{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:20:30Z","timestamp":1791822030519,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T00:00:00Z","timestamp":1581984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The study aimed to compare the efficacy of three caries removal techniques\u2014complete caries removal (CCR), selective caries removal (SCR), and stepwise caries removal (SWR)\u2014for deep carious lesions in vital temporary teeth by conducting a systematic review and meta\u2010analysis of randomized controlled trials (RCTs). Electronic databases (PubMed [MEDLINE], Cochrane Library, EMBASE) were searched for corresponding references up to 31 May 2019. Possible outcomes were pulp exposure, pulpo\u2010periodontal complications, or restorative failure<jats:styled-content>s<\/jats:styled-content>. Three reviewers independently selected studies, extracted data, and assessed the risk of bias using RoB 2. Meta\u2010analyses for intention\u2010to\u2010treat and per\u2010protocol scenarios were performed using Revman5. Of 1374 potentially eligible articles, ten relevant references corresponding to eight studies were included. Pooled results showed decreased risk of pulp exposure after SCR (OR: 0.10, 95% CI [0.04, 0.25]) or SWR (OR: 0.20, 95% CI [0.09, 0.44]), compared with CCR. There was a higher risk of composite restorative failure (OR: 2.61, 95% CI [1.05, 6.49]) using USPHS criteria, after SCR compared with CCR only in intention\u2010to\u2010treat analysis. Risk of clinical or radiographic failure of pulpo\u2010periodontal complications was unchanged when compared with SCR and CCR or SWR. SCR and SWR may result in lower pulp exposure risk than CCR. RCTs with lower risk of bias, higher power, and longer follow\u2010up are required to choose between these three caries removal techniques for deep carious lesions in vital temporary teeth.<\/jats:p>","DOI":"10.1111\/ipd.12616","type":"journal-article","created":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T18:11:20Z","timestamp":1579025480000},"page":"392-404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Caries removal strategies for deep carious lesions in primary teeth: Systematic review"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1306-783X","authenticated-orcid":false,"given":"Elody","family":"A\u00efem","sequence":"first","affiliation":[{"name":"Department of Paediatric Dentistry Faculty of Dentistry Nice\u2010C\u00f4te d'Azur University UCA Nice France"},{"name":"P\u00f4le d'Odontologie CHU Nice Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry Faculty of Dentistry Nice\u2010C\u00f4te d'Azur University UCA Nice France"},{"name":"P\u00f4le d'Odontologie CHU Nice Nice France"},{"name":"MICRORALIS Faculty of Dentistry Nice\u2010C\u00f4te d'Azur University UCA Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u00efs","family":"Garcia","sequence":"additional","affiliation":[{"name":"P\u00f4le d'Odontologie CHU Nice Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3197-6650","authenticated-orcid":false,"given":"Violaine","family":"Sma\u00efl\u2010Faugeron","sequence":"additional","affiliation":[{"name":"P\u00f4le d'Odontologie CHU Nice Nice France"},{"name":"Department of Paediatric Dentistry Faculty of Dentistry Paris Descartes University Montrouge France"},{"name":"Department of Paediatric Dentistry Bretonneau Hospital APHP Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2811-5339","authenticated-orcid":false,"given":"Mich\u00e8le","family":"Muller\u2010Bolla","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry Faculty of Dentistry Nice\u2010C\u00f4te d'Azur University UCA Nice France"},{"name":"P\u00f4le d'Odontologie CHU Nice Nice France"},{"name":"Laboratory URB2i \u2010 EA 4462 Paris Descartes University \u2010 Sorbonne Paris Cit\u00e9 Montrouge France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034516639271"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1159\/isbn.978-3-318-06369-1","volume-title":"Caries Excavation: Evolution of Treating Cavitated Carious Lesions","author":"Schwendicke F","year":"2018"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-017-2221-0"},{"key":"e_1_2_6_5_1","unstructured":"PittsNB IsmailAI MartignonS EkstrandK DouglasGVA LongbottomC.ICCMSTM Guide for Practitioners and Educators.https:\/\/www.iccms-web.com\/uploads\/asset\/59284654c0a6f822230100.pdf. 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