen, Denmark, Malmö and Gothenburg, Sweden.
From 1998: Associate professor at the University of Copenhagen, Denmark, and Head of Endodontic. In 2012 LB was visiting Scholar at Loma Linda University, US.
From 2012: Head of the Special Clinical Unit receiving referrals at the Institute of Odontology, University of Copenhagen, Denmark. One day weekly LB is in clinical practice devoted endodontic referrals. LB has been past Secretary in the Scandinavian Endodontic Society (SES) from 1999-2001.
In 2007 and 2016 LB hosted the SES biennial congress in Denmark. LB is second time President of the Danish National Endodontic Society (2014), and country representative for the European Society of Endodontology (ESE), as well as a certified member of ESE. Besides numerous national post-graduate General Dental Practitioner hands-on courses covering endodontic treatments, LB has been giving lectures in Europe, India, Asia, North and South America. The topics have been within the field of deep caries lesion pathology, treatments and quality-shaping factors concerning endodontic treatments. LB has authored and co-authored numerous international and national articles, including book chapters and reviews, and is at present reviewer in several international Journals. Editor of Textbook of Endodontology, WiIey, Blackwell 3. edition.

PRE-CONGRESS COURSE: “Antipodes of Endodontics”

MANAGEMENT OF DEEP AND EXTREMELY DEEP CARIES: PATHOLOGY TREATMENT AND LEVEL OF EVIDENCE

Saturday, 10 Nov

10.20 am

Simultaneous interpreting available

Understanding of caries pathology and pulp inflammation is crucial for determine best treatment option. Inflammation is a two-edged sword comprising the platform for beneficial mineralization as well as unwanted pulp necrosis followed by bacterial infection and progression of apical inflammation. Research has shown that a suggested treatment may vary when the deep carious lesion is examined, reflecting that transportation of research findings is a slow process but may also indicate that optimal evidence is still lacking. However, recent clinical randomized trials have emerge perhaps making treatment decision more easier. In the first part of the lecture, a journey comprising an updated understanding of carious pathology will be detailed. In the second part suggested guidelines will be presented for deep carious handling based on the European Society of Endodontology’s POSITION STATEMENT paper. E.g. quite often it is unclear from clinical pulp capping studies, whether the procedures were carried out due to an unexpected event, or whether the procedure was planned, moreover the depth of the caries lesion is seldom specified, which reflects degree of pulp inflammation. It is no wonder that there appears to a treatment variation within the general practitioners environment for patients having a deep caries lesion, some perform pulp-capping or root canal treatment, and other prefer a less invasive excavation approach, aiming to avoid pulp exposure. What does the best available evidence tell us for the performance of the treatment of deep caries lesions?

 

Objectives

  • Understanding caries pathology
  • Management of deep and extremely deep caries

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