A Comparative Laboratory Study to Evaluate the Effectiveness and Efficiency of Different Techniques for Dental Caries Removal.
الكلمات المفتاحية:
Dental caries, Rotary Burs, CMCR , Dental Laser
الملخص
Aim: This research aims to evaluate different techniques for caries (conventional stainless steel Burs- Smart Burs II - Chemomechanical Technique - dental laser) in the process of removing dental caries, by investigating the effectiveness (time required to completely caries removal process) and efficiency (detecting the presence of bacterial accumulations) after the completion of the process of dental caries removal.
Material and Methods: The study included a caries removal of (60) human molars with occlusal caries. The sample was divided randomly into four equal groups :the caries of each group was removed only by one of caries removal techniques. The time required to remove dentinal caries for each sample was calculated from the beginning to completion. The samples were then subjected to histological study in order to detect the presence of remaining bacterial accumulations after the completion of removal dental caries.
Results: The caries removal technique using a dental laser was the most time-consuming in order to complete the complete removal of dental caries, with statistically significant differences compared to the rest of the caries removal techniques. The levels of bacterial accumulation after the end of caries removal was the lowest in the laser caries removal group, While the highest levels of bacterial accumulation were associated with Smart Burs II group. There were no differences in the levels of residual bacterial accumulation after caries removal using the conventional technique and the chemical-mechanical technique
Conclusions: This laboratory experiment demonstrated the efficiency of the dental laser and the effectiveness of the chemo-mechanical technique as well as the conventional technique in the context of the process of removing dental caries.
References
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2. Andrysiak-Karmińska K, Hoffmann-Przybylska A, Przybylski P, Witkowska Z, Walicka E, Borysewicz-Lewicka M, Gregorczyk-Maga I, Rahnama M, Gerreth K, Opydo-Szymaczek J. Factors Affecting Dental Caries Experience in 12-Year-Olds, Based on Data from Two Polish Provinces. Nutrients. 2022 May 6;14(9):1948. doi: 10.3390/nu14091948. PMID: 35565915; PMCID: PMC9104912.
3. Kiros A, Saravanan M, Niguse S, Gebregziabher D, Kahsay G, Dhandapani R, Paramasivam R, Araya T, Asmelash T. Bacterial Profile, Antimicrobial Susceptibility Pattern, and Associated Factors among Dental Caries-Suspected Patients Attending the Ayder Comprehensive Specialized Hospital and Private Dental Clinic in Mekelle, Northern Ethiopia. Biomed Res Int. 2022 Oct 17;2022:3463472. doi: 10.1155/2022/3463472. PMID: 36299705; PMCID: PMC9592214.
4. Fraser, J., MacInnes, A. Which caries removal method to select?. Evid Based Dent (2024). https://doi.org/10.1038/s41432-024-00973-0.
5. Nomura Y, Otsuka R, Wint WY, Okada A, Hasegawa R, Hanada N. Tooth-Level Analysis of Dental Caries in Primary Dentition in Myanmar Children. Int J Environ Res Public Health. 2020 Oct 19;17(20):7613. doi: 10.3390/ijerph17207613. PMID: 33086651; PMCID: PMC7589262.
6. Tefera AT, Girma B, Adane A, Muche A, Ayele TA, Getahun KA, Aniley Z, Ali S, Handebo S. The prevalence of dental caries and associated factors among students living with disability in the Amhara region, Ethiopia. Clin Exp Dent Res. 2022 Dec;8(6):1505-1515. doi: 10.1002/cre2.646. Epub 2022 Aug 15. PMID: 35971194; PMCID: PMC9760154.
7. Cheng FC, Wang YL, Tang LH, Wang LH, Huang GF, Chiang CP. Correlation between dental professionally topical fluoride application and children's dental use for dental caries under the National Health Insurance system in Taiwan from 2008 to 2021. J Dent Sci. 2023;18(3):1310-1322. doi:10.1016/j.jds.2023.04.006.
8. Asal MA, Abdellatif AM, Hammouda HE. Clinical and Microbiological Assessment of Carisolv and Polymer Bur for Selective Caries Removal in Primary Molars. Int J Clin Pediatr Dent. 2021 May-Jun;14(3):357-363. doi: 10.5005/jp-journals-10005-1956. PMID: 34720507; PMCID: PMC8543989.
9. Warreth A. Dental Caries and Its Management. Int J Dent. 2023 Jan 3;2023:9365845. doi: 10.1155/2023/9365845. PMID: 36.
