ReviewInternational journal of dentistry2026
Clinical Challenges and Therapeutic Approaches in Managing Deep Carious Lesions Close to the Pulp in Permanent Teeth: A Narrative Review.
Review in International journal of dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Clinical Challenges and Therapeutic Approaches in Managing Deep Carious Lesions Close to the Pulp in Permanent Teeth: A Narrative Review.International journal of dentistry · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: This narrative review aims to evaluate the clinical challenges and therapeutic approaches for managing deep carious lesions (DCLs) in permanent teeth close to the pulp, with a focus on minimally invasive, pulp-preserving strategies. Materials and Methods: A literature review was conducted using PubMed and Google Scholar, with studies searched up to August 2025. Inclusion criteria were clinical trials, systematic reviews, and narrative reviews focusing on DCL management. Emphasis was placed on the biological basis of pulp preservation, diagnostic methods for assessing pulpal health, and the clinical performance of conservative techniques, including selective and stepwise caries removal, indirect and direct pulp capping, and pulpotomy. Results: The review highlights a paradigm shift from traditional complete caries removal to minimally invasive strategies aimed at preserving pulp vitality. Selective and stepwise caries removal showed success rates up to 97%, while pulpotomy procedures using bioactive materials demonstrated superior biocompatibility and dentin bridge formation. Pulpotomy success rates ranged from 86% to 98% in vital mature teeth, comparable to those of root canal therapy but with lower invasiveness and cost. Conclusions: Minimally invasive, biologically driven approaches for managing DCLs offer effective pulp vitality preservation and high success rates. The use of bioactive materials, including mineral trioxide aggregate (MTA) and Biodentine, enhances treatment outcomes. These findings are clinically significant, providing evidence-based guidelines for practitioners seeking to adopt conservative treatment methods for DCLs in vital permanent teeth.
Indexed as
Identifiers
What OpenQuestion holds
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.