Research Article
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Year 2021, Volume: 24 Issue: 3, 266 - 273, 15.09.2021

Canan Duman , Elif Kalaoğlu Belen Şirinoğlu Çapan , Edibe Egil

https://doi.org/10.7126/cumudj.920058

Abstract

References

  • 1. Da Mota A, Leal C, Olivan S, et al. Case Report of Photodynamic Therapy in the Treatment of Dental Caries on Primary Teeth. J Lasers Med Sci Spring. 2016;7(2):131-133.
  • 2. Divya G, Prasad M, Vasa A, Vasanthi D, Ramanarayana B, Mynampati P. Evaluation of the Efficacy of Caries Removal Using Polymer Bur, Stainless Steel Bur, Carisolv, Papacarie - An Invitro Comparative Study. J Clin Diagn Res. 2015;9(7):42-46.
  • 3. Chowdhry S, Saha S, Samadi F, Jaiswal J, Garg A, Chowdhry P. Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients. ’Int J Clin Pediatr Dent. 2015;8(1):6-11.
  • 4. Ge Z, Yang L, Xia J, Fu X, Zhang Y. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ B. 2020;21(5):361-368. doi:10.1631/jzus.B2010010
  • 5. Maru V, Kumar A, Badiyani B, Sharma A, Sharma J, Dobariya C. Behavioral changes in preschoolers treated with/without rotary instruments. J Int Soc Prev Community Dent. 2014;4(2):77-81.
  • 6. Boob A, Manjula M, Reddy E, Srilaxmi N, Rani T. Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study. Int J Clin Pediatr Dent. 2014;7(1):11-18.
  • 7. Hernandéz-Gatón P, Serrano C, Nelson Filho P, et al. Stepwise Excavation Allows Apexogenesis in Permanent Molars with Deep Carious Lesions and Incomplete Root Formation. Caries Res. 2015;49(6):637-639.
  • 8. AAPD. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Pediatr Dent. 2016;38(6):280-288.
  • 9. Schwendicke F, Dörfer C, Paris S. Incomplete caries removal: a systematic review and meta-analysis. ’J Dent Res. 2013;92(4):306-314.
  • 10. Jawa D, Singh S, Somani R, Jaidka S, Sirkar K, R J. Comparative evaluation of the efficacy of chemomechanical caries removal agent (Papacarie) and conventional method of caries removal: an in vitro study. J Indian Soc Pedod Prev Dent. 2010;28(2):73-77.
  • 11. Torresi V, Bsereni L. Effectiveness of the atraumatic caries removal method using papain. Rev Assoc Paul Cir Dent. 2017;71(3):266-269.
  • 12. Turgut Coşgun M, Tulga Öz F. Current Developments in Chemomechanical Caries Removal Method. Turkiye Klin J Dent Sci. 2019;25(3):344-350. doi:10.5336/dentalsci.2017-59103
  • 13. Maltz M, Koppe B, Jardim JJ, et al. Partial caries removal in deep caries lesions: a 5-year multicenter randomized controlled trial. Clin Oral Investig. 2018;22(3):1337-1343. doi:10.1007/s00784-017-2221-0
  • 14. Ajram J, Khalil I, Gergi R, Zogheib C. Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up. Dent J. 2019;7(1):1. doi:10.3390/dj7010001
  • 15. Jacobsen T, Norlund A, Englund GS, Tranæus S. Application of laser technology for removal of caries: A systematic review of controlled clinical trials. Acta Odontol Scand. 2011;69(2):65-74. doi:10.3109/00016357.2010.536901
  • 16. Peruchi C, Santos-Pinto L, Santos-Pinto A, Barbosa e Silva E. Evaluation of cutting patterns produced in primary teeth by an air-abrasion system. Quintessence Int. 2002;33(4):279-283. http://www.ncbi.nlm.nih.gov/pubmed/11989377
  • 17. Aswathi K, Rani S, Athimuthu A, Prasanna P, Patil P, Deepali K. Comparison of efficacy of caries removal using polymer bur and chemomechanical caries removal agent: A clinical and microbiological assessment - An in vivo study. J Indian Soc Pedod Prev Dent. 2017;35(1):6-13.
  • 18. Banerjee A. Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques. Br Dent J. 2013;214(3):107-111. doi:10.1038/sj.bdj.2013.106
  • 19. Alkhouli MM, Al Nesser SF, Bshara NG, AlMidani AN, Comisi JC. Comparing the efficacies of two chemo-mechanical caries removal agents (2.25% sodium hypochlorite gel and brix 3000), in caries removal and patient cooperation: A randomized controlled clinical trial. J Dent. 2020;93:103280. doi:10.1016/j.jdent.2020.103280
  • 20. Aswathi Kk, Rani Sp, Athimuthu A, Prasanna P, Patil P, Deepali K. Comparison of efficacy of caries removal using polymer bur and chemomechanical caries removal agent: A clinical and microbiological assessment - An in vivo study. J Indian Soc Pedod Prev Dent. 2017;35(1):6. doi:10.4103/0970-4388.199232
  • 21. ALLEN KL, SALGADO TL, JANAL MN, THOMPSON VP. Removing carious dentin using a polymer instrument without anesthesia versus a carbide bur with anesthesia. J Am Dent Assoc. 2005;136(5):643-651. doi:10.14219/jada.archive.2005.0237
  • 22. Schwendicke F, Leal S, Schlattmann P, et al. Selective carious tissue removal using subjective criteria or polymer bur: study protocol for a randomised controlled trial (SelecCT). BMJ Open. 2018;8(12):e022952. doi:10.1136/bmjopen-2018-022952
  • 23. Lohmann J, Schäfer E, Dammaschke T. Histological determination of cariously altered collagen after dentin caries excavation with the polymer bur PolyBur P1 in comparison to a conventional bud bur. Head Face Med. 2019;15(1):19. doi:10.1186/s13005-019-0205-9
  • 24. Pozos-Guillén A, Chavarría-Bolaños D, Garrocho-Rangel A. Split-mouth design in Paediatric Dentistry clinical trials. Eur J Paediatr Dent. 2017;18(1):61-65. doi:10.23804/ejpd.2017.18.01.13
  • 25. Dammaschke T, Rodenberg TN, Schäfer E, Ott KHR. Efficiency of the Polymer Bur SmartPrep Compared with Conventional Tungsten Carbide Bud Bur in Dentin Caries Excavation. Oper Dent. 2006;31(2):256-260. doi:10.2341/05-24
  • 26. Somani R, Jaidka S, Singh DJ, Chaudhary R. Comparative Microbiological Evaluation after Caries Removal by Various Burs. Int J Clin Pediatr Dent. 2019;12(6):524-527. doi:10.5005/jp-journals-10005-1678
  • 27. Motta LJ, Bussadori SK, Campanelli AP, et al. Pain during Removal of Carious Lesions in Children: A Randomized Controlled Clinical Trial. Int J Dent. 2013;2013:1-4. doi:10.1155/2013/896381
  • 28. Gatón‐Hernandéz P, Serrano CR, Silva LAB, et al. Minimally interventive restorative care of teeth with molar incisor hypomineralization and open apex—A 24‐month longitudinal study. Int J Paediatr Dent. 2020;30(1):4-10. doi:10.1111/ipd.12581

