Question · asked by 1 review
Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal: Pulpal disease (signs/symptoms of pulp necrosis)
- 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
- Pulpal disease (signs/symptoms of pulp necrosis)
The reported estimate did not show a clear difference in pulpal disease after partial versus complete caries removal (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 Pulpal disease (signs/symptoms of pulp necrosis) · Children with dentine caries in primary and permanent teeth · 12 months, 3 studies (primary and permanent teeth) The reported estimate did not show a clear difference in pulpal disease after partial versus complete caries removal (ungraded). Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. (2022) All outcomes | RR 0.27 [0.05, 1.60] | 3 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 |
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.