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Six permanent molars with severe and deep carious lesions were treated with selective caries removal and restored with high\u2010viscosity glass ionomer cement. Clinical examination revealed that the teeth were free from pain and sensitivity. Follow\u2010up assessments were conducted at 7 and 21 years posttreatment. Treatment success was defined by the absence of clinical and radiographic signs, symptoms of pulp alterations, and lesion arrest. Successful minimally invasive approaches were observed with selective removal of carious tissue and maintenance of pulp vitality for up to 21 years.<\/jats:p>","DOI":"10.1155\/2024\/3166087","type":"journal-article","created":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T12:19:28Z","timestamp":1720959568000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Selective Caries Removal: A Case Report with 21\u2010Year Follow\u2010Up"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1990-2851","authenticated-orcid":false,"given":"Jos\u00e9 Carlos Pettorossi","family":"Imparato","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1137-3908","authenticated-orcid":false,"given":"Kelly Maria 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