Pulpa har viktige funksjoner for en tanns liv og overlevelse. Tenner med dype karieslesjoner bør behandles konservativt hvis mulig. Vi har flere aktuelle behandlingsalternativ, men felles for dem er at vi må stille en pålitelig diagnose for pulpas «helsetilstand» før vi tar beslutning om hva som er best i det enkelte tilfelle. En moderne tilnærming til kariesbehandling har beveget seg fra et rent mekanistisk syn på behandlingen til et mer biologisk syn. For å unngå unødvendig eksponering av en vital og levedyktig pulpa, er man i dag forsiktig med å fjerne selv mykt dentin i de mest pulpanære områdene. Man spiller heller på tennenes og pulpas evne til å stanse bakterienes vekst og virke.
Denne artikkelen omtaler derfor ett- og to-trinns selektiv fjerning av kariøst dentin i vitale tenner før permanent restaurering utføres.


  1. Kariologi
  2. endodontologi
  3. mikrobiologi


The pulp has many important roles as to the function and survival of teeth. Teeth with deep carious lesions should be treated conservatively if possible. There are several treatment options for this purpose, but they all have in common the necessity of finding a reliable and correct diagnose for the «health status» of the pulp before making a treatment decision. Modern approaches to caries treatment have moved from a pure mechanistic view to a more biological view. Today, dentists are more careful when removing even soft dentine close to the pulp in order to avoid unnecessary exposure of a vital pulp. Dentists are playing together with the pulp’s ability to arrest the bacteria’s growth and activity.
This deals with one- and two-step selective removal of carious dentine in vital teeth before making a permanent restoration.


  1. Cariology
  2. endodontology
  3. microbiology

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Published In

Go to Aktuel Nordisk Odontologi
Volume 49Number 12 January 2024
Pages: 4260


Published online: 2 January 2024
Issue date: 2 January 2024



Frode Staxrud [email protected]
Nordisk Institutt for Odontologiske materialer, Oslo, Norge

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