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Genetic variations accumulating within populations over generations give rise to biological evolution. Evolutionary changes can result in the formation of novel varieties and entire new species. These changes are responsible for the diverse forms of life inhabiting the planet. The evidence for evolution suggests that all living organisms descended from common ancestors.
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Caries Excavation: Evidence Gaps.

Nicola Innes, Mark Robertson, Falk Schwendicke

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    Dental caries management involves clinical expertise, patient values, and evidence. This chapter reviews current evidence on caries excavation, highlighting knowledge gaps for dental professionals.

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    Area of Science:

    • Dentistry
    • Evidence-Based Practice

    Background:

    • Dental caries is the most prevalent global chronic disease, impacting over 3 billion individuals.
    • Managing cavitated carious lesions is a significant clinical responsibility for dental providers, yet evidence gaps create uncertainty.

    Purpose of the Study:

    • To review the current evidence base for dental caries excavation and lesion management.
    • To identify and discuss existing gaps in the evidence relevant to clinical practice.

    Main Methods:

    • The chapter reiterates the three core components of evidence-based practice (EBP).
    • It summarizes current evidence on key areas of caries excavation, including technique, extent, timing, and controversial aspects.

    Main Results:

    • Evidence gaps persist in several areas of caries excavation and lesion management.
    • Key areas of contention and uncertainty among providers are highlighted.

    Conclusions:

    • Dental professionals must navigate clinical decisions, especially when high-quality evidence is lacking.
    • Integrating clinical expertise, patient values, and available evidence remains crucial for effective caries management.