Partial or total removal of carious tissue: a current approach

  • Fábio R. L. Silva Universidade Veiga de Almeida
  • Fernando Guimarães Universidade Veiga de Almeida
  • Luís Felipe Schneider Universidade Veiga de Almeida, Universidade Federal Fluminense
  • Celso Queiroz Universidade Veiga de Almeida, Universidade do Estado do Rio de Janeiro
  • Andréa G. Antonio Universidade Federal do Rio de Janeiro
Keywords: Alternative restorative treatment, dental caries, dentin, dental restoration, stepwise excavation


Considering extensive caries lesions, a variety of techniques are used for caries removal. However, there are controversies in literature about the real need for the total removal of this tissue, since the inner portion of dentin, affected by dental caries, is able to remineralize when suitable cavity sealing is carried out. Since, sealing promotes the disruption of metabolic circuit of remaining microorganisms, preventing the progression of the lesion, many studies have recommended the partial removal of carious tissue. Therefore, the aim of this study was to present the scientific evidence in literature on the clinical applicability of total or partial caries removal and to discuss the variants that influence the results of each one of these treatments.

Author Biographies

Fábio R. L. Silva, Universidade Veiga de Almeida
Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida
Fernando Guimarães, Universidade Veiga de Almeida
Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida
Luís Felipe Schneider, Universidade Veiga de Almeida, Universidade Federal Fluminense
Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida; Deartamento de Odontotécnica, Faculdade de odontologia, UFF - Niterói
Celso Queiroz, Universidade Veiga de Almeida, Universidade do Estado do Rio de Janeiro
Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida
Andréa G. Antonio, Universidade Federal do Rio de Janeiro


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Literature Review