Treatment of deep carious lesions by complete excavation or partial removal A critical review

Journal of the American Dental Association

Volumn 139, Issue 6, 2008, Pages 705-712

  Van Thompson, ^a,b   Craig, Ronald G ^a,b,c   Curro, Fredrick A ^b,c,d   Green, William S ^c   Ship, Jonathan A ^b,e  

^a Department of Biomaterials and Biomimetics ^*

^b NEW YORK UNIVERSITY COLLEGE OF DENTISTRY   (United States)

^c NEW YORK UNIVERSITY   (United States)

^d and Medicine

^e NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Alternative restorative treatment; Deep caries; Deep carious lesions; Indirect pulp capping; Partial caries removal; Pulpal exposure; Stepwise excavation

Indexed keywords

EID: 46649110949     PISSN: 00028177     EISSN: None     Source Type: Journal    
DOI: 10.14219/jada.archive.2008.0252     Document Type: Review

References (45)

1. Ricketts DN, Kidd EA, Innes N, Clarkson J. Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev 2006;3:CD003808.
2. Mertz-Fairhurst EJ, Call-Smith KM, Shuster GS, et al. Clinical performance of sealed composite restorations placed over caries compared with sealed and unsealed amagam restorations. JADA 1987;115(5):689-694.
3. Mertz-Fairhurst EJ, Richards EE, Williams JE, Smith CD, Mackert JR Jr, Schuster GS, et al. Sealed restorations: 5-year results. Am J Dent 1992;5(1):5-10.
4. Mertz-Fairhurst EJ, Curtis JW Jr, Ergle JW, Rueggeberg FA, Adair SM. Ultraconservative and cariostatic sealed restorations: results at year 10. JADA 1998;129(1):55-66.
5. Ribeiro CC, Baratieri LN, Perdigao J, Baratieri NM, Ritter AV. A clinical, radiographic, and scanning electron microscopic evaluation of adhesive restorations on carious dentin in primary teeth. Quintessence Int 1999;30(9):591-599.
6. Foley J, Evans D, Blackwell A. Partial caries removal and cariostatic materials in carious primary molar teeth: a randomised controlled clinical trial. Br Dent J 2004;197(11):697-701; discussion 689.
7. Maltz M, de Oliveira EF, Fontanella V, Bianchi R. A clinical, microbiologic, and radiographic study of deep caries lesions after incomplete caries removal. Quintessence Int 2002;33(2):151-159.
8. Oliveira EF, Carminatti G, Fontanella V, Maltz M. The monitoring of deep caries lesions after incomplete dentine caries removal: results after 14-18 months. Clin Oral Investig 2006;10(2):134-139.
9. Maltz M, Oliveira EF, Fontanella V, Carminatti G. Deep caries lesions after incomplete dentine caries removal: 40-month follow-up study. Caries Res 2007;41(6):493-496.
10. Fairbourn DR, Charbeneau GT, Loesche WJ. Effect of improved Dycal and IRM on bacteria in deep carious lesions. JADA 1980;100(4):547-552.
11. Marchi JJ, de Araujo FB, Froner AM, Straffen LH, Nor JE. Indirect pulp capping in the primary dentition: a 4 year follow-up study. J Clin Pediatr Dent 2006;31(2):68-71.
12. Ryge G, Snyder M. Evaluating the clinical quality of restorations. JADA 1973;87(2):369-377.
13. Handelman SL, Washburn F, Wopperer P. Two-year report of sealant effect on bacteria in dental caries. JADA 1976;93(5):967-970.
14. Handelman SL, Leverett DH, Solomon ES, Brenner CM. Use of adhesive sealants over occlusal carious lesions; radiographic evaluation. Community Dent Oral Epidemiol 1981;9(6):256-259.
15. Leverett DH, Handelman SL, Brenner CM, Iker HP. Use of sealants in the prevention and early treatment of carious lesions: cost analysis. JADA 1983;106(1):39-42.
16. Handelman SL, Leverett DH, Espeland M, Curzon J. Retention of sealants over carious and sound tooth surfaces. Community Dent Oral Epidemiol 1987;15(1):1-5.
17. Handelman S. Therapeutic use of sealants for incipient or early carious lesions in children and young adults. Proc Finn Dent Soc 1991;87(4):463-475.
18. Bjorndal L, Larsen T, Thylstrup A. A clinical and microbiological study of deep carious lesions during stepwise excavation using long treatment intervals. Caries Res 1997;31(6):411-417.
19. Magnusson BO, Sundell SO. Stepwise excavation of deep carious lesions in primary molars. J Int Assoc Dent Child 1977;8(2):36-40.
