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Dentists' perspectives on selective caries removal for the management of deep carious lesions in permanent teeth.

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Management of deep caries.

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Deep dentinal caries remains a global challenge. This review explores caries management, highlighting the ongoing debate on selective caries removal techniques versus traditional methods to preserve tooth vitality.

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Area of Science:

  • Dentistry
  • Cariology
  • Dental Public Health

Background:

  • Deep dentinal caries is a prevalent global issue, despite being preventable.
  • Understanding caries aetiology and pulp-dentine complex reactions is key for effective management.
  • Historical changes in caries removal techniques and terminology are reviewed.

Purpose of the Study:

  • To review the aetiology, histopathology, and management of deep carious lesions.
  • To explore barriers to implementing evidence-based caries management strategies.
  • To discuss ongoing research and the need for strengthened evidence.

Main Methods:

  • Comprehensive literature review of deep carious lesions.
  • Analysis of historical trends in caries removal techniques.
  • Examination of current international guidelines and professional consensus.

Main Results:

  • Despite evidence supporting minimally invasive selective caries removal, a global division exists among dental professionals on preferred techniques.
  • Challenges in changing professional behavior to align with best evidence are identified.
  • Ongoing studies aim to strengthen the evidence base for deep caries removal.

Conclusions:

  • Effective management of deep carious lesions requires understanding their aetiology and histopathology to prioritize pulpal vitality.
  • Bridging the gap between research evidence and clinical practice is crucial for optimal patient outcomes.
  • Further research comparing clinical and cost-effectiveness of different techniques is needed.