Selective carious tissue removal (selective excavation, SE) vs Stepwise carious tissue removal (SW): Failure of therapy
- Population
- Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally considered to need a restoration
- Intervention
- Selective carious tissue removal (selective excavation, SE)
- Comparison
- Stepwise carious tissue removal (SW)
- Outcome
- Failure of therapy
Selective carious tissue removal (selective excavation, SE) probably leads to higher failure of therapy compared with stepwise carious tissue removal (SW) (moderate certainty).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Selective carious tissue removal (selective excavation, SE) vs Stepwise carious tissue removal (SW) Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 12-60 months, Deep lesions, permanent dentition Selective carious tissue removal (selective excavation, SE) probably leads to higher failure of therapy compared with stepwise carious tissue removal (SW) (moderate certainty). Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane All outcomes | OR 2.25 [1.33, 3.82] | 3 studies · 371 participants | Moderate |
Selective carious tissue removal (selective excavation, SE) vs Stepwise carious tissue removal (SW) Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious… · 12-24 months, Deep lesions, primary dentition It is very uncertain whether selective carious tissue removal (selective excavation, SE) changes failure of therapy compared with stepwise carious tissue removal (SW) (very low certainty). Interventions for treating cavitated or dentine carious lesions (2021) · Cochrane All outcomes | OR 2.05 [0.49, 8.62] | 2 studies · 126 participants | Very low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Interventions for treating cavitated or dentine carious lesions 2021 · Cochrane All outcomes | 2020-07 | Not listed | Not assessed |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Selective carious tissue removal (selective excavation, SE) vs Hall Technique (sealing with a preformed metal crown) · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and… · 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.