A Clinical and Microbiological Study of Deep Carious Lesions during Stepwise Excavation Using Long Treatment Intervals

1997 ◽  
Vol 31 (6) ◽  
pp. 411-417 ◽  
Author(s):  
L. Bjørndal ◽  
T. Larsen ◽  
A. Thylstrup
Keyword(s):  
Microbiological Study ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Stepwise Excavation

Clinical Evaluation of Ozone on Dentinal Lesions in Young Permanent Molars using the Stepwise Excavation

2017 ◽  
Vol 41 (6) ◽  
pp. 429-441 ◽  
Author(s):  
Osama Safwat ◽  
Mona Elkateb ◽  
Karin Dowidar ◽  
Omar El Meligy
Keyword(s):  
Ozone Treatment ◽  
Group I ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Stepwise Excavation ◽  
Permanent Molars ◽  
Clinical Changes ◽  
And Control ◽  
Caries Excavation ◽  
Indirect Pulp Capping

Aim: To evaluate the clinical changes in dentin of deep carious lesions in young permanent molars, following ozone application with and without the use of a remineralizing solution, using the stepwise excavation. Study design: The sample included 162 first permanent immature molars, showing deep occlusal carious cavities that were indicated for indirect pulp capping. Teeth were divided into 2 main groups according to the method of ozone treatment. Each group was further subdivided equally into test and control subgroups. Following caries excavation, color, consistency and DIAGNOdent assessments of dentin were evaluated after 6 and 12 months. Results: Regarding dentin color and consistency, no significant differences were observed following ozone application, with and without a remineralizing solution. There were no significant differences between ozone treatment, and calcium hydroxide during the different evaluation periods, except in group I cases after 6 months, concerning the dentin color. The DIAGNOdent values were significantly reduced following ozone application, with or without a remineralizing solution, as well as between test and control cases in group I after 6 months. Conclusions: Ozone application through the stepwise excavation had no significant effect on dentin color and consistency in young permanent molars. DIAGNOdent was unreliable in monitoring caries activity.

Stepwise Excavation Allows Apexogenesis in Permanent Molars with Deep Carious Lesions and Incomplete Root Formation

2015 ◽  
Vol 49 (6) ◽  
pp. 637-639 ◽  
Author(s):  
Patrícia Hernandéz-Gatón ◽  
César Ruiz Serrano ◽  
Paulo Nelson Filho ◽  
Esther Ruiz De Castañeda ◽  
Marília P. Lucisano ◽  
...  
Keyword(s):  
Root Formation ◽  
Permanent Teeth ◽  
Promising Technique ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Stepwise Excavation ◽  
Permanent Molars

This study evaluated the stepwise excavation technique in 138 permanent molars with deep carious lesions and incomplete root formation within a 24-month clinical and radiographic follow-up period. In 96.7% of the cases, success was observed (no pain, integrity of restoration margins, absence of radiographic alterations and apexogenesis). The cases of failure (3.3%) were due to the loss of the temporary restoration. In conclusion, the stepwise excavation is a promising technique for permanent teeth with deep carious lesions and incomplete root formation as a minimally invasive approach because it allows the preservation of pulp vitality and occurrence of apexogenesis.

Stepwise Excavation in a Permanent Molar: 17-year Follow-up

2010 ◽  
Vol 35 (4) ◽  
pp. 482-486 ◽  
Author(s):  
F. F. Lima ◽  
R. C. Pascotto ◽  
A. R. Benetti
Keyword(s):  
Clinical Relevance ◽  
Signs And Symptoms ◽  
Permanent Molar ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Stepwise Excavation ◽  
Pulp Exposure

Clinical Relevance Due to the risk of pulp exposure in deep carious lesions, stepwise excavation can be a conservative and successful option for selected cases, when signs and symptoms of a normal pulp are present.

