Dr. Henry (Hal) Duncan

Received his dental degree from the University of Glasgow and his 4-year endodontic speciality training in Guy’s Hospital, King’s College London. For ten years, he worked part-time in specialist referral endodontic practice. He completed his PhD in the University of Birmingham on the subject of ‘Epigenetic approaches to the role of Histone Deacetylase Inhibitors (HDACi) in promoting dentine-pulp reparative mechanisms’. As an Academic Professor and Consultant in Endodontics, he has led endodontic teaching, service delivery and research in Dublin Dental University Hospital (DDUH) for the last 15 years. He has published over 140 international peer-reviewed scientific articles, 40 research abstracts, 18 book chapters as well as editing 3 textbooks. He was the primary author of the recent European Society of Endodontology (ESE) position statement on ‘Management of deep caries and the exposed pulp’ and is the lead of the ongoing ‘ESE S3-level Guidelines for the Treatment of Endodontic Disease’. He is the current Editor-in-Chief of the International Endodontic Journal after being an Associate Editor for the International Endodontic Journal since 2014. Hal has completed three sponsored research fellowships in New York University/Rutgers University investigating the role of epigenetic-modifying agents on tooth development and regeneration as well as receiving multiple research grants as principal investigator. In DDUH, he currently maintains a research lab and is the principal supervisor of clinical and scientifically trained PhD students and postdoctoral researchers in basic and translational pulp biology and endodontics. Currently, he is the Director of Research in the DDUH, the Chair of Membership Committee of the ESE, a Member of the Executive Board of the ESE, the President of the ESE, the ex-President of the Irish Division of the IADR, the President of the Pulp Biology and Regeneration Group of the IADR and an ex-Board Member of the Pan European Region of the IADR. He is a past president of the Irish Endodontic Society as well as an external examiner at home and abroad.


Innovations in Vital Pulp Treatment: Scientific developments and clinical recommendations.


Caries prevalence remains high throughout the world, with the burden of disease shifting to older and socially disadvantaged groups. If left untreated, caries will advance through dentine stimulating pulpitis and eventually pulp infection and necrosis; however, if conservatively managed pulpal recovery occurs even in deep carious lesions. As a profession and speciality, we should be striving to develop new biologically-based minimally-invasive solutions; however, to do so, an applied understanding of pulpitis and repair processes is critical. During this presentation we will discuss both the ESE position statement of ‘Deep Caries and the Exposed Pulp’ and also the ESE S3-level clinical guideline recommendations. During this talk we will consider amongst other things – Should we be treating more conservatively in practice, or are the results predictable? Is conservative treatment of irreversible pulpits realistic? Are next-generation diagnostics and targeted therapies realistic? How should this treatment be remunerated?