Evaluation of the Efficacy of Caries Removal Using Polymer Bur, Stainless Steel Bur, Carisolv, Papacarie – An Invitro Comparative Study

Divya, Gaddam; Prasad, Madu Ghanashyam; Vasa, Aron Arun Kumar; Vasanthi, Done; Boyapati, Ramanarayana; Mynampati, Praffulla

doi:10.7860/jcdr/2015/12705.6202

Cited by 26 publications

(30 citation statements)

References 12 publications

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“…Aswathi et al 11 found the same results of polymer burs being more efficient in reducing the total viable count. Similar results were also shown by Divya et al 12 in their comparative study on efficacy of caries removal using polymer bur, conventional bur, Carisolv and Papacarie with The time required for removal of caries with smart bur removal method took an average of 147.5 seconds when compared to conventional bur, which took only 79.3 resulting in a statistically significant difference between both the groups (p value = 0.001). The possible reason would be the higher hardness number (7,000 KHN) and higher cutting efficiency of the diamond bur.…”

Section: Discussionsupporting

confidence: 84%

Comparative Microbiological Evaluation after Caries Removal by Various Burs

Somani¹,

Chaudhary²,

Jaidka³

et al. 2019

International Journal of Clinical Pediatric Dentistry

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Aim:The aim of the study was to compare the caries removal efficacy in terms of bacteriology and efficiency in terms of time taken by conventional and smart burs. Materials and methods: A total of 40 extracted permanent molars with occlusal caries were selected for this study. These teeth were split at the center of carious lesion buccolingually, in order to obtain two similar halves. Thus, 80 samples were obtained in this way and were randomly divided into 2 groups of 40 samples each. Caries was removed using conventional burs in group I and polymer bur Smartprep (SS white) in group II. The time involved in caries removal was measured for both the groups. After excavation of all carious lesions, the samples were decalcified, dehydrated, and embedded in paraffin wax from which thin sections of 5 μm were obtained, which were histologically evaluated for bacterial presence under a light microscope. Results: An intergroup comparison between conventional bur (group I) and smart bur (group II) showed a statistically nonsignificant difference in terms of the presence of microorganisms after caries removal with a p value of 0.073638 (p > 0.05). However, the time taken for caries removal was significantly more for smart burs than diamond burs with a p value of 0.001 (p < 0.05). Conclusion:The polymer burs were found to be as effective as the conventional burs in terms of microbial presence after caries removal, but are more time-consuming than conventional burs.

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Section: Discussionsupporting

confidence: 84%

Comparative Microbiological Evaluation after Caries Removal by Various Burs

Somani¹,

Chaudhary²,

Jaidka³

et al. 2019

International Journal of Clinical Pediatric Dentistry

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“…Thus, minimal invasive caries removal treatment is of great importance in dental care for children. In addition, the concept of preserving sound dentine in the Chemomechanical caries removal (CMCR) method is of great interest among dental researchers and patients. Chemomechanical caries removal (CMCR) is a non‐invasive intervention that removes decayed dentine, preserves sound dental tissues, and avoids pulp annoyance and patient discomfort.…”

Section: Discussionmentioning

confidence: 99%

Effects of Papacarie on children with dental caries in primary teeth: a systematic review and meta‐analysis

Deng

Gao

et al. 2018

Int J Paed Dentistry

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“…The conventional methods involve the use of rotary burs, alone or together with metal hand instruments. 7 The pain and discomfort associated to conventional cavity preparation have lead to the reluctance of many patients to seek dental treatment. 19 Besides this, the local anaesthesia, frequently needed to control the pain associated with cavity preparation, is potentially responsible for discomfort and pain.…”

Section: Discussionmentioning

confidence: 99%

Use of BRIX-3000 Enzymatic Gel in Mechanical Chemical Removal of Caries: Clinical Case Report

et al. 2018

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Less traumatic alternative methods for removal of decayed tissue has been developed. A non-invasive technique, which consists of applying a proteolytic substance that softens the infected dentin tissue and preserves healthy tooth tissue was released in the market. Thus, this work intended to describe a clinical case of caries removal using BRIX 3000 papaine-based enzymatic gel. A 6-year-old male patient attend to a Univesity Dental Clinic complaining of painful sensitivity during mastication. After examination, acute deep carious lesion was found in dental elements 64 and 65. The caries removal procedure was performed for both teeth without anesthesia, under relative isolation, following the principles of atraumatic restorative treatment - ART. The gel was taken into the cavity and leaved to act for 2 minutes and the infected tissue was excavated. Caries lesion was then detected below the OM cusp with undercut enamel, needing to enlarge the cavity in the occlusal region with rotating cutting instruments and reapply the gel. After the second application, all the infected tissue had been removed and the teeth restoration with chemical ionomer cement was performed. At the end of the treatment, the discomfort during the performed procedure was asked to the patient using the Wong-Baker Face Scale. The child pointed to score 1, indicating mild pain for both treatments. It can be concluded that the use of enzymatic papaine gel-based was an efficient alternative for caries removal, easy to use, and preserve to the maximum the dental structure healthy, showing promise to be used as atraumatic caries removal technique.Keywords: Dental Caries. Papain. Pediatric Dentistry.ResumoMétodos alternativos menos traumáticos para remoção de cárie vem sendo desenvolvidos. Uma técnica não invasiva, que consite na aplicação de uma substância proteolítica que amolece a dentina infectada e preserva o tecido dental hígido foi lançado no mercado. Sendo assim, este trabalho visa relatar um caso clínico de remoção da lesão de cárie através do gel enzimático a base de papaína, BRIX-3000. Paciente do gênero masculino, 6 anos, compareceu à Clínica Odontológica Universitária com queixa de sensibilidade dolorosa durante a mastigação. Após avaliação, constatou-se lesão cariosa profunda aguda nos elementos dentais 64 e 65. O procedimento de remoção de cárie foi realizado sem anestesia e sob isolamento relativo, seguindo os princípios do tratamento restaurador atraumático (ART). O gel foi levado à cavidade, deixado agir por 2 minutos e realizado a escavação do tecido infectado. Foi detectado lesão de cárie abaixo da cúspide OM com esmalte socavado, necessitando de ampliação da cavidade na região oclusal com instrumentos cortantes rotatórios e reaplicação do gel. Após a segunda aplicação, todo o tecido infectado foi removido e realizada a restauração dos dentes com cimento de ionômero químico. Ao final do tratamento, foi aplicado a escala de faces de Wong-Baker. A criança apontou score 1, indicando dor leve para ambos os tratamentos. Pôde se concluir que a utilização do gel enzimático a base de papaína é uma alternativa eficiente para remoção do tecido cariado, de fácil utilização, preservando ao máximo a estrutura dental sadia, sendo promissor para ser utilizado na técnica atraumática de remoção da cárie.Palavras-chave: Cárie Dentária. Papaína. Odontopediatria.

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Evaluation of the Efficacy of Caries Removal Using Polymer Bur, Stainless Steel Bur, Carisolv, Papacarie – An Invitro Comparative Study

Cited by 26 publications

References 12 publications

Comparative Microbiological Evaluation after Caries Removal by Various Burs

Comparative Microbiological Evaluation after Caries Removal by Various Burs

Effects of Papacarie on children with dental caries in primary teeth: a systematic review and meta‐analysis

Use of BRIX-3000 Enzymatic Gel in Mechanical Chemical Removal of Caries: Clinical Case Report

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