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. 2014 Jan;7(1):11-8.
doi: 10.5005/jp-journals-10005-1226. Epub 2014 Apr 26.

Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study

Ankush Ramnarayan Boob  1 , M Manjula  2 , E Rajendra Reddy  3 , N Srilaxmi  2 , Tabitha Rani  4
Affiliations

Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study

Ankush Ramnarayan Boob et al. Int J Clin Pediatr Dent. 2014 Jan.

Abstract

Background: Many chemomechanical caries removal (CMCR) agents have been introduced and marketed since 1970s, with each new one being better and effective than the previously introduced. Papacarie and Carisolv are new systems in the field of CMCR techniques. These are reportedly minimally invasive methods of removing carious dentin while preserving sound dentin.

Aim: To compare the Efficiency (time taken for caries removal) and effectiveness (Knoop hardness number of the remaining dentin) of caries removal by three minimally invasive methods, i.e. hand excavation and chemomechanical caries removal using Carisolv and Papacarie.

Materials and methods: Thirty recently extracted human permanent molars with occlusal carious lesions were divided randomly in three equal groups and bisected through the middle of the lesion mesiodistally and excavated by two methods on each tooth.

Results: Statistically significant difference was present among three methods with respect to time and knoop hardness values (KHN) of the remaining dentin.

Conclusion: The Efficiency of Hand method is better compared to CMCR techniques and effectiveness of CMCR techniques is better than Hand method in terms of dentin preservation so the chances of maintaining vitality of the pulp will be enhanced. How to cite this article: Boob AR, Manjula M, Reddy ER, Srilaxmi N, Rani T. Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study. Int J Clin Pediatr Dent 2014;7(1):11-18.

Keywords: Carisolv; Chemomechanical caries removal; Knoop hardness number; Papacarie.

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Conflict of interest statement

Source of support: Nil

Conflict of interest: None

Figures

Fig. 1
Fig. 1
Sectioning of tooth
Fig. 2
Fig. 2
Stabilization of tooth occlusal view
Fig. 3
Fig. 3
Stabilization of tooth side view
Fig. 4
Fig. 4
Carisolv system of caries removal
Fig. 5
Fig. 5
Papacarie system of caries removal
Figs 6A and B
Figs 6A and B
Caries excavation by the hand excavation method with spoon excavator
Fig. 7
Fig. 7
Caries excavation with Carisolv and specific instrument recommended by Mediteam
Figs 8A and B
Figs 8A and B
Caries excavation with Papacarie and spoon excavator
Graph 1
Graph 1
Comparison of three methods with respect to time taken to remove caries
Graph 2
Graph 2
Overall comparisons of all the subgroups with respect to KHN
Graph 3
Graph 3
Comparison of three methods with respect to hardness values
See this image and copyright information in PMC

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