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Beyond Caries Removal: The Peripheral Seal Zone Concept

Dr Michaela Jaresova
Dr Michaela JaresovaCzech Republic
1 hour 4 minutes 1 hr CPD/CE

Selective caries removal is now preferred for deep caries in vital teeth, but Dr Michaela Jaresova believes it is often applied too broadly. Her approach rests on a clean Peripheral Seal Zone and a caries removal endpoint that protects the pulp.

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About this lecture

Beyond Caries Removal: The Peripheral Seal Zone Concept

Selective caries removal has become the preferred approach for vital permanent teeth with deep caries, but Dr Michaela Jaresova believes it is often interpreted too broadly, with carious dentin left where the evidence does not support it. She takes a balanced, evidence-based look at the technique, setting out clearly where it is appropriate and where it is not. Her approach centres on the Peripheral Seal Zone: a clean periphery of sound enamel and dentin to which we can predictably bond, together with a caries removal endpoint that avoids exposing the pulp. Through her own clinical cases, she shows how to make these decisions confidently in daily practice. She also explains why a symptom-free tooth is not proof of a healthy pulp, and how she discusses this honestly with her patients.

What you'll learn

Learning Aims & Objectives

Understand the biological rationale for selective caries removal and its role in preserving pulp vitality.
Learn how to identify the correct caries removal endpoint in deep lesions, guided by the clinical layers of carious dentin and the bitewing radiograph.
Understand the Peripheral Seal Zone and why a clean, sound periphery matters for the long-term success of the adhesive restoration.
Identify the common mistakes and misconceptions in selective caries removal, including the situations where carious tissue should not be left.
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Your lecturer

Meet Dr Michaela Jaresova

Dr Michaela Jaresova

Dr Michaela Jaresova

Czech Republic

MDDr. Michaela Jaresova is a general dentist practising in a private, family-run clinic in the Czech Republic, with a strong focus on biomimetic dentistry and adhesive restorative techniques. She graduated from Charles University in 2017. Since then, she has continued to refine her clinical approach through advanced education and mentorship from internationally recognised clinicians, including Didier Dietschi, Pascal Magne, Angelo…

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