Calcium hydroxide as lining for deep caries lesions?

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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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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

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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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Stepwise and partial excavation reduces the incidence of pulp exposure in carious primary and permanent teeth

shutterstock_34500700 - caries sign

The traditional management of caries by the removal of all softened demineralised dentine before a filling is placed is being increasingly challenged. This updated Cochrane review aims to assess the effects of stepwise, partial or no dentinal caries removal compared with complete caries removal for the management of dentinal caries in previously unrestored primary and [read the full story…]