COMPARISON OF TWO AEROSOL-FREE CARIES REMOVAL METHODS - A SPLIT MOUTH RANDOMIZED CLINICAL TRIAL

Year 2021, Volume: 24 Issue: 3, 266 - 273, 15.09.2021

Canan Duman , Elif Kalaoğlu Belen Şirinoğlu Çapan , Edibe Egil

https://doi.org/10.7126/cumudj.920058

Abstract

Objectives: The management of deep caries lesions in immature permanent molars might be challenging in clinical practice. Minimally invasive caries removal methods can maintain apexogenesis by preventing extensive tissue loss. Here we compare the chemo-mechanical caries removal (CMCR) gel and the polymer bur in terms of time spent on caries removal, patient acceptability, and clinical success.
Materials and Methods: The teeth of 30 children were randomly divided into two groups. The duration of each method, the level of cooperation during each method, and the child’s choice of caries removal method were recorded. Patients were followed at 6-month intervals for at least 2 years.
Results: The difference between the patients’ preferences was not statistically significant, while the average caries removal time of the polymer bur method was significantly shorter (p < 0.05). The rates of apical closure without pathology in CMCR and polymer bur groups were 63.2% and 73.7%, respectively, whereas 10% of each group underwent further treatments due to the clinical and/or radiographic pathology.
Conclusions: These methods were thought to serve as an interim treatment in managing immature permanent teeth with deep caries. Furthermore, these methods, which do not involve water cooling, can also minimize the risk of contamination and cross-infection.

