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Randomized controlled clinical trial of long-term chemo-mechanical caries removal using Papacarie™ gel.

Motta LJ, Bussadori SK, Campanelli AP, Silva AL, Alfaya TA, Godoy CH, Navarro MF - J Appl Oral Sci (2014 Jul-Aug)

Bottom Line: No statistically significant difference between groups was found regarding the time required to perform the procedures and the radiographic follow up.Statistically significant differences between groups were found in the clinical evaluation at 6 and 18 months after treatment.Papacarie™ is as effective as the traditional method for the removal of carious dentin on deciduous teeth, but offers the advantages of the preservation of sound dental tissue as well as the avoidance of sharp rotary instruments and local anesthesia.

View Article: PubMed Central - PubMed

Affiliation: School of Dentistry, University Nove de Julho, São Paulo, SP, Brazil.

ABSTRACT

Objectives: Compare the effectiveness of Papacarie™ gel for the chemo-mechanical removal of carious lesions on primary teeth to conventional caries removal with a low-speed bur with regard to execution time, clinical aspects and radiographic findings.

Material and methods: A randomized controlled clinical trial with a split-mouth design was carried out. The sample was composed of 20 children aged four to seven years, in whom 40 deciduous teeth were randomly divided into two groups: chemo-mechanical caries removal with Papacarie™ and removal of carious dentin with a low-speed bur. Each child underwent both procedures and served as his/her own control. Restorations were performed with glass ionomer cement. The time required to perform the procedure was also analyzed. The patients underwent longitudinal clinical and radiographic follow-up of the restorations.

Results: No statistically significant difference between groups was found regarding the time required to perform the procedures and the radiographic follow up. Statistically significant differences between groups were found in the clinical evaluation at 6 and 18 months after treatment.

Conclusion: Papacarie™ is as effective as the traditional method for the removal of carious dentin on deciduous teeth, but offers the advantages of the preservation of sound dental tissue as well as the avoidance of sharp rotary instruments and local anesthesia.

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Related in: MedlinePlus

Clinical aspect of cavity before and after removal of carious tissue withchemo-mechanical caries removal
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f02: Clinical aspect of cavity before and after removal of carious tissue withchemo-mechanical caries removal

Mentions: Initially, periapical radiographs were taken and prophylaxis was performed with aRobinson brush and fluoride toothpaste, followed by relative isolation (lip bumper,cotton roll and saliva aspirator) of the tooth. The starting time was then recorded.The PapacarieTM gel was applied. After 30 to 40 seconds, the softenedcarious tissue was removed with the blunt end of a curette. The gel was reapplied, ifnecessary, until the complete removal of the carious tissue. Successful removal wasdetermined by clinical examination involving the inspection of the texture of theremaining dentine with the use of an exploratory probe (Figure 2). The finishing time was then recorded. The restorativeprocedure was performed with glass ionomer cement (Ketac Molar Easy mix - 3MESPETM, São Paulo, SP, Brazil). The treated teeth were submitted toclinical and radiographic follow-up.


Randomized controlled clinical trial of long-term chemo-mechanical caries removal using Papacarie™ gel.

Motta LJ, Bussadori SK, Campanelli AP, Silva AL, Alfaya TA, Godoy CH, Navarro MF - J Appl Oral Sci (2014 Jul-Aug)

Clinical aspect of cavity before and after removal of carious tissue withchemo-mechanical caries removal
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126827&req=5

f02: Clinical aspect of cavity before and after removal of carious tissue withchemo-mechanical caries removal
Mentions: Initially, periapical radiographs were taken and prophylaxis was performed with aRobinson brush and fluoride toothpaste, followed by relative isolation (lip bumper,cotton roll and saliva aspirator) of the tooth. The starting time was then recorded.The PapacarieTM gel was applied. After 30 to 40 seconds, the softenedcarious tissue was removed with the blunt end of a curette. The gel was reapplied, ifnecessary, until the complete removal of the carious tissue. Successful removal wasdetermined by clinical examination involving the inspection of the texture of theremaining dentine with the use of an exploratory probe (Figure 2). The finishing time was then recorded. The restorativeprocedure was performed with glass ionomer cement (Ketac Molar Easy mix - 3MESPETM, São Paulo, SP, Brazil). The treated teeth were submitted toclinical and radiographic follow-up.

Bottom Line: No statistically significant difference between groups was found regarding the time required to perform the procedures and the radiographic follow up.Statistically significant differences between groups were found in the clinical evaluation at 6 and 18 months after treatment.Papacarie™ is as effective as the traditional method for the removal of carious dentin on deciduous teeth, but offers the advantages of the preservation of sound dental tissue as well as the avoidance of sharp rotary instruments and local anesthesia.

View Article: PubMed Central - PubMed

Affiliation: School of Dentistry, University Nove de Julho, São Paulo, SP, Brazil.

ABSTRACT

Objectives: Compare the effectiveness of Papacarie™ gel for the chemo-mechanical removal of carious lesions on primary teeth to conventional caries removal with a low-speed bur with regard to execution time, clinical aspects and radiographic findings.

Material and methods: A randomized controlled clinical trial with a split-mouth design was carried out. The sample was composed of 20 children aged four to seven years, in whom 40 deciduous teeth were randomly divided into two groups: chemo-mechanical caries removal with Papacarie™ and removal of carious dentin with a low-speed bur. Each child underwent both procedures and served as his/her own control. Restorations were performed with glass ionomer cement. The time required to perform the procedure was also analyzed. The patients underwent longitudinal clinical and radiographic follow-up of the restorations.

Results: No statistically significant difference between groups was found regarding the time required to perform the procedures and the radiographic follow up. Statistically significant differences between groups were found in the clinical evaluation at 6 and 18 months after treatment.

Conclusion: Papacarie™ is as effective as the traditional method for the removal of carious dentin on deciduous teeth, but offers the advantages of the preservation of sound dental tissue as well as the avoidance of sharp rotary instruments and local anesthesia.

Show MeSH
Related in: MedlinePlus