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. 2021 Jul 19;2021(7):CD013039. doi: 10.1002/14651858.CD013039.pub2

Mello 2018.

Study characteristics
Methods RCT, parallel groups
Duration of study: 4–6 months (mean 5 months)
Setting: secondary care (University), Brazil
Participants 44 children, 62 primary teeth
Age: 5–9 years
Inclusion criteria: deep carious primary molars (> 2/3 into dentine); without sensitivity or spontaneous pain (or both) or pulp exposure, tooth mobility, fistula or abscess, pulp or root pathologies observed on radiograph; or root resorption of > 2/3 on radiograph; and tooth with restorative possibility
Exclusion criteria: children with systemic diseases, allergy to latex or local anaesthetic
Interventions 2 treatment arms
Group 1 (24 teeth): SE: infected dentin was removed, while the affected dentin was maintained on the pulpal wall.
Group 2 (38 teeth): non‐selective caries removal: both infected and affected dentin removed.
Outcomes Primary outcome
Signs or symptoms of pulpal disease: pain, clinical or radiological loss of vitality, mobility, root resorption, etc.
Clinically/radiographically success/failure after 6 months
Secondary outcome
Pulp exposure during excavation
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Authors did not report method of random allocation to treatment groups.
Allocation concealment (selection bias) Unclear risk Allocation concealment not reported.
Blinding of participants and personnel (performance bias)
All outcomes High risk Single operator performed both treatments. Blinding of dentist not possible due to differences in techniques.
Blinding of outcome assessment (detection bias)
All outcomes High risk Blinding not possible for the outcome of pulp exposure as the operator assessed it during treatment. Clinical and radiological examination blinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk All teeth included in analysis.
Selective reporting (reporting bias) Low risk All expected outcomes reported.
Other bias Low risk No other biases detected.