Deep Caries Management: EFCD ‐ ESE ‐ ORCA S3 ‐Level Clinical Practice Guideline

Falk Schwendicke; Esra Kosan; Avijit Banerjee; Aylin Baysan; Lars Bjørndal; L Ceballos; Henry F. Duncan; Sascha Herbst; Klaus W. Neuhaus; Anne C. O'Connell; Sebastian Paris; Helena Dujic

doi:10.1111/iej.70132

April 22, 2026International Endodontic JournalOpen Access

Deep Caries Management: EFCD ‐ ESE ‐ ORCA S3 ‐Level Clinical Practice Guideline

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Key Points

The goal is to promote less invasive strategies for managing deep caries while maintaining tooth vitality.
Reviewed current evidence on deep caries management and published clinical practice guidelines.
Highlighted the importance of clinician training and patient-centered decision-making.
Considered economic and practical aspects of guideline implementation.
Evidence supports maintaining pulp vitality through less invasive management strategies.
Guideline implementation necessitates training for clinicians and communication with patients.
Further research is essential for extremely deep caries and understanding long-term outcomes.

Implication

Guidelines aim to enhance pulp vitality management in deep caries, suggesting less invasive strategies and emphasizing clinician training.

Abstract

For deep caries, maintaining pulp vitality by using less invasive management strategies is supported by current evidence. Implementation of this guideline requires clinician training, patient-centered decision-making and consideration of economic and practical factors. Further research is needed, particularly for extremely deep caries and towards long-term outcomes.

Discussion

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Cite This Study

Schwendicke et al. (2026) studied this question.

synapsesocial.com/papers/69eb0961553a5433e34b3e95 https://doi.org/10.1111/iej.70132

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Deep Caries Management: EFCD ‐ ESE ‐ ORCA S3 ‐Level Clinical Practice Guideline

Key Points

Implication

Abstract

Discussion

Cite This Study

Deep Caries Management: EFCD ‐ ESE ‐ ORCA S3 ‐Level Clinical Practice Guideline

Key Points

Implication

Abstract

Discussion

Cite This Study

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