Deep caries management for immature permanent teeth


This review of techniques and materials used for the management of deep caries in immature permanent teeth included 12 RCT papers. The findings suggest high success rates for pulpotomy, but only a small number of papers were available for other techniques.

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Treatments for cavitated or dentine carious lesions

tooth diagramme, caries

This Cochrane review of interventions to treat carious lesions conventionally considered to require restorations in primary or permanent teeth with vital pulps included 27 RCTs. Compared with conventional treatment there were lower numbers of failures with the Hall technique and selective excavation (SE) in primary teeth and with SE and stepwise removal in permanent teeth.

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Primary teeth: Efficacy of 3 caries removal strategies

caries upper arch

This review of the efficacy of 3 caries removal strategies (complete, selective and stepwise) in primary teeth included 8 RCTs suggesting a lower risk of pulp exposure with selective and stepwise approaches.

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Calcium hydroxide as lining for deep caries lesions?

shutterstock_3275732-caries -9-10yr old

16 low quality RCTs were included in this review of the effect of calcium hydroxide lining on clinical success in treatment of deep carious lesions. 6 RCTs contributed to the meta-analysis suggesting no beneficial effect.

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Step wise caries removal sustained pulp vitality up to 5 years


This well designed trial compares the impact on pulp vitality of step wise verses traditional caries removal. after 5 years. THe findings suggest significantly improved outcomes with the step wise approach.

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Stepwise and partial-caries-removal –reduces longer term pulpal complications?

occlusal caries, molar teeth

This review of stepwise or partial caries removal for deep caries suggesting included 5 studies ( 2 RCTs) of limited quality. Findings suggest better pulpal outcomes with these approaches compare with traditional treatment.

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Caries: review suggests complete removal not best approach


This review of caries excavation strategies identified 28 studies including 19 RCTs. None were considered to be at low risk of bias . The results suggest that not attempting to remove all softened or stainable dentine could reduce the risk of complications

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Study suggests that fissure sealants can arrest caries in primary molars


There is good evidence for the effectiveness of fissure sealants in the prevention of caries (Dental Elf 8th April 2013) and some evidence for its use in the treatment of carious lesions. There is also evidence for the effectiveness of partial rather complete caries removal (Dental Elf 13th Apr – 2014).The aim of this study [read the full story…]

Trial found similar outcomes with total and partial caries removal in primary molars

caries upper arch

The aim of this study was to compare 24-month pulp health outcomes of partial caries removal (PCR) and total caries removal (TCR) with composite restoration in primary molars. Children (3–8 years), in good general health and amenable to treatment, with at least one molar with acute, deep carious lesion into dentine were included. The teeth [read the full story…]

Potential for non-conventional management of approximal caries in primary molars shown by study

shutterstock_72680830 - erupting incisors & caries

Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches.  The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]