10. Manhas S, Pandit IK, Gugnani N, Gupta M. Comparative Evaluation of the Efficacy of Stepwise Caries Excavation vs Indirect Pulp Capping in Preserving the Vitality of Deep Carious Lesions in Permanent Teeth of Pediatric Patients: An In Vivo Study. Int J Clin Pediatr Dent. 2020;13(Suppl 1):S92-S97. doi: 10.5005/jp-journals-10005-1874. PMID: 34434021; PMCID: PMC8359879.
11. Natarajan D. Silver Modified Atraumatic Restorative Technique: A Way towards "SMART" Pediatric Dentistry during the COVID-19 Pandemic. Front Dent. 2022 Mar 12;19:12. doi: 10.18502/fid.v19i12.9215. PMID: 35937154; PMCID: PMC9294662.
12. Senthilkumar V, Ramesh S. Systematic review on alternative methods for caries removal in permanent teeth. J Conserv Dent. 2020 Jan-Feb;23(1):2-9. doi: 10.4103/JCD.JCD_263_19. Epub 2020 Oct 10. PMID: 33223633; PMCID: PMC.
13. Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. WITHDRAWN: Operative caries management in adults and children. Cochrane Database Syst Rev. 2019 Jul 24;7(7):CD003808. doi: 10.1002/14651858.CD003808.pub4. PMID: 31339555; PMCID: PMC6653982.
14. Goyal A, Srivastava M, Khanduja R, et al. Comparative Evaluation of Efficiency, Efficacy, and Patient Perception of Caries Excavation Burs in Pediatric Patients: A Randomized Clinical Trial. J South Asian Assoc Pediatr Dent 2022;5(1):11-16.
15. Montedori A, Abraha I, Orso M, D'Errico PG, Pagano S, Lombardo G. Lasers for caries removal in deciduous and permanent teeth. Cochrane Database Syst Rev. 2016 Sep 26;9(9):CD010229. doi: 10.1002/14651858.CD010229.pub2. PMID: 27666123; PMCID: PMC6457657.
16. Abinaya R, Nagar P, Urs Pallavi, et al.Comparing the Efficacy of Three Minimally Invasive Techniques on Demineralized Dentin in Primary Teeth and Evaluating Its Residual Dentin and Microhardness Levels: An In VitroStudy. Int J Clin Pediatr Dent 2020;13(6):585–589.
17. Lakhani B, et al. Scanning Electron Microscope Analysis of Resin Mechanical Caries Removal Techniques-An In Vitro Study. Dentistry Dent Pract J 2019, 2(1): 180013.
18. Nagham Khoury, Mohannad Laflouf, Saleh Al Kurdi, “Efficacy of Polymer Smart Burs compared with Conventional carbide burs in dental caries removal”, IJDSIR- November - 2022, Vol. – 5, Issue - 6, P. No22– 29.
19. Asmaa M. Faiek, Samy Y. Al- Bauomy, Mohamed H. Mostafa. Clinical and Microbiological Evaluation of Smartprep Burs in Caries Removal in Primary Teeth. AL-AZHAR Journal of Dentistry.AZJD, Vol. 10, No. 2, April (2023) — PP. 533:541. Print ISSN 2974-4156 Online ISSN 2974-4164.
20. Shrimahalakshmi, Nagalakshmi Chowdhary, Kiran N K, Ravigna Pedd. Clinical Evaluation of Caries Removal Efficacy of Polymer Burs. International Journal of Innovative Science and Research Technology .ISSN No:-2456-2165. Volume 7, Issue 1, January – 2022.
21. Inamdar MS, Chole DG, Bakle SS, Gandhi NP, Hatte NR, Rao MP. Comparative evaluation of BRIX3000, CARIE CARE, and SMART BURS in caries excavation: An in vivo study.J Conserv Dent. 2020 Mar-Apr;23(2):163-168. doi: 10.4103/JCD.JCD_269_20. Epub 2020 Nov 5. PMID: 33384489; PMCID: PMC7720760.
22. Lohmann J, Schäfer E, Dammaschke T. Histological determination of cariously altered collagen after dentin caries excavation with the polymer bur PolyBur P1 in comparison to a conventional bud bur. Head Face Med. 2019 Jul 15;15(1):19. doi: 10.1186/s13005-019-0205-9.PMID:31307514; PMCID: PMC6628479.
23. Maashi MS, Elkhodary HM, Alamoudi NM, Bamashmous NO. Chemomechanical caries removal methods: A literature review. Saudi Dent J. 2023 Mar;35(3):233-243. doi: 10.1016/j.sdentj.2023.01.010. Epub 2023 Feb 6. PMID: 37091279; PMCID: PMC10114597.
