How Low Should You Go? Treatment of the Deep Caries Lesion
An ACDE Series Webinar

Course Description:

What’s the best way to approach a large carious lesion? Can we avoid exposure of the pulp and endodontic therapy if the tooth is vital and asymptomatic? What will happen if we leave some soft dentin under a well-sealed restoration? What does the scientific evidence tell us?

The “medical model” requires that dentists understand the caries disease process, and use that knowledge to treat affected teeth appropriately. In this course, Dr. Maggio provides a literature review as a framework for rethinking our approach to caries as a disease.

Specific guidelines will be developed for treatment of very deep lesions, small carious lesions, and recurrent caries. Many clinical cases will be presented, to directly apply this information to the dentist’s daily routine.

Learning Objectives:

At the conclusion of this course, participants will be able to:

  1. See caries as a disease process and treat lesions using the “medical model”
  2. Understand the nature of soft dentin, and its ability to be remineralized
  3. Be able to choose between indirect pulp caps, “stepwise excavation”, and “ultraconservative caries removal”
  4. Know the indications for, and advantages of, glass ionomer materials, including the “open sandwich technique”
  5. Be familiar with “atraumatic” caries removal

Meet the Speaker: Dr. John Maggio

Dr. John Maggio is assistant professor at SUNY Buffalo School of Dental Medicine, where he supervises students in the predoctoral dental clinic. He directs the third year Cariology and Direct Restorations lecture courses. He has developed protocols for caries management and operative dentistry in the school’s dental clinics. He is chair of the Curriculum Committee.

Dr. Maggio is a member of the CAMBRA Coalition and the American Academy of Cariology. He reviews articles for submission to the Journal of the American Dental Association. He teaches fast-paced, evidence-based continuing education courses in restorative dentistry and caries management to dentists and their teams.

Dr. Maggio is a 1989 graduate of the State University of New York at Buffalo School of Dental Medicine. He has a private general practice in Tonawanda, New York. He lives with his wife and daughter in Amherst, New York.

Registration Information

  • Zoom Webinar
  • Lecture
  • 2 Credit Hours
  • Tuition: $69

Hosting University

  • University of Buffalo, Continuing Dental Education
  • CE contact name & email: Annamarie Phalen,
  • Speaker name & contact info: Dr. John Maggio,

WEBINAR CANCELLATION POLICY: Full refunds will be issued to registrants who cancel their registration no later than 48 hours before the course starting date/time. A 50% refund will be issued to registrants who cancel 48-24 hours before the course starting date/time. No refunds will be issued for registrants who does not login to the webinar or who cancels within 24 hours of the course starting date/time. Participants may phone the Continuing Education office to cancel, but a written request which includes the name and phone number of the person who paid for the course must be received by our office before a refund can be processed. This request can be emailed to