Keywords

Dental atraumatic restorative treatment Permenant Pain Papain Polymer bur

References

  • 1. Da Mota A, Leal C, Olivan S, et al. Case Report of Photodynamic Therapy in the Treatment of Dental Caries on Primary Teeth. J Lasers Med Sci Spring. 2016;7(2):131-133.
  • 2. Divya G, Prasad M, Vasa A, Vasanthi D, Ramanarayana B, Mynampati P. Evaluation of the Efficacy of Caries Removal Using Polymer Bur, Stainless Steel Bur, Carisolv, Papacarie - An Invitro Comparative Study. J Clin Diagn Res. 2015;9(7):42-46.
  • 3. Chowdhry S, Saha S, Samadi F, Jaiswal J, Garg A, Chowdhry P. Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients. ’Int J Clin Pediatr Dent. 2015;8(1):6-11.
  • 4. Ge Z, Yang L, Xia J, Fu X, Zhang Y. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ B. 2020;21(5):361-368. doi:10.1631/jzus.B2010010
  • 5. Maru V, Kumar A, Badiyani B, Sharma A, Sharma J, Dobariya C. Behavioral changes in preschoolers treated with/without rotary instruments. J Int Soc Prev Community Dent. 2014;4(2):77-81.
  • 6. Boob A, Manjula M, Reddy E, Srilaxmi N, Rani T. Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study. Int J Clin Pediatr Dent. 2014;7(1):11-18.
  • 7. Hernandéz-Gatón P, Serrano C, Nelson Filho P, et al. Stepwise Excavation Allows Apexogenesis in Permanent Molars with Deep Carious Lesions and Incomplete Root Formation. Caries Res. 2015;49(6):637-639.
  • 8. AAPD. Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Pediatr Dent. 2016;38(6):280-288.
  • 9. Schwendicke F, Dörfer C, Paris S. Incomplete caries removal: a systematic review and meta-analysis. ’J Dent Res. 2013;92(4):306-314.
  • 10. Jawa D, Singh S, Somani R, Jaidka S, Sirkar K, R J. Comparative evaluation of the efficacy of chemomechanical caries removal agent (Papacarie) and conventional method of caries removal: an in vitro study. J Indian Soc Pedod Prev Dent. 2010;28(2):73-77.
  • 11. Torresi V, Bsereni L. Effectiveness of the atraumatic caries removal method using papain. Rev Assoc Paul Cir Dent. 2017;71(3):266-269.
  • 12. Turgut Coşgun M, Tulga Öz F. Current Developments in Chemomechanical Caries Removal Method. Turkiye Klin J Dent Sci. 2019;25(3):344-350. doi:10.5336/dentalsci.2017-59103
  • 13. Maltz M, Koppe B, Jardim JJ, et al. Partial caries removal in deep caries lesions: a 5-year multicenter randomized controlled trial. Clin Oral Investig. 2018;22(3):1337-1343. doi:10.1007/s00784-017-2221-0
  • 14. Ajram J, Khalil I, Gergi R, Zogheib C. Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up. Dent J. 2019;7(1):1. doi:10.3390/dj7010001
  • 15. Jacobsen T, Norlund A, Englund GS, Tranæus S. Application of laser technology for removal of caries: A systematic review of controlled clinical trials. Acta Odontol Scand. 2011;69(2):65-74. doi:10.3109/00016357.2010.536901
  • 16. Peruchi C, Santos-Pinto L, Santos-Pinto A, Barbosa e Silva E. Evaluation of cutting patterns produced in primary teeth by an air-abrasion system. Quintessence Int. 2002;33(4):279-283. http://www.ncbi.nlm.nih.gov/pubmed/11989377
  • 17. Aswathi K, Rani S, Athimuthu A, Prasanna P, Patil P, Deepali K. Comparison of efficacy of caries removal using polymer bur and chemomechanical caries removal agent: A clinical and microbiological assessment - An in vivo study. J Indian Soc Pedod Prev Dent. 2017;35(1):6-13.
