Dentin Topographic Features following Chemomechanical Caries Removal in Primary Teeth

Kotb, Rehab Mohamed Salah; Elkateb, Mona Abdallah; Ahmed, Amel M.; Kawana, Khadiga Y.; Meligy, Omar El

doi:10.17796/1053-4628-40.6.472

Cited by 8 publications

(8 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, when Carisolv ® has been used over carious dentin, the surface generally appeared clean, with open tubules [22]. The same is likely to be true for Papacárie, since many studies have also reported similar residual carious dentin surface morphology after it use, with open tubules and reduced smear layer [23][24][25]. Nonetheless, one study showed presence of smear layer and debris partially occluding the dentin tubules in residual carious primary teeth dentin after caries removal with Papacárie Duo Gel ® [26].…”

Section: Discussionmentioning

confidence: 96%

Tridimensional roughness and morphology of sound dentin surfaces after papain-gel treatment

Pires

MIRANDA

Costa

et al. 2022

d3000

View full text Add to dashboard Cite

Purpose: To investigate the effect of chemomechanical caries removing agents (CCRAs) based on papain (Papacárie Duo Gel® and Brix3000®) over dentin surfaces compared with 37% phosphoric acid and 11.5% polyacrylic acid.Materials and methods: Sound human molars were sectioned at the crown level, resulting in 48 dentin blocks, which were randomly divided into 4 groups (n=12): 1) Papacárie Duo Gel®; 2) Brix3000®; 3) 11.5% polyacrylic acid solution and 4) 37% phosphoric acid gel. All products were applied for 30s. Ten blocks per group were analyzed by a non-contact 3D profilometer before and after treatments for linear (Ra) and volumetric roughness (Sa). The superficial morphology of the remaining blocks in each group (n=2) was evaluated by scanning electron microscopy (SEM). Normality was rejected for the data (Shapiro-Wilk test) and therefore, Kruskal-Wallis test, followed by Dunn’s proof or Wilcoxon signed rank test with its respective effect size calculation were used to compare the results with α=5%.Results: Ra and Sa values for specimens submitted to Papacárie Duo Gel® and Brix3000® were statistically similar to baseline values. Application of phosphoric and polyacrylic acid resulted in a statistically increase in roughness compared to the CCRAs. SEM evaluation showed that Papacárie Duo Gel® resulted in surface debris. Polyacrylic acid and Brix3000®resulted in partial opening of the tubules but dentin exposed to polyacrylic was able to remove more smear layer than Brix3000®, while phosphoric acid resulted in total opening of the dentinal tubules.Conclusion: Both Papacárie Duo Gel® and Brix3000® did not result in roughness changes when applied in sound dentin.

show abstract

Section: Discussionmentioning

confidence: 96%

Tridimensional roughness and morphology of sound dentin surfaces after papain-gel treatment

Pires

MIRANDA

Costa

et al. 2022

d3000

View full text Add to dashboard Cite

show abstract

“…Structural changes associated with prepared dentin may influence the bonding of restorative materials and most of the studies have established that CMCR produces a roughened surface with altered hardness. 4,5 Glass ionomer cement is still the preferred restorative material for restoring primary teeth, but there are no studies evaluating the bond between the glass ionomer cement with the residual dentin following caries removal using Carie Care TM . The present study was thus planned to evaluate the bond between the resin-modified glass ionomer cement and residual dentin following excavation of carious dentin using Carie Care TM and conventional caries removal in primary teeth.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparative evaluation of micro shear bond strength and microleakage between the resin-modified glass ionomer cement and residual dentin following excavation of carious dentin using Carie CareTM and conventional caries removal in primary teeth: an in vitro study

