For whom?
Selected deep lesions.
← All explanationsSelective caries removal
Why remove less tissue close to the pulp?
Selective caries removal uses different endpoints in different areas. In suitable deep lesions, softer dentine may deliberately remain near living pulp to avoid exposing it. The restoration margins still need a substrate that permits an effective seal.
For training & practice ↓
AI-generated
Choose a view
Assess suitability
This is not suitable for every finding. Symptoms, examination and lesion depth guide planning.
Distinguish zones
The pulp-facing area is treated differently from the margins. This is controlled tissue preservation, not an untreated open cavity.
Seal effectively
The tooth is appropriately restored and reviewed. An effective seal matters; the approach does not guarantee permanent pulp survival.
At a glance
Leave it open?
No.
Guaranteed preservation?
No.
Knowledge in motion
Explained in 36 seconds.
Three steps. No audio.
Each scene can also be selected manually.
Silent educational film with German on-screen text and simplified teaching images. Not a patient case or a promised treatment outcome. The full English explanation is available below.
Read the film text in English
Assess suitability
This is not suitable for every finding. Symptoms, examination and lesion depth guide planning.
Distinguish zones
The pulp-facing area is treated differently from the margins. This is controlled tissue preservation, not an untreated open cavity.
Seal effectively
The tooth is appropriately restored and reviewed. An effective seal matters; the approach does not guarantee permanent pulp survival.
Often confused
Selective versus stepwise
Selective describes different tissue-removal endpoints by location. Stepwise describes a planned later re-entry.
Quick answers
Is some decay left?
Altered dentine may deliberately remain near the pulp as part of a planned and sealed treatment strategy.
Must the filling be reopened?
Not necessarily. A planned two-visit procedure is called stepwise removal and is distinct.
Is it recommended for every deep lesion?
No. Extremely deep lesions or substantial pulpal symptoms may require a different approach.
At the practice
For a personal discussion
Editorially suggested question to discuss with Dr Niusha Barahmand Pour:
Which removal strategy fits the findings in my tooth?
With deep decay, discuss how remaining tooth tissue and pulp condition inform the plan.
Discuss tooth preservationAppointment selection at DoctolibLearning layer for training & practiceUnderstand terminology and deepen knowledge
- Pulpal proximity
- Closeness to the pulp.
- Excavation
- Removal of cariously altered tissue.
- Peripheral seal
- Sealing around the restoration margins.
Make the distinction
Selective describes different tissue-removal endpoints by location. Stepwise describes a planned later re-entry.
Sources and context
Editorial research: . General information, not an individual diagnosis or treatment recommendation. Teaching illustrations are simplified and do not depict a patient case.