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Treatment options for carious tissue removal

  • Nicola Innes
  • Falk SchwendickeEmail author
Treatment
  • 12 Downloads
Part of the following topical collections:
  1. Caries

Quick reference/description

More conservative (selective or stepwise) approaches to carious tissue removal, instead of non-selective removal, reduces tissue loss and pulp exposure risk. In selective removal, carious dentin at the cavity base, close to the pulp, is permanently sealed beneath a restoration, while in stepwise removal, carious dentin is temporarily sealed and then removed in a second step. The hardness of the remaining dentin tissue, judged by tactile feedback during examination, is the main guiding factor for carious tissue removal.

Keywords

Caries, Dentine Excavation Lesions Outcomes Restorations 

Notes

Further reading

  1. 1.
    Schwendicke F, Innes N (2018) Removal strategies for carious tissues in deep lesions. In: Schwendicke F (ed) Management of deep carious lesions. Springer, Cham.  https://doi.org/10.1007/978-3-319-61370-3_2 CrossRefGoogle Scholar
  2. 2.
    Schwendicke F, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D et al (2016) Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res 28(2):58–67CrossRefGoogle Scholar
  3. 3.
    Innes NP, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D et al (2016) Managing carious lesions: consensus recommendations on terminology. Adv Dent Res 28(2):49–57CrossRefGoogle Scholar
  4. 4.
    Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE (2013) Operative caries management in adults and children. Cochrane Database Syst Rev 28(3):CD003808Google Scholar
  5. 5.
    Schwendicke F, Paris S, Tu YK (2015) Effects of using different criteria for caries removal: a systematic review and network meta-analysis. J Dent 43(1):1–15.  https://doi.org/10.1016/j.jdent.2014.10.004 CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Operative and Preventive DentistryCharité, Universitätsmedizin BerlinBerlinGermany

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