et al. 2023

View full text Add to dashboard Cite

Background: The bond between the dentin and restorative material contributes to the success of the restoration. Structural changes associated with prepared dentin may influence the bonding of restorative materials. The present study evaluates the bond between the resin-modified glass ionomer cement (RMGIC) and residual dentin following excavation of carious dentin using Carie CareTM and conventional caries removal in primary teeth. Methods: 52 primary teeth with dentinal caries were randomly grouped into group I, where caries removal was done using the conventional method, and group II which used Carie CareTM. All the teeth were restored using RMGIC. Micro shear bond strength between the residual dentin and the cement was tested using universal testing machine and the dye penetration method was used for microleakage testing. Independent t-test was performed for intergroup comparison. Pearson chi-square test was carried out to evaluate the microleakage patterns in the enamel and dentin. Results: The mean micro-shear bond strength of group I was 6.03±1.6 and that of group II was 8.54±2.92; this difference was statistically significant with a p-value of 0.012. Microleakage was higher in the test group (1.38±0.51) than the control group (0.77±0.6) and was significant with a p-value of .036. Conclusions: Papain-based chemomechanical agent Carie CareTM can be used as an alternative method to conventional caries removal. However, further studies need to explore methods to improve the marginal sealing capacity of RMGIC to the residual dentin after chemomechanical caries removal.

show abstract

“…When dental caries is removed using traditional rotary devices, the pulp is frequently subjected to pressure and heat effects that usually cause pain. In addition, drilling could sometimes involve the removal of sound tooth tissue close to the affected caries area [3,4]. Alternative minimally invasive techniques such as ART and chemomechanical caries removal (CMCR) were developed due to the shortcoming of the drill.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of Carie-Care™, chemomechanical caries removal technique in primary teeth: randomized controlled clinical trial

Ghanem,

Talaat,

Essawy

et al. 2023

BMC Oral Health

View full text Add to dashboard Cite

Background Chemomechanical techniques for caries removal have been introduced to overcome the shortcomings of the conventional rotatory instruments. This study aimed to clinically evaluate the effectiveness of the chemomechanical method of caries removal (Carie-Care™) over mechanical caries removal through the Atraumatic Restorative Technique in pediatric patients. Methods A randomized controlled clinical trial was conducted. Fifty children fulfilling inclusion criteria were recruited from the outpatient clinic of Pediatric and Dental Public health department, Faculty of Dentistry, Alexandria University. Fifty open carious primary molars were randomly assigned into 2 equal groups according to the method of caries removal. In Group I (test group), caries was removed using the Carie-Care™ system and in Group II (control group), by using mechanical caries removal through the atraumatic restorative technique. Resin modified glass ionomer was used for teeth restoration, the two techniques were compared in each child according to time taken for caries removal, efficacy of caries removal, pain assessment, and child behavior. Results The mean time taken for caries removal in the Carie-Care™ treatment group was (575.6 ± 114.8) seconds which was statistically significant higher as compared with the ART treatment group (346.1 ± 97.4) seconds (p < 0.001). The mean score of efficacy in caries removal was (0.6 ± 0.8) in the Carie-Care™ group, and (1.3 ± 0.7) in the ART treatment group. When compared to ART, Carie-Care™ was significantly more efficient in caries removal (p < 0.002). When pain was assessed by the SEM scale, it was observed that the Carie-Care™ caries removal technique showed statistically significantly more comfort during the procedure compared with the ART procedure (p < 0.001).Moreover, children in the Carie-Care™ group enjoyed the process and showed more cooperative behavior when assessed at the end of procedure than those in the ART group with statistically significant difference (p = 0.002). Conclusions Removal of carious tissue in primary teeth using Chemomechanical Carie-Care™ gel proved to be more time consuming than ART, but on the other hand it was more efficient, comfortable, and accepted by the pediatric patients.

show abstract

Dentin Topographic Features following Chemomechanical Caries Removal in Primary Teeth

Abstract: Papacarie produced a rough and porous surface with partial or complete removal of the smear layer and opened dentinal tubules, while the drill produced a smooth surface with uniform smear layer occluding the dentinal tubules.

Cited by 8 publications

References 29 publications

Tridimensional roughness and morphology of sound dentin surfaces after papain-gel treatment

Tridimensional roughness and morphology of sound dentin surfaces after papain-gel treatment

A comparative evaluation of micro shear bond strength and microleakage between the resin-modified glass ionomer cement and residual dentin following excavation of carious dentin using Carie CareTM and conventional caries removal in primary teeth: an in vitro study

The effectiveness of Carie-Care™, chemomechanical caries removal technique in primary teeth: randomized controlled clinical trial

Contact Info

Product

Resources

About