ArticleCaries research2019
Minimally Invasive Intervention for Primary Caries Lesions: Are Dentists Implementing This Concept?
Article in Caries research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07027189 (DECIDE-AI), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
DECIDE-AI:The Impact of Artificial Intelligence on Dentists' Decision-Making Process During Caries Detection: A Randomized Controlled Study
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Dental Practitioners' Thresholds for Restorative Intervention in Carious Lesions: A Survey-Based Systematic Review Update.Caries research · 2026Pooled it
- EFCD Expert Non-Consensus on Material and Technique Use for Direct Class II Composites With Guidance on Restoring Complex Cavities.The journal of adhesive dentistry · 2026Article
- Assessing the Role of Artificial Intelligence in Caries Detection and Clinical Decision-Making: A Scoping Review.Caries research · 2026Review
- Adoption of minimally invasive dentistry in Palestine: assessing practices and barriers - a cross-sectional study.BMC oral health · 2025Article
- Knowledge and attitudes of dental students and interns on minimally invasive dentistry for pediatric dentistry at King Saud University.BMC oral health · 2025Article
- Minimal intervention dentistry for treating primary teeth: a survey study among members of the Israeli Society of Paediatric Dentistry.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- Dental Amalgam Phase-Down-Status, Alternatives, Strategies and Preparedness for Implementation: A Review.International journal of dentistry · 2025Review
- Etching on the edge: enamel loss under repeated and active HCl applications as a resin infiltration pretreatment.Journal of applied oral science : revista FOB · 2025Article
- Knowledge on the Minamata Convention on Mercury and dental amalgam phase down, availability and selection of mercury-free restorative materials among dentists in Kenya: a cross-sectional study.The Pan African medical journal · 2025Article
- Article
- Minimum intervention oral care: staging and grading dental carious lesions in clinical practice.British dental journal · 2024Article
- Observational
- Longitudinal patterns of provided oral healthcare services to Dutch young patients: An observational study.PloS one · 2024Observational
- Perception of Minimum Interventional Dentistry among Dental Undergraduate Students and Interns.Medicina (Kaunas, Lithuania) · 2023Article
- Current Strategies to Control Recurrent and Residual Caries with Resin Composite Restorations: Operator- and Material-Related Factors.Journal of clinical medicine · 2022Review
- General and paediatric dentists' knowledge, attitude and practises regarding the use of Silver Diammine Fluoride for the management of dental caries: a national survey in the Netherlands.BMC oral health · 2022Article
- Restorative treatment decisions for carious lesions: Do Russian dentists and dental students apply minimal intervention dentistry?BMC oral health · 2021Article
- Article
- Efficacy of Resin Infiltrate in Noncavitated Proximal Carious Lesions: A Systematic Review and Meta-Analysis.Journal of International Society of Preventive & Community DentistryReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contemporary minimally invasive treatment concepts for restorative treatment of primary caries lesions include both delayed intervention and smaller-sized preparations restricted to removal of carious tissue. The aim of this study was to investigate whether these concepts have resulted in a trend towards a more conservative choice made by dentists regarding treatment thresholds and restorative techniques. The results from previously conducted, precoded questionnaires developed by Espelid and Tveit, as well as from a recent Dutch questionnaire, were collected and analysed. A worldwide trend towards more minimally invasive strategies in the operative treatment of caries lesions could not be observed, neither for the initiation of operative treatment nor for the preparation techniques. However, in some countries, changes over time could be assessed, especially in Norway, where a reduction in the proportion of interventions is visible for both occlusal and approximal lesions, indicating that more dentists are postponing interventions until the lesions have progressed to a deeper level. From the Dutch national survey, it could be concluded that operators that intervene at an earlier stage of approximal lesioning (stage ≤4) also intervene at an earlier stage of occlusal caries (stage ≤3) (p = 0.012; OR = 2.52; 95% CI: 1.22-5.22). Generally, it can be concluded that dentists worldwide still tend to operatively intervene at a too early stage of caries, although variations exist between countries. A worldwide shift could be observed in the restorative material applied, since composite resin has almost completely replaced amalgam for restoring primary caries lesions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.