Long-term survival and vitality outcomes of permanent teeth following deep caries treatment with step-wise and partial-caries-removal: A Systematic Review

Management of deep carious lesions and pulps exposed during carious tissue removal in adults: a questionnaire study among dentists in Finland

“…According 3 PP partial pulpotomy 4 Based on the significant Pearson chi-square test, apart from variables gender and age 5 OR odds ratio 6 CI confidence interval 7 N.S. non-significant 8 *p < 0.05 9 Local clinical guidelines for the management of deep carious lesions 10 Summaries of international scientific articles about minimal intervention in operative dentistry in the Finnish Dental Journal 11 FDS the Finnish Dental Society 12 Based on the non-significant Pearson chi-square test 13 Original international scientific articles about minimal intervention in operative dentistry to these results, dentists in Finland have widely adopted the concept of prioritizing pulpal vitality when managing deep carious lesions. This is in agreement with the present international recommendations and Finland's newly published national guidelines [20,31].…”

“…This technique has been shown to significantly reduce the risk of a pulpal exposure: stepwise removal resulted in an exposure in 18% of cases, compared with 29% in the nonselective removal group [6]. Recently, selective removal to soft dentine, where carious dentine is left on the pulpal wall under the permanent restoration, has shown higher success rate compared to stepwise removal, thus challenging the need for re-entry [8][9][10].…”

Treatment preferences for deep caries lesions among Australian dentists

“…Another finding of interest was that 25% of respondents in the current study opted to place a temporary restoration and re‐enter the tooth to remove further caries at a future date, a method commonly known as SWR. This is despite a recent systematic review showing that pulpal complications are more likely with SWR compared to partial caries removal . Furthermore, SWR is associated with greater financial costs, increased patient discomfort and is highly dependent on patient compliance to complete the treatment .…”

“…This is despite a recent systematic review showing that pulpal complications are more likely with SWR compared to partial caries removal. 25 Furthermore, SWR is associated with greater financial costs, 8 increased patient discomfort 25 and is highly dependent on patient compliance to complete the treatment. 25,26 As such, a second visit to remove previously retained caries might not be necessary.…”

“…25 Furthermore, SWR is associated with greater financial costs, 8 increased patient discomfort 25 and is highly dependent on patient compliance to complete the treatment. 25,26 As such, a second visit to remove previously retained caries might not be necessary. 6 In the current study, the preference for the use of dentine consistency as the most important criterion in guiding caries removal is in accordance with the consensus recommendations.…”