Evidence map›Paper›PMID 40210753›Full record

Trial reportClinical oral investigations2025

Selective removal of dental caries in permanent teeth: an 18-month clinical trial.

Myrna Maria Arcanjo Frota Barros, Ernanda Maria de Araújo Sales, Pedro Henrique Acioly Guedes Peixoto Vieira, Mateus Soares de Araújo, Francisco Wilker Mustafa Gomes Muniz, Lidiany Karla Azevedo Rodrigues

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Myrna Maria Arcanjo Frota BarrosSchool of Dentistry, Federal University of Ceará, Sobral, Ceará, Brazil.
Ernanda Maria de Araújo SalesSchool of Dentistry, Federal University of Ceará, Sobral, Ceará, Brazil.
Pedro Henrique Acioly Guedes Peixoto VieiraDepartment of Operative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.
Mateus Soares de AraújoDepartment of Operative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.
Francisco Wilker Mustafa Gomes MunizDepartment of Periodontology, Federal University of Pelotas, Rio Grande do Sul, Pelotas, Brazil. wilkermustafa@gmail.com.
Lidiany Karla Azevedo RodriguesDepartment of Operative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Postgraduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the clinical efficacy of restorations after selective removal of carious tissue (SRCT) in permanent teeth. MATERIAL AND

methodsA randomized, controlled, and blinded clinical trial was conducted on 74 teeth to compare SRCT with two types of non-selective removal (nSRCT), which served as control groups. For medium-depth lesions (D2) that reached the middle third of the dentin, SRCT was compared with non-selective removal to hard dentine (nSRCT-HD). For deep lesions (D3) extending to the inner third of the dentin, SRCT was compared with stepwise removal of carious tissue (StRCT). Outcomes included pulp sensitivity and restoration quality, assessed using FDI Functional Property criteria. Adjusted analyses were performed using Poisson regression with robust variance to assess the risk ratio (RR) and its respective 95% confidence interval.

resultsA total of 62, 50, and 39 teeth were followed at 6, 12, and 18 months, respectively. Three pulp sensitivity failures occurred at 6 months (2 nSRCT, 1 SRCT), with no additional failures at 12 and 18 months. Regarding quality of restoration, no failure was observed and there was not significant difference between groups up to the 18-month period.

conclusionSRCT was clinically effective in both mid-depth (D2) and deep (D3) lesions, addressing pulp sensitivity and restoration quality. In D3 lesions, it minimized the risk of pulp exposure while preserving dentin integrity, while in D2 lesions, it preserved tooth structure without compromising restoration performance. CLINICAL RELEVANCE: SRCT is a less invasive strategy, preserves more dental tissue and presents satisfactory results in relation to the preservation of pulp sensitivity and quality of restorations.

Indexed as

Dental CariesDental Restoration, PermanentAdolescentAdultChildDentition, PermanentFemaleHumansMaleTreatment OutcomeDental caries. Dentin. Dental Restoration. Permanent

Identifiers

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Registered trials

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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.