20. Leksell E, Ridell K, Cvek M, Mejare I. Pulp exposure after stepwise versus direct complete excavation of deep carious lesions in young posterior permanent teeth. Endod Dent Traumatol 1996;12(4).192-196.
21. Falster CA, Araujo FB, Straffon LH, Nor JE. Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs. calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent 2002;24(3):241-248.
22. Al-Zayer MA, Straffon LH, Feigal RJ, Welch KB. Indirect pulp treatment of primary posterior teeth: a retrospective study. Pediatr Dent 2003;25(1):29-36.
23. Kreulen CM, de Soet JJ, Weerheijm KL, van Amerongen WE. In vivo cariostatic effect of resin modified glass ionomer cement and amalgam on dentine. Caries Res 1997;31(5):384-389.
24. Bonecker M, Toi C, Cleaton-Jones P. Mutans streptococci and lactobacilli in carious dentine before and after Atraumatic Restorative Treatment. J Dent 2003;31(6):423-428.
25. Vij R, Coll JA, Shelton P, Farooq NS. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent 2004;26(3):214-220.
26. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Pediatr Dent 2000;22(4):278-286.
27. Oguntebi BR. Dentine tubule infection and endodontic therapy implications. Int Endod J 1994;27(4):218-222.
28. Black GV. A Work on Operative Dentistry. Volume 2: The Technical Procedures in Filling Teeth. Chicago: Medico-Dental Publishing Company; 1908.
29. Oen KT, Thompson VP, Vena D, Caufield PW, Curro F, Dasanayake A, et al. Attitudes and expectations of treating deep caries: a PEARL Network survey. Gen Dent 2007;55(3): 197-203.
30. Qudeimat MA, Al-Saiegh FA, Al-Omari Q, Omar R. Restorative treatment decisions for deep proximal carious lesions in primary molars. Eur Arch Paediatr Dent 2007;8(1):37-42.
31. Black GV. A Work on Operative Dentistry. Volume 1: The Pathology of the Hard Tissues of the Teeth. Chicago: Medico-Dental Publishing Company; 1908.
32. Kidd EA. How "clean" must a cavity be before restoration? Caries Res 2004;38(3):305-313.
33. Bjorndal L, Thylstrup A. A practice-based study on stepwise excavation of deep carious lesions in permanent teeth: a 1-year follow-up study. Community Dent Oral Epidemiol 1998;26(2):122-128.
34. Bjorndal L, Larsen T. Changes in the cultivable flora in deep carious lesions following a stepwise excavation procedure. Caries Res 2000;34(6):502-508.
35. Wilder AD Jr, May KN Jr, Bayne SC, Taylor DF, Leinfelder KF. Seventeen-year clinical study of ultraviolet-cured posterior composite Class I and II restorations. J Esthet Dent 1999;11(3):135-142.
36. De Munck J, Van Landuyt K, Peumans M, et al. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res 2005;84(2):118-132.
37. Cho BH, Dickens SH, Bae JH, Chang CG, Son HH, Um CM. Effect of interfacial bond quality on the direction of polymerization shrinkage flow in resin composite restorations. Oper Dent 2002;27(3):297-304.
38. Lopes GC, Baratieri LN, Monteiro S Jr, Vieira LC. Effect of pos-
39. terior resin composite placement technique on the resin-dentin interface formed in vivo. Quintessence Int 2004;35(2):156-161.
40. Doi J, Itota T, Yoshiyama M, Tay FR, Pashley DH. Bonding to root caries by a self-etching adhesive system containing MDPB. Am J Dent 2004;17(2):89-93.
41. Palma-Dibb RG, de Castro CG, Ramos RP, Chimello DT, Chinelatti MA. Bond strength of glass-ionomer cements to caries-affected dentin. J Adhes Dent 2003;5(1):57-62.
42. Yoshiyama M, Tay FR, Doi J, et al. Bonding of self-etch and totaletch adhesives to carious dentin. J Dent Res 2002;81(8):556-560.
43. Yoshiyama M, Tay FR, Torii Y, et al. Resin adhesion to carious dentin. Am J Dent 2003;16(1):47-52.
44. Allen KL, Salgado TL, Janal MN, Thompson VP. Removing carious dentin using a polymer instrument without anesthesia versus a carbide bur with anesthesia. JADA 2005;136(5):643-651.
45. Pashley EL, Talman R, Horner JA, Pashley DH. Permeability of normal versus carious dentin. Endod Dent Traumatol 1991; 7(5):207-211.