Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

107 questions · 124 findings · 13 reviews

No studies found 3 · 2.4%GRADE not reported 68 · 54.8%Very low 43 · 34.7%Low 3 · 2.4%Moderate 7 · 5.6%High 0 · 0%

Irradiated carious dentin vs Non-irradiated carious dentin

MMP-20 expression · Human ex vivo carious dentin (head/neck radiotherapy)

MMP-20 shows no difference between irradiated and non-irradiated carious dentin; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin before cavity sealing vs Carious dentin after cavity sealing

MMP-8 expression/activity · Human ex vivo carious dentin under sealed cavities

MMP-8 may be higher before than after cavity sealing, but the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin before cavity sealing vs Carious dentin after cavity sealing

MMP-9 expression/activity · Human ex vivo carious dentin under sealed cavities

MMP-9 shows no difference before vs after cavity sealing; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Carious dentin before cavity sealing vs Carious dentin after cavity sealing

MMP-2 expression/activity · Human ex vivo carious dentin under sealed cavities

MMP-2 shows no difference before vs after cavity sealing; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Outer carious dentin (by lesion depth/location) vs Inner carious dentin

MMP-8 location/depth · Human ex vivo carious dentin

MMP-8 showed no statistical difference by lesion location; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Outer carious dentin (by lesion depth/location) vs Inner carious dentin

MMP-2 location/depth · Human ex vivo carious dentin

No clear direction of MMP-2 presence by lesion depth/location was found; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Outer carious dentin (by lesion depth/location) vs Inner carious dentin

MMP-20 location/depth (outer vs inner) · Human ex vivo carious dentin

MMP-20 probably decreases in outer compared with inner carious dentin (moderate certainty).

1 finding from 1 review

Outer carious dentin (by lesion depth/location) vs Inner carious dentin

MMP-9 location/depth · Human ex vivo carious dentin

No clear direction of MMP-9 expression by lesion depth/location was found; the evidence is very uncertain (very low certainty).

1 finding from 1 review

Selective carious tissue removal (selective excavation, SE) vs Stepwise carious tissue removal (SW)

Efficiency, costs or cost-effectiveness · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally…
1 finding from 1 review

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 lesions conventionally…

Selective carious tissue removal (selective excavation, SE) probably leads to higher failure of therapy compared with stepwise carious tissue removal (SW) (moderate certainty).

2 findings from 1 review

Non-selective carious tissue removal and conventional restoration (CR) vs Selective carious tissue removal (selective excavation, SE)

Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally…

It is very uncertain whether non-selective carious tissue removal and conventional restoration (CR) changes failure of therapy compared with selective carious tissue removal (selective excavation, SE) (very low certainty).

3 findings from 1 review

Non-selective carious tissue removal and conventional restoration (CR) 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 lesions conventionally…

Non-selective carious tissue removal and conventional restoration (CR) probably leads to higher failure of therapy compared with stepwise carious tissue removal (SW) (moderate certainty).

2 findings from 1 review

Non-selective carious tissue removal and conventional restoration (CR) vs Selective carious tissue removal (selective excavation, SE)

Lesion progression · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally…
1 finding from 1 review

Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal

Pulp exposure during caries removal · Children with dentine caries in primary and permanent teeth

Partial caries removal was reported to reduce pulp-exposure risk by 77% versus complete caries removal (RR 0.23; ungraded).

1 finding from 1 review

Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal

Pulp exposure during caries removal · Children (3-11 years) with symptomless, vital dentine caries in primary molars

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

1 finding from 1 review

Selective carious tissue removal (selective excavation, SE) vs Non-selective or complete carious tissue removal

Pulpal disease (signs/symptoms of pulp necrosis) · Children with dentine caries in primary and permanent teeth

The reported estimate did not show a clear difference in pulpal disease after partial versus complete caries removal (ungraded).

1 finding from 1 review

Selective carious tissue removal (selective excavation, SE) vs Hall Technique (sealing with a preformed metal crown)

Failure of therapy · Children and/or adults with permanent or primary teeth, vital (sensitive) pulps, and cavitated or dentine carious lesions conventionally…

It is very uncertain whether selective carious tissue removal (selective excavation, SE) changes failure of therapy compared with hall Technique (sealing with a preformed metal crown) (very low certainty).

2 findings from 1 review