Diagnosis and Assessment of Dental Caries Using Novel Bioactive Caries Detecting Dye Solution.

Autor:	Govind S; Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be) University, Bhubaneswar 751003, India., Jena A; Department of Conservative Dentistry and Endodontics, Sriram Chandra Bhanja Dental College & Hospital, Cuttack 753007, India., Kamilla SK; Department of Physics, Institute of Technical Education and Research, Siksha 'O' Anusandhan (Deemed to be) University, Bhubaneswar 751003, India., Mohanty N; Department of Oral Pathology and Microbiology, Institute of Dental Sciences, Siksha 'O'Anusandhan (Deemed to be) University, Bhubaneswar 751003, India., Mallikarjuna RM; Department of Paediatric Dentistry, Child Dental Health, Oman Dental College, Mina Al Fahal, Muscat, Wattayah 116, Oman., Nalawade T; Department of Paediatric Dentistry, Child Dental Health, Oman Dental College, Mina Al Fahal, Muscat, Wattayah 116, Oman., Saraf S; Department of Oral Biology and Oral Pathology, Oman Dental College, Mina Al Fahal, Muscat, Wattayah 116, Oman., Khaldi NA; Consultant Prosthodontist, Al-Nahdha Hospital, Al Khuwair, Muscat 133, Oman., Jahdhami SA; Specialist, Oral and Maxillofacial Surgeon, Al-Nahdha Hospital, Al Khuwair, Muscat 133, Oman., Shivagange V; Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Chennai 600077, India.
Jazyk:	angličtina
Zdroj:	Biomedicines [Biomedicines] 2023 Feb 09; Vol. 11 (2). Date of Electronic Publication: 2023 Feb 09.
DOI:	10.3390/biomedicines11020500
Abstrakt:	Background: The goal of materials should be early caries detection, removal of carious lesions, and reduction of dentin hypersensitivity. Thus, the study aims to determine the efficacy of a bioactive caries detecting dye (BCD) for the diagnosing and mechanical removal of occlusal and proximal dental caries. Methods: Patients with occlusal (A1, A2) and proximal carious lesions (B1, B2) were treated with the rotary technique and BCD solution on 120 teeth ( n = 60 for each). Group 1: Excavation was performed using diamond points. Group 2: 0.5 mL of BCD solution was scrubbed for 20 sec and excavation was performed with a sharp spoon excavator. Post-excavation cavity volume analysis was performed using a 3D scanner. The time required, VAS for pain, VAS for facial expression, and sound eye motor scoring were scored during excavation. Post-restoration evaluation was performed at 3, 6, and 12 months (FDI criteria). Results: The chi-square test revealed that the A1 (197.90 30.97 s) and B1 (273.06 69.95 s) had significantly less mean procedural time than the A2 (292.13 44.87 s) and B2 (411.86 88.34 s). BCD (A2, B2) group showed good patient acceptance, less pain during caries excavation VAS ( p = 0.001, FACE ( p = 0.001), and SEM ( p < 0.001) analysis than the rotary group. There was a statistically insignificant difference between groups immediately ( p = 0.235), ( p = 0.475) and after 24 h ( p = 0.561), ( p = 0.688). Color score, hardness of excavated surface, and caries removal score for occlusal and proximal groups showed insignificant differences between the groups. BCD group showed significantly less mean caries excavated volume for the occlusal group ( p = 0.003) as compared to the proximal group ( p = 0.417) evaluated by 3D scanner. Evaluation of restoration after 3-, 6-, and 12 months intervals (Occlusal caries group ( p = 0.247), ( p = 0.330), and (0.489) and Proximal caries group ( p = 0.299), ( p = 0.594), and (0.494)) was acceptable for both the groups. Conclusion: BCD helps in identification of dental caries clinically, radiographically, and in effective removal of denatured teeth with less pain or sensitivity.
Databáze:	MEDLINE
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