Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

7 questions · 20 findings · 2 reviews

No studies found 0 · 0%GRADE not reported 16 · 80%Very low 2 · 10%Low 0 · 0%Moderate 2 · 10%High 0 · 0%

Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal

Proportion of dentists selecting selective or stepwise removal · Dentists surveyed about deep carious lesions in permanent teeth

In Oen 2007, 18% of surveyed dentists selected selective or stepwise removal.

12 findings from 1 review
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Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal

Proportion of dentists utilizing SE/SW for deep carious lesions · Dentists managing deep carious lesions in permanent vital teeth

Across nine surveys of 4199 dentists, a pooled 53% (95% CI 44% to 62%) chose selective or stepwise (evidence-based) carious tissue removal for deep lesions in permanent teeth, with very high heterogeneity (I2=96%) and no formal certainty rating (ungraded).

1 finding from 1 review

Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal

Barriers and facilitators of SE/SW utilization · Dentists managing deep carious lesions in permanent vital teeth

Dentists' use of selective or stepwise removal was shaped by their age and understanding of caries, professional guidelines, peers and professional identity, financial and regulatory incentives, and beliefs about how treatments perform, identified by thematic analysis mapped to the TDF and Behavior Change Wheel (ungraded).

1 finding from 1 review

Selective or stepwise carious tissue removal vs Non-selective or complete carious tissue removal

Temporal change in the proportion of dentists utilizing SE/SW · Dentists managing deep carious lesions in permanent vital teeth

The proportion of dentists choosing selective or stepwise removal rose significantly over time, by about 1.6% per calendar year (meta-regression, p<0.05), a trend the authors described as borderline (ungraded).

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 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