Analyzing working time and efficient caries removal using a novel bioactive caries detecting dye and air polisher prophy for caries excavation: randomised clinical trial.

Autor: Govind S; Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha' O'Anusandhan (Deemed to Be) University, Bhubaneswar, Odisha, India. shashirekhag@soa.ac.in., Jena A; Department of Conservative Dentistry and Endodontics, Sriram Chandra Bhanja Dental College & Hospital Cuttack, Cuttack, Odisha, 753007, India., Kamilla SK; Department of Physics, And Head S'O'A IPR Cell Semiconductor Research Laboratory, Siksha'O' Anusandhan (Deemed to Be) University, Odisha, Bhubaneswar, India., Mohanty N; Department of Oral Pathology, Institute of Dental Sciences, Siksha'O'Anusandhan (Deemed to Be) University, Bhubaneswar, Odisha, India., Kader MA; Department Restorative Dental Science, College of Dentistry, King Khalid University, Abha, Saudi Arabia., Luke AM; Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAE.; Center for Medical and Bio-Allied Health Sciences Research (CMBAHSR), Ajman University, Ajman, UAE., Alessa NA; Department of Pediatric Dentistry and Orthodontics, Dental college, King Saud University, Riyadh, Saudi Arabia., Assiry AA; Preventive Dental Science Department, Faculty of Dentistry, Najran University, Najran, Saudi Arabia., Karobari MI; Dental Research Unit, Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical And Technical Sciences, Saveetha Nagar, Thandalam, Chennai, Tamil Nadu, 602105, India. dr.isaq@gmail.com.
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2024 Mar 15; Vol. 28 (4), pp. 214. Date of Electronic Publication: 2024 Mar 15.
DOI: 10.1007/s00784-024-05609-2
Abstrakt: Objectives: This study aims to analyze the working time consumed during caries excavation and pain perception while using a novel Bioactive caries-detecting dye solution (BCD), an Air Polisher Prophy and a combination.
Materials and Methods: Four groups (in each group, n = 20 permanent teeth) were selected from 60 people between 17 and 40 years of age. The study included teeth with occlusal dentinal caries in the molars with cavity entrance sizes of less than 2 mm (clinically and radiographically). Randomization software was used to assign patients to various groups. Group A: Conventional Rotary Drilling, Group B: BCD + Mechanical Excavation (Spoon Excavator), Group C: Air Polisher Prophy, and Group D: BCD + Air Polisher Prophy 0.5 mL BCD was applied with a micro brush to the carious tooth surface for 40 s in groups B and D. After that, radiographs were performed to see if the radiopaque extension was visible. For mechanical caries extraction, a spoon excavator was used for group B, and an air polisher prophy was employed for group D. For mechanical caries extraction, a spoon excavator was utilized for group B. An air polisher prophy was employed for group D. Multiple applications of the BCD were used in the event of residual caries. Working time and pain experienced during caries excavation were registered using the Verbal Pain Scale (VPS) (score 0-4), and caries removal was clinically graded using the modified Scale (score 0-5).
Results: The time taken was Group A, Group D, Group B, and Group C, according to statistical analysis using ANOVA and the Post Hoc Test (275.02, 403.8, 461.98, 615.41 s, respectively). Group A had the highest mean VPS (1.85), whereas Group B had the most minor pain (0.6), followed by Group D (1.2) and Group C (0.6). (1.45). Group C (2.35), followed by groups D (1.75), B (1.30), and A (1.30), had ineffective caries eradication (0.90). (p < 0.05).
Conclusions: compared to group C, groups B and D took less time and had less/no pain while excavating caries. Compared to traditional mechanized caries removal methods, the chemo-chemical BCD can diagnose and aid in successful caries removal with minimal pain.
Clinical Relevance: The outcomes of the present study demonstrated that the chemo-chemical bioactive caries detecting dye solution has the potential to identify and help in effective caries removal before mechanized caries removal methods.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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