scholarly journals Comparative Study of Erbium Laser Versus A Chemo-Mechanical Caries Removal Method in Primary Teeth

2021 ◽  
Vol 8 (4) ◽  
pp. 673-680
Author(s):  
Rana Salem ◽  
Mervat Fawzy ◽  
Mohammed Mostafa
Keyword(s):  
Comparative Study ◽  
Primary Teeth ◽  
Erbium Laser ◽  
Removal Method ◽  
Caries Removal

scholarly journals An Evaluation on Deep Caries Removal Method and Management Performed by Undergraduate Dental Students: A Malaysia Experience

2020 ◽  
Author(s):  
Nurin Izyani Othman ◽  
Hanan Umaira Ismail ◽  
Norazlina Mohammad ◽  
Norzalina Ghazali ◽  
Muhammad Syafiq Alauddin
Keyword(s):  
Current Knowledge ◽  
Glass Ionomer Cement ◽  
Dental Students ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Management Approach ◽  
Removal Method ◽  
Significant Difference ◽  
Caries Removal ◽  
Partial Caries Removal

Abstract Objectives The aim of this study is to investigate the current knowledge and attitude of deep caries removal method among dental students in Malaysia. Materials and Methods A total of 303 students (n = 303) responded to the online questionnaire. The first part of questionnaire was to evaluate the demographic data of the respondents and focused on the technique and management approach used for deep caries lesion. The second part investigated the preferred treatment used for deep caries based on the designated clinical case, while the third part assessed the factors that affected the decision on deep caries management. Statistical Analysis Independent t-test was used to compare difference between the two groups. Results Seventy four percent of the students have the knowledge of the different methods of caries removal, while 25.8% were only familiar with complete caries removal. The preferred method for deep caries removal in permanent teeth was partial caries removal (53%). For primary dentition, 45.6% of the students prefer to perform pulpotomy as compared with other techniques. There was no significant difference in caries removal method for permanent teeth between undergraduate year of study (p > 0.05), which was partial caries removal at 52.7 and 53.5%, respectively. For primary dentition, the preferred caries removal method was pulpotomy for year 4 (39.8%) and year 5 (52%) students. The popular material to restore deep caries was resin composite (42%) followed by glass ionomer cement (23.3%). Conclusions This study showed that partial caries removal was the preferred method despite partial understanding on the identification of the clinical indicators of the technique.

Survival and Associated Risk Factors of Selective Caries Removal Treatments in Primary Teeth: A Retrospective Study in a High Caries Risk Population

2017 ◽  
Vol 51 (5) ◽  
pp. 466-474 ◽  
Author(s):  
Ximena C. Melgar ◽  
Niek J.M. Opdam ◽  
Marcos Britto Correa ◽  
Renata Franzon ◽  
Flávio Fernando Demarco ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Primary Teeth ◽  
Hazard Ratio ◽  
Caries Experience ◽  
Rapid Progression ◽  
Posterior Teeth ◽  
High Caries Risk ◽  
Caries Removal ◽  
Selective Caries Removal

Objective: The aim of this retrospective study was to analyze the survival probability of selective caries removal (SCR) treatments in the primary teeth of children with high caries experience and factors potentially associated with treatment failure. Methods: The sample included SCR treatments conducted in anterior and posterior teeth without sedation or general anesthesia among children attending a university dental service. Kaplan-Meier survival analysis was used to estimate the longevity of restorations and multivariate Cox regression with shared frailty was used to assess risk factors. Results: A total of 284 SCR treatments in 88 children (aged 5.2 ± 1.91 years) with high caries experience (mean dmft/DMFT = 11.1 ± 5.04) were analyzed. The 3-year survival reached 48.8%, with an annual failure rate of 21.2%. Restorative failures (n = 60) were found more frequently compared to pulp complications (n = 12). SCR performed in anterior primary teeth were more prone to failure (hazard ratio = 3.6, 95% CI: 1.94; 6.71). Patients with a higher amount of visible plaque experienced more failures in SCR treatments (hazard ratio 3.0, 95% CI:1.27; 7.07). Conclusions: In this retrospective study, SCR showed restricted survival when compared to other prospective clinical trials. Patient-related factors, especially the young age and high caries experience of the children, may represent a challenge for restoration survival. Regardless of the caries removal technique or restorative material, cariogenic biofilm has a negative effect on the survival of restorations, probably by acting directly on material deterioration and, particularly, on the development of new caries lesions of rapid progression.

scholarly journals A Comparative Study on the Efficacy between Minimally Invasive Caries Removal Technique involving Carisolv and Traditional Mechanical Caries Removal in Treating Dental Caries in Children

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Jiaying Song
Keyword(s):  
Dental Caries ◽  
Minimally Invasive ◽  
Recovery Time ◽  
Control Group ◽  
Observation Group ◽  
Research Subjects ◽  
Removal Method ◽  
Caries Removal ◽  
The Difference ◽  
Removal Technique

Objective: To explore the curative effect of Carisolv, a minimally invasive caries removal technique and traditional mechanical caries removal treatment on children's dental caries. Methods: A total of 97 children with dental caries who were treated in the Department of Stomatology in Affiliated Hospital of Chifeng University, Chifeng from September 2017 to May 2019 were selected and recruited as the research subjects. They were divided into two groups by random number table method. Forty-nine individuals were assigned in the control group while the remaining 48 individuals in the observation group. The control group was treated with traditional mechanical caries removal method, and the observation group was treated with minimally invasive caries removal technique, i.e. Carisolv. Both groups were followed up for six months. The degree of pain, recovery time of dental function and complications after six months of treatment were observed in the two groups of children. Results: During the treatment, compared with the control group, the children in the observation group experienced lower degree of pain and had shorter recovery time of dental function. After six months of treatment, the incidence of complications in the observation group was lower than that in the control group. The difference was statistically significant (P<0.05). Conclusion: Compared with traditional mechanical caries removal method, Carisolv, a minimally invasive caries removal technique could reduce the pain of children during the treatment process, shorten the time to restore dental function, reduce the occurrence of complications, and had a better therapeutic effect in treating children’s dental caries.

