PB-13 The Biology of Pulpitis: Understanding Biological Processes That Underpin Therapy

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CE Hours: 1.25

Description: Caries prevalence remains high throughout the world, with the burden of disease shifting to older and socially disadvantaged groups. If left untreated, caries will advance through dentine stimulating a progressive pulpitis and eventually pulp infection and necrosis; however, if conservatively managed pulpal recovery occurs even in deep carious lesions. As a profession and speciality, we should be striving to develop new biologically-based minimally-invasive solutions; however, to do so, an applied understanding of pulpitis and repair processes is critical. During this presentation we will discuss both the ESE position statement of ‘Deep Caries and the Exposed Pulp’ and also the ESE S3-level clinical guideline recommendations. During this talk we will consider amongst other things:  How does the pulp respond to bacterial challenge? How localised is the inflammatory response? Could we consider utilising biomarkers expressed in pulp inflammation for diagnosis or repair?

Learning Objectives:  

  • Evaluate the scientific rationale, biological principles and clinical arguments for pulp preservation.
  • Analyze the manner in which the pulp responds to microbial challenge and how we may assess the level of inflammation in the pulp.
  • Describe the most appropriate way to manage pulpitis in clinical practice.


The Biology of Pulpitis: Understanding Biological Processes That Underpin Therapy
Recorded 06/12/2024  |  75 minutes
Recorded 06/12/2024  |  75 minutes
8 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
1.25 CE credits  |  Certificate available
1.25 CE credits  |  Certificate available

Hal F. Duncan, B.D.S., M.C.D, PhD

Received his dental degree from the University of Glasgow and his 4-year endodontic speciality training in Guy’s Hospital, King’s College London. For ten years, he worked part-time in specialist referral endodontic practice. He completed his PhD in the University of Birmingham in pulp biology. As an Academic Professor and Consultant in Endodontics, he has led endodontic teaching, service delivery and research in Dublin Dental University Hospital (DDUH) for the last 15 years. He has published over 120 international peer-reviewed scientific articles, 40 research abstracts, 18 book chapters as well as editing 3 textbooks. He was the primary author of the recent European Society of Endodontology (ESE) position statement on ‘Management of deep caries and the exposed pulp’ and is the lead of the ongoing ‘ESE S3-level Guidelines for the Treatment of Endodontic Disease’. He is the current Editor-in-Chief of the International Endodontic Journal after being an Associate Editor for the International Endodontic Journal since 2014. Hal has completed three sponsored research fellowships in New York University/Rutgers University investigating the role of epigenetic-modifying agents on tooth regeneration. In DDUH, he currently maintains a research lab and is the principal supervisor of clinical and scientifically trained PhD students and postdoctoral researchers in basic and translational pulp biology and endodontics. Currently, he is the Director of Research in the DDUH, the Chair of Membership Committee of the ESE, a Member of the Executive Board of the ESE, the President Elect of the ESE, the President of the Irish Division of the IADR, the Vice-President of the Pulp Biology and Regeneration Group of the IADR and a Board Member of the Pan European Region of the IADR.

I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.