Evaluation of Caries Excavation Efficacy with Ceramic Bur and Hand Excavation in Primary Teeth: An Experimental Study (original) (raw)
Related papers
Journal of South Asian Association of Pediatric Dentistry, 2022
ORIGINAL RESEARCH and patient comfort while removing caries between newer caries excavation burs (ceramic bur and smart bur) with the conventional method (diamond point). Material a n d Methods This research protocol was examined and accepted by the institutional ethical committee before conducting the study. Patients who participated in the study were selected from the outpatient Department of Pediatrics and Preventive Dentistry after obtaining written informed consent from the parents. Sample Size Calculation The sample size was evaluated in a 95% confidence interval and 85% statistical power with a standard deviation of 25, effect size of 20, introduction In the earlier days, caries removal was done by hand instruments which is time-consuming and unpleasant. 1 With the advent of time, the removal of caries shifted from hand instruments to rotary instruments like diamond burs, carbide burs, and stainless steel burs. 2 The disadvantage of these burs is that they are nonselectively leading to over-preparation compromising the remaining tooth structure and increasing the potential for iatrogenic damage of the primary teeth due to less dentin thickness. Above all, the amount of pain and discomfort with them is the greatest concern in the pediatric population. 3 To overcome these problems, there has been a shift from the philosophy of "drill and fill" to a minimally invasive approach in restorative dentistry. The idea behind minimally invasive dentistry is maximum conservation of healthy dentin with new means of dentinal caries excavation as the affected dentin has the ability to remineralize. 4 Recently, Boston introduced a new polymer bur to substitute conventional burs. Smart Burs™ (SS White, Lakewood, NJ, USA) is made up of a polymer with reinforced blades for selective carious dentin removal. 4 These burs remove only infected dentin as soft infected dentin has KHN of 0-30 and polymer material has KHN of 50 while healthy dentin has KHN of 70-90. 5 Another recently introduced bur is alumina based ceramic bur with stabilized zirconia (ZrO 2 : 76%; Al 2 O 3 : 20%; Y 2 O 3 : 4%) (CeraBur, K1SM, Komet). Listed advantages of ceramic bur over conventional burs are corrosion resistant, smooth in operation, and excellent cutting efficiency. 6 Therefore, the present study was conducted to investigate and compare the cutting efficiency, carious dentin removal (efficacy),
Egyptian Dental Journal, 2017
Negative dental experiences in childhood can lead to dental phobias in adult patients. The dentist's role is to lessen dental anxiety by providing a pain-free procedure. This could be achieved by using painless procedures in caries removal such as air abrasion, laser, chemo-mechanical, enzymatic techniques, as well as the use of polymer or ceramic burs. Ceramic burs are rotary cutting instruments made of alumina-yttria stabilized zirconia round burs. They work by selective removal of carious infected dentin consequently avoiding pain which could be more appropriate for very young children.
Minimal Invasive Potential of Three Caries Excavation Methods in Children
International Journal of Dental Research and Reviews, 2019
Background: Recently, the concept of minimally invasive (MI) dentistry has emerged. MI calls for the selective removal of heavily infected and irreversibly denatured dentin caused by carious lesions while preserving dentin that is demineralized but not infected. Aim: To compare the minimal invasive potential (MIP) of conventional caries excavation (CCE), caries detection dye (CDD), and fluorescence aided caries excavation (FACE) methods in children. Subjects and Methods: A total of 105 carious primary molars in 43 children were included in this study. The teeth were randomly divided into three groups according to the caries excavation method. Preoperative evaluation of the carious teeth was performed using digital radiography after sealing the cavities with a radiopaque material. Caries excavation was performed using CCE, CDD, or FACE method. The teeth were restored using self-cured glass ionomer. Post-operative radiographic examination was then performed. Pre-operative and post-operative widths and depths for the cavities were assessed. MIP was determined by comparing the prepared-cavity width and depth relative to the initial width and depth of the caries lesion, respectively. Results: There was no statistically significant difference between the MIP of examined groups neither after comparing cavity widths at p=0.253 nor depths at p=0.06. FACE showed the highest mean values of MIP potential for cavity widths (1.41±0.36) and depths (2.04±0.74). Conclusions: CCE, CDD, and FACE showed comparable MIP in children.
Aim and objective: • To compare the clinical efficiency in removal of caries by the two different methods of caries removal. • To compare the treatment time between chemomechanical and rotary mechanical methods of caries removal. • To compare the pain perception of the patient during the two different methods (chemomechanical and rotary mechanical) of dentin caries removal. Materials and methods: The Carisolv system for caries removal, consisting of a solvent gel and a specially designed hand instrument, as compared to the conventional method of caries removal, i.e., Airotor. Sixty patients in the age-group of 6-14 years, having Black's class I dentinal caries with the cavity in the molars, were enrolled for the study. Results: The time for caries removal with Carisolv and Airotor was, respectively, 7.17 ± 1.57 and 8.00 ± 1.56 minutes. Thus, the mean time taken was also significantly higher in group II as compared to group I (t = 4.805; p < 0.001).
