Contemporary Treatment of Permanent Teeth with Deep Carious Lesions

Friday, September 26, 2025

8:00 AM - 10:00 AM

Credits: 2

COURSE DESCRIPTION: 

Deep carious lesions with close approximation to the pulp require special attention from the clinician. The American Academy of Pediatric Dentistry recently published a systematic review and meta-analysis on vital pulp therapy for permanent teeth. Its results generated conservative and contemporary guidelines on how to approach teeth with deep carious lesions. This presentation will discuss them in-depth and will provide clinicians with clinical and radiographic tools to better assess pulpal status and navigate a newly developed “decision tree” leading to excellent outcome, reducing significantly the need to root canal therapy.   

OBJECTIVES:

  1. To familiarize the practitioner with contemporary, evidence-based vital pulp therapy techniques for young permanent teeth affected by caries.
  2. To in-depth review the significance of data gathering (pain history, symptoms, sensibility tests), clinical and radiographic interpretation to facilitate diagnosis and the correct treatment approach.
  3. To understand indications and contraindications for indirect pulp treatment, direct pulp capping, partial and full pulpotomy.
  4. To understand the clinical applications of calcium silicate cements. 
SPEAKER: Dr. Marcio Guelmann

Dr. Marcio Guelmann is Professor, Chair, and former Residency Program Director of the Department of Pediatric Dentistry at the University of Florida (UF) in Gainesville, FL. His D.D.S. degree is from the Federal University of Parana, Brazil, in 1984, and his Certificate in Pediatric Dentistry is from the Hadassah Faculty of Dental Medicine in Jerusalem, Israel, in 1988. While in Israel, Dr. Guelmann was in private practice and part-time academics for ten years and served as President of the Israeli Society of Pediatric Dentistry from 1995 to 1998. He joined the Department of Pediatric Dentistry at UF in 1999. He became a Diplomate of the American Board of Pediatric Dentistry (ABPD) in 2006, served on the Examination Committee from 2009 to 2017, chaired the Oral Clinical Examination in 2018, and is currently the Immediate Past-President of the ABPD. In addition, Dr. Guelmann served as a consultant and site visitor for the Commission of Dental Accreditation, a Fellow of the American Dental Education Association Leadership Institute, and the American College of Dentists. In addition, Dr. Guelmann served as Executive Director for the Florida Academy of Pediatric Dentistry (2018-2019). In 2021, Dr. Guelmann was honored by the American Academy of Pediatric Dentistry with the “Dr. Lewis A. Kay Excellence in Education Award.” He is the author and co-author of over 60 manuscripts and book chapters, a member of the Editorial Board of the AAPD’s Pediatric Dentistry Journal, and a reviewer for national and international pediatric dental journals.    

The Speaker and the VDA Team do not have any financial arrangements/affiliations to disclose relating to the content of this presentation.

The Virginia Dental Association is an ADA CERP-recognized provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. The Virginia Dental Association designates each activity with the noted CE credits. Please refer to the description of each activity for the number of CE credits. The VAPD continuing education activities have been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between VAPD and VDA. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ADA.org/CERP.