Objectives: The author reports on a study of the application of the magnifying method with a digital operating microscope (DOM) in combination with controlled excavation using fluorescent method (Proface) in the treatment of asymptomatic closed pulpitis in primary molars treated with the indirect pulp capping technique. Materials and methods: Subject of the study were 40 primary molars (19 first and 21 second molars) of children (20 girls and 20 boys) 4-7 years old with cavitated carious lesions in the dentin suspected for asymptomatic closed pulpitis. All cases were excavated with an identical clinical protocol (conventional excavation). The excavation was controlled using the fluorescent method (Proface). An assessment of the residual dentin, with and without microscope (DOM), at three levels of magnification, was made at each stage. Results: The use of DOM shows a: larger diversity in the colors and nuances of the carious dentin, with lighter shades being predominant. DOM gives an opportunity for a better precision in determining the speed of the carious process, which is in direct relation to the defensive ability of the pulp-dentin complex. Conclusions: In the biological treatment of asymptomatic closed pulpitis in primary teeth, the use of DOM magnifying technology gives the opportunity for a precise and accurate assessment during the course of excavation
The selective removal of the caries dentin via enzyme methods for excavation appears to be an alternative to the conventional treatment of carious lesions in childhood. Photodynamic therapy is an effective alternative for the reduction of cariesogenic microorganisms. Brix 3000 is an enzyme-based material for excavation of carious dentin. Aim: To study the antimicrobial effect of means for enzyme excavation (Brix 3000) and photodynamic therapy with FotoSan 630 Intro Kit to the two main cariesogenic microorganisms – S. mutans and L. acidophilus, in vitro experiment; Materials and Methods: Eighty plates were prepared: group 1- 20 plates only with Brix 3000; group2 – 20 plates only with FotoSan; group 3 – 20 plates with a combination of Brix 3000 and FotoSan; group 4 – 20 plates without an active agent. In the agar of each plate, three 7 mm wells in diameter were made, where the Brix 3000 gel was placed, as well as discs soaked with the dye and irradiated with FotoSan and a combination of them. After 24 hours, the zone of inhibition was measured. Results: Compared to the control group, Brix 3000 and FotoSan have a defined antimicrobial activity against S. mutans and Lactobacillus spp. By combining the two materials, their antimicrobial activity significantly increases. S. mutans shows greater resistance compared to Lactobacillus spp. Conclusion: A combination of enzyme-based excavation and photodynamic therapy could be used successfully in the treatment of carious lesions in primary teeth.
Objective: The purpose of the trial is to comparatively analyze an electronic, pressure-calibrated probe third generation Parometer (Orange) and a standard, manual measurement probe WHO 621 (C type) in the context of taking periodontal variables when assessing periodontal status in childhood. Materials and methods: The subject of the study were 28 children aged between 12 and 14 years (12 boys and 16 girls). All patients were clinically examined, and the data were recorded on a specially prepared card. The recorded clinical variables contain: Assessment of oral hygiene habits (type of toothbrush, frequency of brushing); OHI as per Green Vermillion; Registration of dental status; Depth of gingival sulcus (on all teeth) with both types of probes; BOP (bleeding on probing), percentage of bleeding units with both types of probes; Taking into account the complete time needed to take the findings and the sensation of pain experienced by a digital rank scale during probing. Results and conclusion: The average depth of gingival sulcus measured with a mechanical periodontal probe was 1.62 mm, and with an electronic one - 1.38 mm (p <0.05). Values for BOP with both types of probes showed an average of 0.30 ± 0.29, which is 30% of all bleeding units examined (p> 0.05). The time for recording the periodontal indices with both probes is, on average, 10 minutes. In both probes, the discomfort of about grade 4 was observed according to the ranking scale used to read sensitivity (p <0.05). There is a more pronounced sensitivity when using an electronic periodontal probe.
Aim The aim of the study is to assess fear with the ‘Draw a Person’ test in sparing enzyme-based excavation with Brix 3000 and conventional excavation when treating carious lesions in primary teeth. Materials and Methods The study involves 72 children aged 4-6. The enzyme-based excavation was used at 42 of the children and for the remaining 30 – conventional excavation with a bur. Each child has to complete the ‘Draw a Person’ Test: at home, before and after dental treatment in the dental office. The height of each figure is measured in centimeters using a ruler. Results and Conclusions Immediately prior to the dental treatment, a double reduction in the size of the figure in both groups could be observed, as compared to the figure drawn at home, which refers to an increase in the fear level. After the end of the treatment, in both groups, an increase could be observed as to the height of the figure drawn, and there is the impression that the height of the figures, drawn by children, where the carious lesions were excavated with Brix 3000 are closer to the figures drawn at home, compared to children treated using the conventional method.
Introduction:The expanded indications for the using a dental operating microscope (DOM) in pediatric dentistry with minimal intervention include an application for the microscope in discovering specific, clinical criteria for the differential diagnosing of pulpitis, requiring different medical approaches.Aim: To study the application of magnifying technology with a DOM in the diagnosis of asymptomatic closed pulpitis in primary molars Material and methods: Subject of the study were 40 primary molars (19 first and 21-second molars) of children (20 girls and 20 boys) at the ages of 4-7, with cavitated carious lesions in the dentine. The visual clinical diagnosis was carried out by simple visual inspection and also with the use of magnifying technology DOM (Semorr DOM3000E) at a magnification factor of 8, 16 and 23.3 in accordance with a standardized methodology. An assessment of the carious dentine, with and without DOM, was made. The visual-tactile method of Bjorndal was used.Results: The use of DOM in the course of diagnosis contributes to a more detailed and precise assessment of the size of the carious lesions, which is an important diagnostic criterion. The use of magnifying technology is an excellent tool for making a precise differential diagnosis between deep dentine caries and asymptomatic pulpitis. When using a DOM, there is a greater diversity of the colours and nuances of the carious dentine, with lighter shades being predominant, which is an indicator of predominantly faster development of the carious lesion.
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