Dental Research Journal, 2019
Background: Dental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth tissues. As possible alternatives to conventional techniques of caries removal, chemomechanical caries removal systems have emerged. This study aims to clinically observe the advantages of chemomechanical method of caries removal over conventional technique. Materials and Methods: Inthis randomized controlled trial a total of 60 children with Class 1 open carious lesions were selected for the study. They were divided into two equal groups according to a method of caries removal (30 chemomechanical and 30 conventional on permanent molars). In Group A, caries was removed using the Carie-Care system and in Group B with the conventional drill and were restored equally with glass ionomer cement. The visual analogy face scale was used to determine the level of anxiety in children at baseline, during treatment and after treatment. Results: The results were subjected to statistical analysis using Student's unpaired t-test. It showed that though chemomechanical technique took a marginal increase in time compared to the conventional technique, it was found to be more comfortable for all the children. Conclusion: Chemomechanical technique though time-consuming is definitely superior compared to the conventional technique provided we use a less technique sensitive restorative material which retains in the oral cavity for longer period. It is definitely a better treatment protocol in school-based dental treatment and atraumatic restorative dentistry compared to the conventional technique.
Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients
International journal of clinical pediatric dentistry
To compare the three different methods of caries removal, conventional method using Airotor and chemomechanical method using Carisolv and Papacarie. The patients with multiple carious teeth were selected either in the deciduous dentition or mixed dentition. Ninety primary molars were selected from 30 children (10 males and 20 females) between the age group 6 and 9 years. After caries excavation, cavities were evaluated for caries removal or clinical efficacy by the tactile and visual criteria, microbiological efficacy, time taken for the procedure. Patient acceptability toward the treatment was also checked with the help of a visual analog scale (VAS). The observations thus obtained were subjected to statistical analysis using analysis of variance (ANOVA), Mann-Whitney U-test and Kruskal-Wallis test. The clinical efficacy of caries removal was highest with Airotor while the microbiological efficacy of caries removal was almost comparable with Airotor, Carisolv and Papacarie caries r...
An evaluation of different caries removal techniques in primary teeth: a comparitive clinical study
The Journal of clinical pediatric dentistry, 2011
To compare the efficacy of caries removal, time taken and to evaluate the pain threshold experienced by the patient during various caries removal methods. Eighty patients between the age groups of 5-9 years were selected and caries removal was done by hand instruments, airotor, carisolv and papacarie. The efficacy, time taken and the pain threshold was evaluated during the caries removal by Ericson D et al scale, visual analogue scale respectively. Highly significant relation (< 0.05) was observed when intergroup comparison was made using one way analysis of variance (ANOVA). It was concluded that chemomechanical removal of caries with Papacarie and Carisolv were found to be effective measures of caries removal and could be considered as viable alternatives to painful procedures like Airotor in management of dental caries especially in children.
International journal of health sciences
Objective: The study was aimed to compare the clinical performance of newer chemo-mechanical caries removal system and conventional cavity preparation technique in children. Study Design: Forty primary molars or first permanent molars of twenty children between the age groups of seven to ten years were selected randomly and divided into two groups of twenty teeth each: Group I was treated by the mechanical method and Group II with Brix 3000 gel method. The efficacy, time taken, and the pain threshold were evaluated during the caries removal by Ericson D et al. scale, stopwatch and modified visual analog scale, respectively. The preferred choice of treatment was assessed using a questionnaire. Results: The comparison between the time taken by the two methods showed a significant difference (P < 0.05). The caries removal efficacy indicated a significant difference as well ( P < 0.05). The pain rating results indicated a notable difference in the mean Visual Analogue Scale score ...
Evaluation of Three Different Caries Removal Techniques in Children: A Comparative Clinical Study
Journal of Clinical Pediatric Dentistry, 2013
Aim: To evaluate and compare the efficacy of chemo mechanical (carie care) caries removal method with rotary and hand excavation by assessing the amount of time taken, the pain response experienced by the children and the amount of residual caries left out. Study design: Twenty patients between the age groups of 5-7 years were selected and caries removal was done by airotor, hand instruments and cariecare gel. The efficacy, time taken and pain threshold was evaluated during caries removal. Results: significant results were obtained when inter group comparison were made. Conclusion: it was concluded that cariecare was efficient in caries removal and can be used as an alternative for the airotor in management of dental caries especially in children.
2018
With the current cascade of minimally invasive restorative dentistry, developing new caries removal techniques is progressing towards a more biological and conservative approach. As such, polymer bur has emerged as a self-limiting selective tool for caries removal. The aim of the present study was to assess the efficacy of polymer burs in comparison to hand excavators in caries removal in primary molars, and to assess the pain experienced by children while applying each method. Thirty carious primary molars fulfilling the inclusion criteria were selected in fourto nine-year-old children. Fifteen teeth were allocated to each of the two subgroups: Group I (control group) and group II (test group) in which carious dentine was removed with a sharp excavator or polymer bur, respectively. Efficiency of caries removal was numerically scored 0, 1, 2, 3, 4 and 5 using caries detector dye. Patient perception of the treatment procedure was measured using the “Wong-Baker Faces Pain Rating Scale...