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

## TL;DR

This case report shows that selectively removing decayed tissue in molars and using a special cement can successfully preserve teeth for over 20 years.

## Contribution

The study demonstrates long-term success of minimal intervention dentistry in managing deep caries without endodontic treatment.

## Key findings

- Six permanent molars with severe caries were successfully treated with selective caries removal and glass ionomer cement.
- Teeth remained asymptomatic and vital with no clinical or radiographic signs of pulp issues for up to 21 years.
- The approach maintained pulp vitality and arrested lesion progression without invasive procedures.

## 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.