{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:32:11Z","timestamp":1791837131131,"version":"4.3.4"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,9,16]],"date-time":"2019-09-16T00:00:00Z","timestamp":1568592000000},"content-version":"vor","delay-in-days":533,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Objective: To report the management preferences of deep caries in permanent teeth among dentists. Materials and Methods: This observational cross-sectional study included a convenience sample of 177 dentists selected from private and public dental clinics in different cities of the Eastern Province of Saudi Arabia. Four clinical scenarios about the absence or presence of pain\/symptoms and the risk of pulp exposure in deep caries were presented to the dentists in a pilot-tested questionnaire. Results: Most dentists (82.5%) preferred complete caries excavation when there was no risk of pulp exposure and no pain\/symptom was associated with deep caries in permanent teeth. The stepwise technique was the procedure of choice reported by 57.8% of dentists when there was no pain but a risk of exposure was present. In case of no exposure risk but the presence of nonspontaneous pain (pain on thermal testing), complete caries removal was chosen by 55.9% of the respondents. Root canal treatment and stepwise caries removal were preferred by 42.4% and 38.4%, respectively, when there was a risk of exposure and nonspontaneous pain. The risk of exposure (81.4%), the progression of caries (73.4%), and treatment failure (58.8%) were the most common concerns with different caries removal techniques. The hardness was the most commonly used criterion (85.3%) followed by the color of caries (50.3%) during caries excavation. Conclusions: The majority of dentists preferred to completely remove caries in case of no risk of pulp exposure. The dentists should update their knowledge and adopt latest concepts about minimally invasive caries removal approaches.<\/jats:p>","DOI":"10.4103\/ejd.ejd_397_17","type":"journal-article","created":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T09:45:13Z","timestamp":1528364713000},"page":"300-304","source":"Crossref","is-referenced-by-count":13,"title":["Management preferences of deep caries in permanent teeth among dentists in Saudi Arabia"],"prefix":"10.1055","volume":"12","author":[{"given":"Taleb Hussain","family":"Alnahwi","sequence":"additional","affiliation":[{"name":"College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Alhamad","sequence":"additional","affiliation":[{"name":"Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul","family":"Majeed","sequence":"additional","affiliation":[{"name":"Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Ashraf","family":"Nazir","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,9,16]]},"reference":[{"key":"key-10.4103\/1305-7456.233872-1","first-page":"566","volume-title":"Attitudes and behaviour regarding deep dentin caries removal: A survey among german dentists","author":"Schwendicke","year":"2013","journal-title":"Caries Res"},{"key":"key-10.4103\/1305-7456.233872-2","first-page":"95","volume-title":"Ways of enhancing pulp preservation by stepwise excavation \u2013 A systematic review","author":"Hayashi","year":"2011","journal-title":"J Dent"},{"key":"key-10.4103\/1305-7456.233872-3","first-page":"452","volume-title":"Current status of conservative treatment of deep carious lesions","author":"Mattos","year":"2014","journal-title":"Dent Update"},{"key":"key-10.4103\/1305-7456.233872-4","first-page":"705","volume-title":"Treatment of deep carious lesions by complete excavation or partial removal: A critical review","author":"Thompson","year":"2008","journal-title":"J Am Dent Assoc"},{"key":"key-10.4103\/1305-7456.233872-5","first-page":"347","volume-title":"Pulp exposure occurrence and outcomes after 1- or 2-visit indirect pulp therapy vs.complete caries removal in primary and permanent molars","author":"Orhan","year":"2010","journal-title":"Pediatr Dent"},{"key":"key-10.4103\/1305-7456.233872-6","first-page":"CD003808","volume-title":"Complete or ultraconservative removal of decayed tissue in unfilled teeth","author":"Ricketts","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"key-10.4103\/1305-7456.233872-7","first-page":"CD003808","volume-title":"Operative caries management in adults and children","author":"Ricketts","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"key-10.4103\/1305-7456.233872-8","first-page":"192","volume-title":"Pulp exposure after stepwise versus direct complete excavation of deep carious lesions in young posterior permanent teeth","author":"Leksell","year":"1996","journal-title":"Endod Dent Traumatol"},{"key":"key-10.4103\/1305-7456.233872-9","doi-asserted-by":"crossref","unstructured":"Bj\u00f8rndal L, Reit C, Bruun G, Markvart M, Kjaeldgaard M, N\u00e4sman P, et al. 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