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Case Reports
. 2024 Jul 14:2024:3166087.
doi: 10.1155/2024/3166087. eCollection 2024.

Selective Caries Removal: A Case Report with 21-Year Follow-Up

José Carlos Pettorossi Imparato  1 , Kelly Maria Silva Moreira  1 , Suzana Cavalcanti Monteiro de Oliveira  1 , Sandra Regina Echeverria Pinho da Silva  2 , Daniela Prócida Raggio  3
Affiliations
Case Reports

Selective Caries Removal: A Case Report with 21-Year Follow-Up

José Carlos Pettorossi Imparato et al. Case Rep Dent. .

Abstract

Dental caries remains the most prevalent chronic disease globally, and its management should adhere to the principles of minimal intervention dentistry. This study reports a series of successful cases involving the selective removal of carious tissue in permanent molars, with follow-up periods of up to 21 years. Six permanent molars with severe and deep carious lesions were treated with selective caries removal and restored with high-viscosity glass ionomer cement. Clinical examination revealed that the teeth were free from pain and sensitivity. Follow-up assessments were conducted at 7 and 21 years posttreatment. Treatment success was defined by the absence of clinical and radiographic signs, symptoms of pulp alterations, and lesion arrest. Successful minimally invasive approaches were observed with selective removal of carious tissue and maintenance of pulp vitality for up to 21 years.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Initial intraoral view in 2002. (a) Upper arch and (b) lower arch.
Figure 2
Figure 2
Tooth 16 in 2002: (a) before SRCT treatment, (b) after SRCT treatment, and (c) after GIC restoration. Tooth 16 in 2016: (d) with inactive carious lesion, (e) after composite resin restoration, and (f) at the 21-year follow-up examination.
Figure 3
Figure 3
Intraoral view from 2016 with active carious lesions in (a) tooth 17 and (b) tooth 27 and inactive carious lesions in (a) tooth 16 and (b) tooth 26.
Figure 4
Figure 4
Periapical radiographs of tooth 16 in (a) 2016 and (b) 2023.
Figure 5
Figure 5
Tooth 17 in 2016 (a) before SRCT treatment, (b) after SRCT treatment, (c) with CHC as a liner material, (d) after restoration with GIC, (e) with partial loss of GIC after 1 year, (f) after removal of residual GIC and preparation of the cavity, (g) after application of the adhesive system, and (h) after restoration with composite resin.
Figure 6
Figure 6
Tooth 27 in 2016 (a) before SRCT treatment, (b) before restoration with composite resin in 2017, (c) after application of the adhesive system, (d) during restorative treatment using the incremental technique, and (e) after restoration.
Figure 7
Figure 7
Tooth 26 (a) in 2002 before SRCT treatment, (b) in 2016 with inactive caries lesion, (c) after cavity preparation, (d) during restoration with composite resin, (e) after restoration, and (f) at 21-year follow-up examination.
Figure 8
Figure 8
Tooth 36 (a–d) and tooth 46 (e–h) in 2002 (a, e), in 2004 (b, f), in 2021 with inactive lesions (c, g), and after resin restoration (d, h).
Figure 9
Figure 9
Periapical radiographs of (a) teeth 16 and 17, (b) teeth 26 and 27, (c) tooth 36, and (d) tooth 46 at 21-year SRCT follow-up examination.
Figure 10
Figure 10
Intraoral view from 2023 with 21-year SRCT follow-up of (a) tooth 16, (b) tooth 26, (c) tooth 36, and (d) tooth 46, as well as 7-year SRCT follow-up of (a) tooth 17 and (b) tooth 27.
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