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. 2015;49(6):637-9.
doi: 10.1159/000442392. Epub 2015 Dec 12.

Stepwise Excavation Allows Apexogenesis in Permanent Molars with Deep Carious Lesions and Incomplete Root Formation

Patrícia Hernandéz-Gatón  1 , César Ruiz Serrano, Paulo Nelson Filho, Esther Ruiz De Castañeda, Marília P Lucisano, Raquel A B da Silva, Léa A B da Silva
Affiliations

Stepwise Excavation Allows Apexogenesis in Permanent Molars with Deep Carious Lesions and Incomplete Root Formation

Patrícia Hernandéz-Gatón et al. Caries Res. 2015.

Abstract

This study evaluated the stepwise excavation technique in 138 permanent molars with deep carious lesions and incomplete root formation within a 24-month clinical and radiographic follow-up period. In 96.7% of the cases, success was observed (no pain, integrity of restoration margins, absence of radiographic alterations and apexogenesis). The cases of failure (3.3%) were due to the loss of the temporary restoration. In conclusion, the stepwise excavation is a promising technique for permanent teeth with deep carious lesions and incomplete root formation as a minimally invasive approach because it allows the preservation of pulp vitality and occurrence of apexogenesis.

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