Selective versus non-selective removal for dental caries: a systematic review and meta-analysis

Acta Odontologica Scandinavica
Ti LiHongguang Zhu

Abstract

Selective and non-selective methods for caries removal were controversial so far, thus we aimed to compare the efficacy of selective and non-selective caries removal by conducting meta-analysis of randomized controlled trials (RCTs). Eligible RCTs studies comparing selective caries removal with non-selective caries removal were retrieved by searching PubMed, EMBASE and Cochrane Library till 15 July 2017. The pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated for outcome indictors, including pulpal exposure, pulpal symptoms and failure using Inverse variance-random effects or Mantel-Haenszel-fixed effects models. Totally, seven studies were eligible for the meta-analysis. Compared with the non-selective caries removal group, the risk of pulpal exposure was significantly reduced in the selective caries removal group (OR = 0.11, 95% CI: 0.04-0.30). No significant difference was observed in pulpal symptoms (OR = 0.79, 95% CI: 0.30-2.12) and failure (OR = 1.40, 95% CI: 0.69-2.84) between the groups. The efficacy of selective caries removal appears comparable to that of non-selective caries removal in children, with similar pulpal symptoms and failure, but selective caries removal may result in a low inciden...Continue Reading

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Citations

Jun 6, 2019·Journal of Applied Oral Science : Revista FOB·Tássia Carina StafuzzaThais Marchini Oliveira
Jan 17, 2020·International Journal of Paediatric Dentistry·Elody AïemMichèle Muller-Bolla
Jan 31, 2020·Medwave·Francisca Verdugo-PaivaAndrés Viteri-García
Apr 7, 2020·International Journal of Paediatric Dentistry·Sreekanth Kumar MallineniJayakumar Jayaraman
Mar 20, 2020·International Journal of Paediatric Dentistry·Michèle Muller-BollaSophie Doméjean
May 18, 2020·Scientific Reports·Tito Marcel Lima SantosLuiz Renato Paranhos
Jan 26, 2020·British Dental Journal·Nassar SeifoNicola Innes
Jan 10, 2021·BMJ Open·Tássia Carina StafuzzaThais Marchini Oliveira
Dec 29, 2020·European Journal of Dentistry·Nurin Izyani OthmanMuhammad Syafiq Alauddin
Mar 28, 2021·Evidence-based Dentistry·Mariam Hamouda, Chris Deery
Jul 25, 2021·International Journal of Environmental Research and Public Health·Ahmad Sofi-MahmudiBita Mesgarpour

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