Retrospective analysis of factors associated with the success of stepwise excavation procedure in deep carious lesions

2018 ◽  
Vol 149 (6) ◽  
pp. 442-450 ◽  
Author(s):  
Paula Ortega-Verdugo ◽  
John J. Warren ◽  
Justine L. Kolker ◽  
Knute D. Carter ◽  
Sandra Guzmán-Armstrong ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Factors Associated ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Stepwise Excavation

scholarly journals Selective Caries Removal in Permanent Teeth (SCRiPT) for the treatment of deep carious lesions: a randomised controlled clinical trial in primary care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jan E. Clarkson ◽  
Craig R. Ramsay ◽  
David Ricketts ◽  
Avijit Banerjee ◽  
Chris Deery ◽  
...  
Keyword(s):  
Dental Health ◽  
Controlled Clinical Trial ◽  
Trial Registry ◽  
Posterior Teeth ◽  
Carious Lesions ◽  
Randomised Controlled Clinical Trial ◽  
Deep Carious Lesions ◽  
Caries Removal ◽  
Randomised Controlled ◽  
Selective Caries Removal

Abstract Background Dental caries is one of the most prevalent non-communicable disease globally and can have serious health sequelae impacting negatively on quality of life. In the UK most adults experience dental caries during their lifetime and the 2009 Adult Dental Health Survey reported that 85% of adults have at least one dental restoration. Conservative removal of tooth tissue for both primary and secondary caries reduces the risk of failure due to tooth-restoration, complex fracture as well as remaining tooth surfaces being less vulnerable to further caries. However, despite its prevalence there is no consensus on how much caries to remove prior to placing a restoration to achieve optimal outcomes. Evidence for selective compared to complete or near-complete caries removal suggests there may be benefits for selective removal in sustaining tooth vitality, therefore avoiding abscess formation and pain, so eliminating the need for more complex and costly treatment or eventual tooth loss. However, the evidence is of low scientific quality and mainly gleaned from studies in primary teeth. Method This is a pragmatic, multi-centre, two-arm patient randomised controlled clinical trial including an internal pilot set in primary dental care in Scotland and England. Dental health professionals will recruit 623 participants over 12-years of age with deep carious lesions in their permanent posterior teeth. Participants will have a single tooth randomised to either the selective caries removal or complete caries removal treatment arm. Baseline measures and outcome data (during the 3-year follow-up period) will be assessed through clinical examination, patient questionnaires and NHS databases. A mixed-method process evaluation will complement the clinical and economic outcome evaluation and examine implementation, mechanisms of impact and context. The primary outcome at three years is sustained tooth vitality. The primary economic outcome is net benefit modelled over a lifetime horizon. Clinical secondary outcomes include pulp exposure, progession of caries, restoration failure; as well as patient-centred and economic outcomes. Discussion SCRiPT will provide evidence for the most clinically effective and cost-beneficial approach to managing deep carious lesions in permanent posterior teeth in primary care. This will support general dental practitioners, patients and policy makers in decision making. Trial Registration Trial registry: ISRCTN. Trial registration number: ISRCTN76503940. Date of Registration: 30.10.2019. URL of trial registry record: https://www.isrctn.com/ISRCTN76503940?q=ISRCTN76503940%20&filters=&sort=&offset=1&totalResults=1&page=1&pageSize=10&searchType=basic-search.

scholarly journals Antimicrobial photodynamic therapy as an adjunct for treatment of deep carious lesions—A systematic review

2017 ◽  
Vol 18 ◽  
pp. 54-62 ◽  
Author(s):  
Fabian Cieplik ◽  
Wolfgang Buchalla ◽  
Elmar Hellwig ◽  
Ali Al-Ahmad ◽  
Karl-Anton Hiller ◽  
...  
Keyword(s):  
Systematic Review ◽  
Photodynamic Therapy ◽  
Antimicrobial Photodynamic Therapy ◽  
Carious Lesions ◽  
Deep Carious Lesions
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