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The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal

Open access
Schwendicke, F., Frencken, J.E., Bjørndal, L., Maltz, M., Manton, D.J., Ricketts, D., Van Landuyt, K., Banerjee, A., Campus, G., Doméjean, S., Fontana, M., Leal, S., Lo, E., Machiulskiene, V., Schulte, A., Splieth, C., Zandona, A.F., Innes, N.P.T.·2016·Advances in Dental Research

Abstract

The International Caries Consensus Collaboration undertook a consensus process and here presents clinical recommendations for carious tissue removal and managing cavitated carious lesions, including restoration, based on texture of demineralized dentine. Dentists should manage the disease dental caries and control activity of existing cavitated lesions to preserve hard tissues and retain teeth long-term. Entering the restorative cycle should be avoided as far as possible. Controlling the disease in cavitated carious lesions should be attempted using methods which are aimed at biofilm removal or control first. Only when cavitated carious lesions either are noncleansable or can no longer be sealed are restorative interventions indicated. When a restoration is indicated, the priorities are as follows: preserving healthy and remineralizable tissue, achieving a restorative seal, maintaining pulpal health, and maximizing restoration success. Carious tissue is removed purely to create conditions for long-lasting restorations. Bacterially contaminated or demineralized tissues close to the pulp do not need to be removed. In deeper lesions in teeth with sensible (vital) pulps, preserving pulpal health should be prioritized, while in shallow or moderately deep lesions, restoration longevity becomes more important. For teeth with shallow or moderately deep cavitated lesions, carious tissue removal is performed according to selective removal to firm dentine. In deep cavitated lesions in primary or permanent teeth, selective removal to soft dentine should be performed, although in permanent teeth, stepwise removal is an option. The evidence and, therefore, these recommendations support less invasive carious lesion management, delaying entry to, and slowing down, the restorative cycle by preserving tooth tissue and retaining teeth long-term.

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Metadata

Authors
Schwendicke, F., Frencken, J. E., Bjørndal, L., Maltz, M., Manton, D. J., Ricketts, D., Van Landuyt, K., Banerjee, A., Campus, G., Doméjean, S., Fontana, M., Leal, S., Lo, E., Machiulskiene, V., Schulte, A., Splieth, C., Zandona, A. F., & Innes, N. P. T.
Venue
Advances in Dental Research
Published
2016-04-20
Volume
28
Issue
2
Pages
58-67
ISSN
  • 0895-9374 (ISSN-L)
  • 1544-0737
OpenAlex
W2338481011
Cited by
731
References
64
FWCI
91.10
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal. https://app.cochat.ai/papers/10.1177/0022034516639271
The paper
Schwendicke, F., Frencken, J. E., Bjørndal, L., Maltz, M., Manton, D. J., Ricketts, D., Van Landuyt, K., Banerjee, A., Campus, G., Doméjean, S., Fontana, M., Leal, S., Lo, E., Machiulskiene, V., Schulte, A., Splieth, C., Zandona, A. F., & Innes, N. P. T. (2016). Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal. Advances in Dental Research. https://doi.org/10.1177/0022034516639271

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.