Less drilling, same tooth saving? new trial tests gentler cavity care for teens

NCT ID NCT06944028

First seen Jun 25, 2026 · Last updated Aug 13, 2026 · Updated 3 times

Summary

This study compares two ways to treat deep cavities in young permanent teeth without exposing the nerve. In selective excavation, the dentist removes only the outer decay and seals the tooth. In stepwise excavation, they place a temporary filling first and remove more decay a few months later. The goal is to keep the tooth alive and avoid root canals. About 666 children and teens aged 8-19 are taking part, with results tracked for up to 3 years.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Selective or stepwise excavation (dental procedure)
What this could lead to
If successful, this could show that a less invasive cavity treatment works as well as a two-step approach, helping dentists save more young teeth from root canals or extraction.
What could go wrong
This is a mid-sized trial with 1-3 year follow-up, so long-term results are unknown. The procedures may still fail and require more invasive treatment later.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Folktandvården Stockholm

    Stockholm, Sweden

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Other studies related to the condition(s) this trial covers.