Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal: Pulp exposure during caries removal
- Population
- Children with dentine caries in primary and permanent teeth
- 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 was reported to reduce pulp-exposure risk by 77% versus complete caries removal (RR 0.23; ungraded).
What each review found
Current versions only| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Selective (partial, one-step) removal of carious tissue vs Non-selective (complete) caries removal to hard dentine Pulp exposure during caries removal · Children with dentine caries in primary and permanent teeth · 12 months, Primary and permanent teeth combined (2 studies) Partial caries removal was reported to reduce pulp-exposure risk by 77% versus complete caries removal (RR 0.23; ungraded). Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) All outcomes | RR 0.23 [0.08, 0.69] | 2 studies | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. 2022 All outcomes | August 2020 | 35 | Low / Low |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal · Children (3-11 years) with symptomless, vital dentine caries in primary molars · 1 review
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.