Stepwise excavation (two-stage caries removal, re-entry after an interval) vs Complete caries removal: Pulp exposure during caries removal
- Population
- Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth
- Intervention
- Stepwise excavation (two-stage caries removal, re-entry after an interval)
- Comparison
- Complete caries removal
- Outcome
- Pulp exposure during caries removal
Stepwise excavation (two-stage caries removal, re-entry after an… probably leads to lower pulp exposure during caries removal compared with one stage complete caries removal (moderate certainty).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Stepwise excavation (two-stage caries removal, re-entry after an interval) vs One stage complete caries removal Pulp exposure during caries removal · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth · During caries removal, Secondary dentition Stepwise excavation (two-stage caries removal, re-entry after an… probably leads to lower pulp exposure during caries removal compared with one stage complete caries removal (moderate certainty). Operative caries management in adults and children (2013) · Cochrane All outcomes | RR 0.51 [0.36, 0.72] | 3 studies · 454 participants | Moderate |
Stepwise excavation (two-stage caries removal, re-entry after an interval) vs One stage complete caries removal Pulp exposure during caries removal · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth · During caries removal, Primary dentition Stepwise excavation (two-stage caries removal, re-entry after an… probably leads to lower pulp exposure during caries removal compared with one stage complete caries removal (moderate certainty). Operative caries management in adults and children (2013) · Cochrane All outcomes | RR 0.31 [0.17, 0.57] | 2 studies · 173 participants | Moderate |
Stepwise excavation (two-stage caries removal, re-entry after an interval) vs One stage complete caries removal Pulp exposure during caries removal · Patients with carious teeth, affecting any tooth surface(s), in unrestored primary and permanent teeth · During caries removal Stepwise excavation (two-stage caries removal, re-entry after an… probably leads to lower pulp exposure during caries removal compared with one stage complete caries removal (moderate certainty). Operative caries management in adults and children (2013) · Cochrane All outcomes | RR 0.44 [0.33, 0.60] | 4 studies · 627 participants | Moderate |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Operative caries management in adults and children 2013 · Cochrane All outcomes | 2012-12 | Not listed | Not assessed |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Stepwise excavation (two-stage caries removal, re-entry after an interval) 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.