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Reduced odds of pulpal exposure when using incomplete caries removal in the treatment of dentinal cavitated lesions

Teresa Marshall PhD, RD/LD; Marcela Hernandez DDS,MS .


Systematic Review Conclusion

In dentinal cavltated lesions, incomplete caries removal compared with complete excavation may reduce the risk of experiencing pulpal exposures and postoperative symptoms.

Critical Summary Assessment

There is moderate-quality evidence of reduced odds of experiencing pulpal exposure when a two- or one-/two-step combined incomplete caries removal is performed compared with complete caries removal for restoration of dentinal cavitated lesions, although risk of bias among the included studies was high.

Evidence Quality Rating

Limited Evidence

This summary is published in the Journal of the American Dental Association and can be accessed at:

Critical Summary Publication Date:


These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying evidence from the referenced systematic review in making clinically sound decisions as guided by their clinical judgment and by patient needs. American Dental Association © 2019