24. Abdelaziz E., Badran A., Allam G. Chemomechanical caries removal agents and their applications in pediatric dentistry. Adv. Dent. J. 2022;4(1):11–18.
25. Bratu DC, Nikolajevic-Stoican N, Popa G, Pop SI, Dragoș B, Luca MM. A Bibliometric Analysis (2010-2020) of the Dental Scientific Literature on ChemoMechanical Methods of Caries Removal Using Carisolv and BRIX3000. Medicina (Kaunas). 2022 Jun 11;58(6):788. doi: 10.3390/medicina58060788. PMID: 35744051; PMCID: PMC9231379.
26. Rachita Arora, Sayan Chattopadhyay, Amit Kishor, Dr. Shivani Singh Abhijeet Alok (2022) “Chemomechanical Caries Removal With Calcium Hydroxide: An SEM Study”, Journal of Pharmaceutical Negative Results, pp. 4686–4691. doi: 10.47750/pnr.2022.13.S08.607.
27. Wenyan H, Pujue Z, Yuhang H, Zhenni L, Yuejun W, Wenbin W, Ziling L, Pathak JL, Sujuan Z. The impact of Er:YAG laser combined with fluoride treatment on the supragingival plaque microbiome in children with multiple caries: a dynamic study. BMC Oral Health. 2022 Nov 24;22(1):537. doi: 10.1186/s12903-022-02537-z. PMID: 36424564; PMCID: PMC9685943.
28. Lima, G. B. B. ., Queiroga, I. S. de M. ., Alves-Silva, E. G. ., Melo, E. L. de ., Gerbi, M. E. M. de M. ., Bispo, M. E. A. ., Sá, R. A. G. de . and Menezes, M. R. A. de . (2021) “The use of Er:YAG laser in Dentistry: integrative review”, Research, Society and Development, 10(3), p. e9310313063. doi: 10.33448/rsd-v10i3.13063.
29. Gabrić, D., Baraba, A., Batinjan, G., Blašković, M., Vučićević Boras, V., Filipović Zore, I., Gjorgievska, E. (2015). Advanced Applications of the Er:YAG Laser in Oral and Maxillofacial Surgery. InTech. doi: 10.5772/59273.
30. Kuhn K, Schmid CU, Luthardt RG, Rudolph H, Diebolder R. Er:YAG laser-induced damage to a dental composite in simulated clinical scenarios for inadvertent irradiation: an in vitro study. Lasers Med Sci. 2022 Mar;37(2):1017-1030. doi: 10.1007/s10103-021-03348-4. Epub 2021 Jul 11. PMID: 34247315; PMCID: PMC8918135.
31. Valenti C, Pagano S, Bozza S, Ciurnella E, Lomurno G, Capobianco B, Coniglio M, Cianetti S, Marinucci L. Use of the Er:YAG Laser in Conservative Dentistry: Evaluation of the Microbial Population in Carious Lesions. Materials (Basel). 2021 May 4;14(9):2387. doi: 10.3390/ma14092387. PMID: 34064339; PMCID: PMC8124663.
32. Dareen Azmi Azzouz, Fadi Badr Al-Din Al-Nashawati & Osama Al-Jabban. In Vitro Study of Influence of Carisolve on Bond Strength of Composite with Dentine. Sch J Dent Sci, 2022 Jun 9(5): 100-111.
33. Sharma N, Sisodia S, Jain A, Bhargava T, Kumar P, Rana KS. Evaluation of the Efficacy of Recent Caries Removal Techniques: An In Vitro Study. Cureus. 2023 Jan 31;15(1):e34432. doi: 10.7759/cureus.34432. PMID: 36874665; PMCID: PMC9979096.
34. Divya G, Prasad MG, Vasa AA, Vasanthi D, Ramanarayana B, Mynampati P. Evaluation of the Efficacy of Caries Removal Using Polymer Bur, Stainless Steel Bur, Carisolv, Papacarie - An Invitro Comparative Study. J Clin Diagn Res. 2015 Jul;9(7):ZC42-6. doi: 10.7860/JCDR/2015/12705.6202. Epub 2015 Jul 1. PMID: 26393204; PMCID: PMC4573036.
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منشور
2024-10-10
How to Cite
أحمدإ., & عبداللهع. (2024). A Comparative Laboratory Study to Evaluate the Effectiveness and Efficiency of Different Techniques for Dental Caries Removal . Journal of Hama University , 7(السابع). Retrieved from https://hama-univ.edu.sy/ojs/index.php/huj/article/view/1947
القسم
Dentistry
