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Evaluation of Selective and Stepwise Excavation in Young Permanent Teeth With Deep Caries Lesions.
Sponsor: Karolinska Institutet
Summary
The purpose of this clinical trial is to evaluate and compare the outcomes of selective carious tissue removal versus stepwise carious tissue removal in young permanent teeth with deep carious lesions. The primary follow-up will be conducted 1 year after treatment to assess success. A secondary follow-up will take place 3 years post-treatment, utilizing data from dental registries and dental records. The study is a randomized controlled trial conducted within a practice-based research network.
Official title: Evaluation of Selective and Stepwise Excavation in Young Permanent Teeth With Deep Caries Lesions (SELECT): A Randomized Controlled Trial in a Practice-Based Research Network
Key Details
Gender
All
Age Range
8 Years - 19 Years
Study Type
INTERVENTIONAL
Enrollment
666
Start Date
2025-09-01
Completion Date
2029-12-31
Last Updated
2025-12-24
Healthy Volunteers
No
Conditions
Interventions
Selective excavation
Partial removal of carious dentine, soft carious tissue is intentionally left over the pulp to avoid exposure. The peripheral enamel and dentine are prepared to hard dentine, and a permanent restoration is placed on the tooth.
Stepwise excavation
Partial removal of carious dentine is performed, soft dentine is intentionally left over the pulp to avoid exposure. The peripheral enamel and dentine are prepared to hard dentine, application of a provisional restoration. After approximately 3-5 months, the provisional restoration is removed, and any remaining carious dentine is further removed until firm dentine is reached. A permanent restoration is then applied.
Locations (1)
Folktandvården Stockholm
Stockholm, Sweden