Question · asked by 1 review

Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal: Pulp exposure during caries removal

Population
Children (3-11 years) with symptomless, vital dentine caries in primary molars
Intervention
Selective carious tissue removal (selective excavation, SE)
Comparison
Non-selective or complete carious tissue removal
Outcome
Pulp exposure during caries removal

Partial caries removal reduced the reported risk of pulp exposure versus complete caries removal in primary teeth (RR 0.24; ungraded).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Selective (partial, one-step) removal of carious tissue vs Non-selective (complete) caries removal to hard dentine
Pulp exposure during caries removal · Children (3-11 years) with symptomless, vital dentine caries in primary molars · 12 months, Primary teeth
Partial caries removal reduced the reported risk of pulp exposure versus complete caries removal in primary teeth (RR 0.24; ungraded).
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) All outcomes
RR 0.24 [0.06, 0.90]262 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review.
2022 All outcomes
August 202035Low / Low

The same intervention and outcome, asked in another population or against another comparator.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.