Sontakke Priyanka, Jain Prateek, Patil Aniket Dhote, Biswas Gautam, Yadav Pramod, Makkar Diljot Kaur, Jeph Vikas, Sakina Banu Pyari
Department of Public Health Dentistry, Nanded Rural Dental College and Research Centre, Nanded, Maharashtra, India.
Department of Public Health Dentistry, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India.
Dent Res J (Isfahan). 2019 Jan-Feb;16(1):42-46.
Dental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth tissues. As possible alternatives to conventional techniques of caries removal, chemomechanical caries removal systems have emerged. This study aims to clinically observe the advantages of chemomechanical method of caries removal over conventional technique.
Inthis randomized controlled trial a total of 60 children with Class 1 open carious lesions were selected for the study. They were divided into two equal groups according to a method of caries removal (30 chemomechanical and 30 conventional on permanent molars). In Group A, caries was removed using the Carie-Care system and in Group B with the conventional drill and were restored equally with glass ionomer cement. The visual analogy face scale was used to determine the level of anxiety in children at baseline, during treatment and after treatment.
The results were subjected to statistical analysis using Student's unpaired -test. It showed that though chemomechanical technique took a marginal increase in time compared to the conventional technique, it was found to be more comfortable for all the children.
Chemomechanical technique though time-consuming is definitely superior compared to the conventional technique provided we use a less technique sensitive restorative material which retains in the oral cavity for longer period. It is definitely a better treatment protocol in school-based dental treatment and atraumatic restorative dentistry compared to the conventional technique.
龋齿被认为是最严重的牙科疾病之一，会导致牙齿钙化组织局部溶解和破坏。作为传统龋齿去除技术的替代方法，化学机械龋齿去除系统应运而生。本研究旨在临床观察化学机械龋齿去除方法相对于传统技术的优势。
在这项随机对照试验中，共选取60名患有I类开放性龋损的儿童作为研究对象。根据龋齿去除方法将他们平均分为两组（30名采用化学机械法，30名采用传统钻除法，均针对恒磨牙）。A组使用Carie-Care系统去除龋齿，B组使用传统牙钻，并均用玻璃离子水门汀进行修复。采用视觉模拟面部量表来确定儿童在基线、治疗期间和治疗后的焦虑程度。
结果采用学生独立样本t检验进行统计分析。结果显示，虽然化学机械技术与传统技术相比在时间上略有增加，但对所有儿童来说都更舒适。
化学机械技术虽然耗时，但如果我们使用一种对技术敏感性较低且能在口腔中保留更长时间的修复材料，那么与传统技术相比肯定更具优势。与传统技术相比，在学校牙科治疗和非创伤性修复牙科中，它绝对是一种更好的治疗方案。
