The International Caries Consensus Collaboration undertook a consensus process and here presents clinical recommendations for carious tissue removal and managing cavitated carious lesions, including restoration, based on texture of demineralized dentine. Dentists should manage the disease dental caries and control activity of existing cavitated lesions to preserve hard tissues and retain teeth long-term. Entering the restorative cycle should be avoided as far as possible. Controlling the disease in cavitated carious lesions should be attempted using methods which are aimed at biofilm removal or control first. Only when cavitated carious lesions either are noncleansable or can no longer be sealed are restorative interventions indicated. When a restoration is indicated, the priorities are as follows: preserving healthy and remineralizable tissue, achieving a restorative seal, maintaining pulpal health, and maximizing restoration success. Carious tissue is removed purely to create conditions for long-lasting restorations. Bacterially contaminated or demineralized tissues close to the pulp do not need to be removed. In deeper lesions in teeth with sensible (vital) pulps, preserving pulpal health should be prioritized, while in shallow or moderately deep lesions, restoration longevity becomes more important. For teeth with shallow or moderately deep cavitated lesions, carious tissue removal is performed according toselective removal to firm dentine.In deep cavitated lesions in primary or permanent teeth,selective removal to soft dentineshould be performed, although in permanent teeth,stepwise removalis an option. The evidence and, therefore, these recommendations support less invasive carious lesion management, delaying entry to, and slowing down, the restorative cycle by preserving tooth tissue and retaining teeth long-term.

中文翻译：

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处理龋齿病变：关于去除龋齿组织的共识性建议。

国际龋齿共识合作社进行了共识过程，在此提出了基于脱钙牙本质质地的龋齿组织去除和处理龋齿龋齿病变（包括修复）的临床建议。牙医应管理该疾病的龋齿并控制现有空化病变的活动，以长期保存硬组织和牙齿。应尽可能避免进入恢复周期。应该尝试使用旨在首先去除或控制生物膜的方法来控制空化龋病中的疾病。只有当空洞的龋损无法清洗或无法密封时，才需要进行修复性干预。当需要进行修复时，优先事项如下：保留健康且可矿化的组织，实现修复性密封，保持牙髓健康，并最大程度地提高修复成功率。单纯去除龋齿组织可以为持久的修复创造条件。靠近牙髓的细菌污染或脱盐的组织无需去除。在牙髓较敏感的病灶中，应优先保护牙髓健康，而在浅或中等深度的病灶中，恢复寿命尤为重要。对于浅或中度深空化病变的牙齿，根据对坚硬牙本质的选择性去除进行龋齿组织切除。在深或空齿病变的乳齿或恒牙中，应对软性牙本质进行选择性去除，尽管在恒牙中，也可以选择逐步去除。证据，因此，