Abstract
ABSTRACTAims: To compare the three different methods of caries removal, conventional method using Airotor and chemomechanical method using Carisolv and Papacarie.Settings and design: The patients with multiple carious teeth were selected either in the deciduous dentition or mixed dentition. Ninety primary molars were selected from 30 children (10 males and 20 females) between the age group 6 and 9 years.Materials and methods: After caries excavation, cavities were evaluated for caries removal or clinical efficacy by the tactile and visual criteria, microbiological efficacy, time taken for the procedure. Patient acceptability toward the treatment was also checked with the help of a visual analog scale (VAS). The observations thus obtained were subjected to statistical analysis using analysis of variance (ANOVA), Mann-Whitney U-test and Kruskal-Wallis test.Results: The clinical efficacy of caries removal was highest with Airotor while the microbiological efficacy of caries removal was almost comparable with Airotor, Carisolv and Papacarie caries removal methods. The time taken to remove caries by Airotor method was observed to be least while the patient acceptance was found to be highest with Papacarie method.How to cite this article: Chowdhry S, Saha S, Samadi F, Jaiswal JN, Garg A, Chowdhry P. Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients. Int J Clin Pediatr Dent 2015;8(1):6-11.
Highlights
Dental caries has inflicted mankind from the very beginning and has encompassed every part of the globe justifying the widespread of this pandemic disease.[1]
The clinical efficacy of caries removal was highest with Airotor while the microbiological efficacy of caries removal was almost comparable with Airotor, Carisolv and Papacarie caries removal methods
Conventional caries removal and cavity preparation entail the use of high speed handpiece and burs which undoubtedly improved the speed and efficiency of cavity preparation but has many inevitable disadvantages, such as (i) perception of unpleasantness by the patients, (ii) use of local anesthesia, (iii) deleterious thermal effects, (iv) pressure effects on the pulp and (v) may result in removal of healthy dentin, resulting in an excessive loss of sound tooth structure.[3]
Summary
Dental caries has inflicted mankind from the very beginning and has encompassed every part of the globe justifying the widespread of this pandemic disease.[1]. The chemomechanical caries removal has been introduced as an alternative noninvasive method of caries removal which aims at removal of infected tissues, together with eliminating the use of local anesthesia, avoiding pulp irritation with minimal or no patient discomfort.[4,5]. The essence is to summarize and highlight the need for further and profound research, to assess the efficacy of this caries removal method as compared with conventional method. This study is undertaken to compare the clinical and microbiological efficacy, treatment time and patient acceptance of the conventional method of caries removal and chemomechanical caries removal using Carisolv and Papacarie
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