  • 18. Banerjee A. Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques. Br Dent J. 2013;214(3):107-111. doi:10.1038/sj.bdj.2013.106
  • 19. Alkhouli MM, Al Nesser SF, Bshara NG, AlMidani AN, Comisi JC. Comparing the efficacies of two chemo-mechanical caries removal agents (2.25% sodium hypochlorite gel and brix 3000), in caries removal and patient cooperation: A randomized controlled clinical trial. J Dent. 2020;93:103280. doi:10.1016/j.jdent.2020.103280
  • 20. Aswathi Kk, Rani Sp, Athimuthu A, Prasanna P, Patil P, Deepali K. Comparison of efficacy of caries removal using polymer bur and chemomechanical caries removal agent: A clinical and microbiological assessment - An in vivo study. J Indian Soc Pedod Prev Dent. 2017;35(1):6. doi:10.4103/0970-4388.199232
  • 21. ALLEN KL, SALGADO TL, JANAL MN, THOMPSON VP. Removing carious dentin using a polymer instrument without anesthesia versus a carbide bur with anesthesia. J Am Dent Assoc. 2005;136(5):643-651. doi:10.14219/jada.archive.2005.0237
  • 22. Schwendicke F, Leal S, Schlattmann P, et al. Selective carious tissue removal using subjective criteria or polymer bur: study protocol for a randomised controlled trial (SelecCT). BMJ Open. 2018;8(12):e022952. doi:10.1136/bmjopen-2018-022952
  • 23. Lohmann J, Schäfer E, Dammaschke T. Histological determination of cariously altered collagen after dentin caries excavation with the polymer bur PolyBur P1 in comparison to a conventional bud bur. Head Face Med. 2019;15(1):19. doi:10.1186/s13005-019-0205-9
  • 24. Pozos-Guillén A, Chavarría-Bolaños D, Garrocho-Rangel A. Split-mouth design in Paediatric Dentistry clinical trials. Eur J Paediatr Dent. 2017;18(1):61-65. doi:10.23804/ejpd.2017.18.01.13
  • 25. Dammaschke T, Rodenberg TN, Schäfer E, Ott KHR. Efficiency of the Polymer Bur SmartPrep Compared with Conventional Tungsten Carbide Bud Bur in Dentin Caries Excavation. Oper Dent. 2006;31(2):256-260. doi:10.2341/05-24
  • 26. Somani R, Jaidka S, Singh DJ, Chaudhary R. Comparative Microbiological Evaluation after Caries Removal by Various Burs. Int J Clin Pediatr Dent. 2019;12(6):524-527. doi:10.5005/jp-journals-10005-1678
  • 27. Motta LJ, Bussadori SK, Campanelli AP, et al. Pain during Removal of Carious Lesions in Children: A Randomized Controlled Clinical Trial. Int J Dent. 2013;2013:1-4. doi:10.1155/2013/896381
  • 28. Gatón‐Hernandéz P, Serrano CR, Silva LAB, et al. Minimally interventive restorative care of teeth with molar incisor hypomineralization and open apex—A 24‐month longitudinal study. Int J Paediatr Dent. 2020;30(1):4-10. doi:10.1111/ipd.12581
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Canan Duman 0000-0003-1240-1285

Elif Kalaoğlu 0000-0003-0932-3706

Belen Şirinoğlu Çapan 0000-0003-1829-0379

Edibe Egil 0000-0003-0889-0223

Publication Date September 15, 2021
Submission Date April 19, 2021
Published in Issue Year 2021Volume: 24 Issue: 3

Cite

EndNote Duman C, Kalaoğlu E, Şirinoğlu Çapan B, Egil E (September 1, 2021) COMPARISON OF TWO AEROSOL-FREE CARIES REMOVAL METHODS - A SPLIT MOUTH RANDOMIZED CLINICAL TRIAL. Cumhuriyet Dental Journal 24 3 266–273.
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