Efficacy of new chemomechanical caries removal agent compared with conventional method in primary teeth: An in vivo study

2016 ◽  
Vol 6 (2) ◽  
pp. 52 ◽  
Author(s):  
NB Nagaveni ◽  
NB Radhika ◽  
TS Satisha ◽  
KS Ashwini ◽  
Sridhar Neni ◽  
...  
Keyword(s):  
Conventional Method ◽  
Primary Teeth ◽  
In Vivo Study ◽  
Caries Removal

Clinical Evaluation of Caries Removal in Primary Teeth Using Carie-care and SmartPrep Burs: An In vivo Study

2016 ◽  
Vol 2 (1) ◽  
pp. 27
Author(s):  
PoojaRavindra Shivasharan ◽  
AKatge Farhin ◽  
MayurManohar Wakpanjar ◽  
Ashveeta Shetty
Keyword(s):  
Clinical Evaluation ◽  
Primary Teeth ◽  
In Vivo Study ◽  
Caries Removal

Evaluation of Residual Dentin after Conventional and Chemomechanical Caries Removal Using SEM

2007 ◽  
Vol 32 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Fernanda Nahás Pires Corrêa ◽  
Leonardo Eloy Rodrigues Filho ◽  
Célia Regina Martins Delgado Rodrigues
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
In Vitro Study ◽  
Adhesive System ◽  
Smear Layer ◽  
Dentinal Tubules ◽  
Removal Method ◽  
Caries Removal ◽  
Scanning Electron

The purpose of this in vitro study was to analyze the residual dentinal surfaces following caries removal using rotatory instruments and two chemomechanical methods (Papacárie® and Carisolv®), by scanning electron microscopy (SEM). Thirty primary incisors were divided into three groups, according to the caries removal method used, and their residual dentin was examined under SEM (15). After caries removal, 15 of these teeth were restored with Single Bond (3M) adhesive system and Z100 Filtek composite resin (3M). The tags of the replicas were observed under SEM. The chemomechanical caries removal methods (Papacárie®and Carisolv®) formed an amorphous layer, similar to the smear layer and few exposed dentinal tubules;the conventional caries removal method produced a smooth and regular dentinal surface, with typical smear layer and exposed dentinal tubules. All groups showed abundant tag formation. Scanning electron microscopy analysis revealed a difference between dentin treated with rotatory instruments and that treated with chemomechanical methods in spite of the occurrence of a similar tag formation in both groups.

Systematic Review and Meta-Analysis of Randomized Clinical Trials on Chemomechanical Caries Removal

2015 ◽  
Vol 40 (4) ◽  
pp. E167-E178 ◽  
Author(s):  
HHH Hamama ◽  
CKY Yiu ◽  
MF Burrow ◽  
NM King
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Sodium Hypochlorite ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Assessment Process ◽  
Cochrane Library ◽  
Removal Method ◽  
Caries Removal ◽  
Caries Excavation

SUMMARY Objectives The aim of this review was to assess the methodologies used in previously published prospective randomized clinical trials on chemomechanical caries removal and to conduct a meta-analysis to quantify the differences in the excavation time between chemomechanical and conventional caries removal methods. Methods An electronic search was performed using Scopus, PubMed, EBSCO host, and Cochrane Library databases. The following categories were excluded during the assessment process: non-English studies published before 2000, animal studies, review articles, laboratory studies, case reports, and nonrandomized or retrospective clinical trials. The methodologies of the selected clinical trials were assessed. Furthermore, the reviewed clinical trials were subjected to meta-analysis for quantifying the differences in excavation time between the chemomechanical and the conventional caries removal techniques. Results Only 19 randomized clinical trials fit the inclusion criteria of this systematic review. None of the 19 reviewed trials completely fulfilled Delphi's ideal criteria for quality assessment of randomized clinical trials. The meta-analysis results revealed that the shortest mean excavation time was recorded for rotary caries excavation (2.99±0.001 minutes), followed by the enzyme-based chemomechanical caries removal method (6.36±0.08 minutes) and the the hand excavation method (atraumatic restorative technique; 6.98±0.17 minutes). The longest caries excavation time was recorded for the sodium hypochlorite-based chemomechanical caries removal method (8.12±0.02 minutes). Conclusions It was found that none of the current reviewed trials fulfilled all the ideal requirements of clinical trials. Furthermore, the current scientific evidence shows that the sodium hypochlorite-based (Carisolv) chemomechanical caries removal method was more time consuming when compared to the enzyme-based (Papacarie) chemomechanical and the conventional caries removal methods. Further prospective randomized controlled clinical trials evaluating the long-term follow-up of papain-treated permanent teeth are needed.

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