Study Overview
This study looked at how effective a method called selective removal of carious tissue (SRCT) is for treating cavities in permanent teeth.
Methods Used
The researchers conducted a clinical trial with 74 teeth. They compared SRCT with two other methods of removing cavities:
- Non-selective removal to hard dentin (nSRCT-HD) for medium-depth cavities.
- Stepwise removal of carious tissue (StRCT) for deep cavities.
They checked how well the treatments worked by looking at pulp sensitivity and the quality of the restorations over 18 months.
Results
Out of the 74 teeth, 62 were followed for 6 months, 50 for 12 months, and 39 for 18 months. Here are the key findings:
- Only 3 cases of pulp sensitivity failures were noted at 6 months (2 from nSRCT, 1 from SRCT).
- No failures were reported at 12 and 18 months.
- The quality of restorations was high, with no significant differences between the methods.
Conclusions
SRCT proved to be effective for both medium and deep cavities. It helped reduce the risk of exposing the pulp while preserving the integrity of the tooth. This method also maintained the quality of restorations without losing tooth structure.
Clinical Importance
SRCT is a less invasive approach that saves more dental tissue while providing good results in terms of pulp sensitivity and restoration quality.
Opportunities for Clinics and Patients
Based on the trial results, clinics can:
- Set clear goals for implementing SRCT to improve patient outcomes.
- Utilize AI tools that align with the needs of dental practices.
- Start with a pilot project to monitor the effectiveness of SRCT and its real-world impact.
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