Abstract:In this study, the clinical efficacy of Carisolvtrade mark system and the hand excavation method in the removal of occlusal dentine caries of primary molar teeth was evaluated. Both Carisolv system and hand excavation method were applied for the removal of caries on different teeth of the same children. After the removal of the caries, Dyract AP materials were used to restore the teeth. The clinical follow-up was made every 3 months within a year. The clinical evaluations of restorations were carried out in ac… Show more
“…8 Kirzioglu et al compared the chemomechanical and mechanical method of caries removal; at 3, 6, 9 and 12 months and showed that at the end of 1 year, in terms of marginal adaptation and secondary caries, there was no statistical significance which was in accordance to the present study. 9 After a period of 10 months secondary caries in teeth treated with papain gel was 21.6% and in conventional method it was 15.7%. The difference was not statistically significant.…”
Objectives: Conventional caries removal is associated with unpleasant perception of drilling, requirement of local anesthesia, pressure effects on the pulp, etc. The chemomechanical method of caries removal has overcome these shortcomings. It is not only more comfortable to the patient but also preserves the healthy tissue. The present study was undertaken to evaluate and compare the time taken for caries removal, perception of pain and presence of secondary caries after a period of 10 months with Papacarie (Formulae One, Brazil 2003) and the conventional method. Bilateral primary molars in 52 children age ranging from 5-12 years were selected and divided into group I (conventional method) and group II (chemomechanical method) and compared.Results: Mean time taken in the conventional method (14.5 ± 5.367 sec) was significantly higher than papain gel (11.2 ± 5.959 secs). The pain score in group 1 was significantly higher than in group 2. The pain experienced in the conventional method ranged from a minimum of 0 (none) to a maximum of 4 (uncomfortable). Whereas in papain gel, it ranged from 0 (none) to 2 (annoying). The presence of secondary caries after a follow-up of 10 months was not statistically significant.
Conclusion:Papacarie method seems to be promising as an alternative treatment procedure in pediatric dentistry.
“…8 Kirzioglu et al compared the chemomechanical and mechanical method of caries removal; at 3, 6, 9 and 12 months and showed that at the end of 1 year, in terms of marginal adaptation and secondary caries, there was no statistical significance which was in accordance to the present study. 9 After a period of 10 months secondary caries in teeth treated with papain gel was 21.6% and in conventional method it was 15.7%. The difference was not statistically significant.…”
Objectives: Conventional caries removal is associated with unpleasant perception of drilling, requirement of local anesthesia, pressure effects on the pulp, etc. The chemomechanical method of caries removal has overcome these shortcomings. It is not only more comfortable to the patient but also preserves the healthy tissue. The present study was undertaken to evaluate and compare the time taken for caries removal, perception of pain and presence of secondary caries after a period of 10 months with Papacarie (Formulae One, Brazil 2003) and the conventional method. Bilateral primary molars in 52 children age ranging from 5-12 years were selected and divided into group I (conventional method) and group II (chemomechanical method) and compared.Results: Mean time taken in the conventional method (14.5 ± 5.367 sec) was significantly higher than papain gel (11.2 ± 5.959 secs). The pain score in group 1 was significantly higher than in group 2. The pain experienced in the conventional method ranged from a minimum of 0 (none) to a maximum of 4 (uncomfortable). Whereas in papain gel, it ranged from 0 (none) to 2 (annoying). The presence of secondary caries after a follow-up of 10 months was not statistically significant.
Conclusion:Papacarie method seems to be promising as an alternative treatment procedure in pediatric dentistry.
“…In two studies, Fure et al [9,13] found the majority of composite fillings placed in adult patients after the chemomechanical caries removal to be intact after one year (29 of 31, and 167 of 177, respectively). Kirzioglu et al [19] evaluated the status of compomer restorations in primary molars after the caries excavation with Carisolv and reported 27 of 28 teeth to be clinically excellent or acceptable at the end of the experimental period.…”
The chemomechanical caries removal technique is an adequate alternative to the conventional rotary instruments method and is advantageous in pediatric dentistry.
“…3,[5][6][7] Derin dentin çürüklerinin varlığında, pulpanın perforasyon riski göz önüne alınırsa, pulpanın vitalitesini koruyabilmek ve diĢin ağızda kalma süresini artı-rarak daha uzun süre fonksiyon görmesini sağlamak amacıyla daha konservatif bir yaklaĢım olan çürüğün selektif olarak uzaklaĢtırılması gündeme gelmiĢtir. 5,8 Bu amaçla geliĢtirilen selektif yaklaĢımlar, enfekte dentin, etkilenmiĢ dentin ve sağlıklı diĢ dokularının ayırt edilebilmesine yardımcı olarak, derin dentin çürüklerinde pulpaya zarar vermeden operatif iĢlemlerin tamamlanmasını sağlamaktadır. Selektif doku uzaklaĢtırıl-masında kullanılan yöntemler Ģunlardır: 1.Polimer Frezler: Elmas ve tungsten karbit frezler; enfekte dentin, etkilenmiĢ dentin ve sağlıklı doku ayrımı yapmadan, uygulandığı dokunun tamamını uzaklaĢtırmaktadır.…”
“…23 Günümüzde kullanılmakta olan enzim bazlı kemomekanik ajanlar ise; Papacarie (Formula and Acao, Sao Paulo, Brezilya) ve hala deneysel aĢamada olan Biosolv (SFC-V and SFC-VIII, 3M- Kemomekanik yöntemlerin çürüğün uzaklaĢtı-rılmasındaki etkinliği diğer yöntemlerle benzer olsa da dezavantaj olarak uygulama daha uzun sürmekte ve jelin uygulanacağı çürük alanına ulaĢmak veya en son kavite sınırlarını düzeltmek amacıyla frezlerin kullanılması gerekmektedir. 5,17,21,25,[30][31][32][33] 3.Çürük Boyaları: Çürük boyalarının kulanı-mının ilk kez 1970'lerde Fusayama tarafından kulanı-lan bazik fuksin ile gündeme geldiği bildirilmiĢtir. 34 Bazik fuksin, propilen glikol içerisinde %1 asit kırmızı ve povidon iyodür çürük boyası olarak kullanılmıĢtır ancak genotoksisite çalıĢmalarında bazik fuksinin ciddi mutajenik etkileri gözlenmiĢtir.…”
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