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Measuring Attentional Biases for Threat in Children and Adults
Published on: October 19, 2014
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WITHDRAWN: Operative caries management in adults and children
David Ricketts1, Thomas Lamont, Nicola Pt Innes
1Dundee Dental School, University of Dundee, Park Place, Dundee, Tayside, UK, DD1 4HN.
The Cochrane Database of Systematic Reviews
|July 25, 2019
Summary
Stepwise and partial caries removal significantly reduce pulp exposure compared to complete removal in dental caries management. Further research is needed due to high bias risk in current studies.
Area of Science:
- Dentistry
- Cariology
- Restorative Dentistry
Background:
- Traditional dental caries management involves complete removal of demineralized dentine.
- Concerns exist regarding adverse effects of complete caries removal.
- Alternative techniques include stepwise, partial, and no dentinal caries removal.
Purpose of the Study:
- To assess the effects of stepwise, partial, or no dentinal caries removal versus complete caries removal.
- To evaluate management of dentinal caries in primary and permanent teeth.
Main Methods:
- Updated Cochrane review including eight trials with 934 participants.
- Comparisons: stepwise vs. complete, partial vs. complete, no dentinal caries removal vs. complete.
- Included randomized and quasi-randomized controlled trials.
Main Results:
- Stepwise caries removal reduced pulp exposure by 56% (moderate evidence).
- Partial caries removal reduced pulp exposure by 77% (moderate evidence).
- No significant difference in pulp disease signs/symptoms for stepwise vs. complete; insufficient evidence for partial vs. complete.
Conclusions:
- Stepwise and partial excavation demonstrate clinical advantages over complete caries removal.
- Further high-quality, long-term trials are required due to high risk of bias and short follow-up.
- Future research should investigate patient-centered outcomes.
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