Background: Many chemomechanical caries removal (CMCR) agents have been introduced and marketed since 1970s, with each new one being better and effective than the previously introduced. Papacarie and Carisolv are new systems in the field of CMCR techniques. These are reportedly minimally invasive methods of removing carious dentin while preserving sound dentin.Aim: To compare the Efficiency (time taken for caries removal) and effectiveness (Knoop hardness number of the remaining dentin) of caries removal by three minimally invasive methods, i.e. hand excavation and chemomechanical caries removal using Carisolv and Papacarie.Materials and methods: Thirty recently extracted human permanent molars with occlusal carious lesions were divided randomly in three equal groups and bisected through the middle of the lesion mesiodistally and excavated by two methods on each tooth.Results: Statistically significant difference was present among three methods with respect to time and knoop hardness values (KHN) of the remaining dentin.Conclusion: The Efficiency of Hand method is better compared to CMCR techniques and effectiveness of CMCR techniques is better than Hand method in terms of dentin preservation so the chances of maintaining vitality of the pulp will be enhanced.How to cite this article: Boob AR, Manjula M, Reddy ER, 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.
Clinpro fissure sealant showed better retention at all treatment intervals, when compared with Fuji VII. Further follow-up is required to study the efficacy of the fissure sealant placement techniques.
A high prevalence of noncavitated lesions and less number of sealants and restorations indicates the lack of awareness for prevention and treatment of oral diseases, which suggests a strong need for preventive and operative treatments.
Introduction:
The primary function of corono-radicular post is to provide retention for the core and to reinforce and to replace the remaining coronal tooth structure. There is considerable controversy regarding optimal choice of the material. An ideal post system should exhibit fracture resistance higher than the average masticatory forces. Finite elemental analysis (FEA) method facilitates precise analysis of the distribution and magnitude of stresses at any point of complex and irregular structures. Thus, this FEA study has been undertaken to evaluate the fracture stress distribution patterns in three fiber posts, viz., carbon, glass fiber, and everStick with an FEA.
Materials and Methods:
The FE stress analysis was performed with the FE software program (CATIA). Three two-dimensional FEA models of central incisor were simulated, and elastic moduli and Poisson's ratio of all the materials were fed to the software. For all the models, a 200 N vertical force was applied on the lingual surface of the tooth at an angle of 45°. Stress concentration and distribution were evaluated and noted down for all the models. To evaluate the stresses within the restored tooth, the modified von Mises failure criterion was used. The equivalent stresses found in the tested models were compared with the tensile strength of the respective materials. Contact stresses in the luting cement–dentin interface were calculated.
Results:
Finite element method revealed that maximum stress concentration was at the point of stress application. The stress value was highest in carbon fiber post followed by glass fiber post and least stresses found in everStick post. Maximum stress was observed at the labial surfaces of crown. However, the stress values and distribution were more homogenous in everStick post.
Conclusion:
The present findings suggest that everStick post has uniform stress distribution within tooth structure.
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