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传统与化学机械法去龋的比较:一项体外研究。

Comparison between conventional and chemomechanical approaches for the removal of carious dentin: an in vitro study.

机构信息

Postgraduate Program in Dentistry, Federal University of Sergipe (UFS), Aracaju, SE, Brazil.

Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, SP, Brazil.

出版信息

Sci Rep. 2020 May 15;10(1):8127. doi: 10.1038/s41598-020-65159-x.


DOI:10.1038/s41598-020-65159-x
PMID:32415190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7229020/
Abstract

The present study aimed to evaluate the efficiency, effectiveness, and biocompatibility of two agents used for the chemomechanical removal of carious dentin. Sixty extracted carious human teeth were treated with a conventional bur (CBG) or chemomechanical agents - Papacarie Duo (PG) and Brix 3000 (BG). Treatment efficiency and effectiveness were assessed by the working time for carious dentin removal and Knoop microhardness values, respectively. Human pulp fibroblasts (FP6) were used to evaluate cytotoxicity by incorporating MTT dye, and genotoxicity was evaluated with the micronuclei test. The carious tissue was removed in a shorter time with CBG (median = 54.0 seconds) than the time required for chemomechanical agents (p = 0.0001). However, the time was shorter for Brix 3000 (BG) than that for Papacarie Duo (PG), showing mean values of 85.0 and 110.5 seconds, respectively. Regarding microhardness testing, all approaches tested were effective (p < 0.05). The final mean microhardness values were 48.54 ± 16.31 KHN, 43.23 ± 13.26 KHN, and 47.63 ± 22.40 KHN for PG, BG, and CBG, respectively. PG decreased cell viability compared to that of BG, but it presented no genotoxicity. Brix 3000 may be a good option for chemomechanical dentin caries removal due to its reduced removal time and lower cytotoxicity compared to the other treatment options.

摘要

本研究旨在评估两种用于牙本质化学机械去龋的制剂的效率、效果和生物相容性。将 60 颗人离体龋牙用传统车针(CBG)或化学机械制剂 - Papacarie Duo(PG)和 Brix 3000(BG)进行处理。通过评估去除腐质的工作时间和 Knoop 显微硬度值来评估治疗效率和效果。用人牙髓成纤维细胞(FP6)通过加入 MTT 染料评估细胞毒性,用微核试验评估遗传毒性。使用 CBG(中位数=54.0 秒)去除腐质的时间短于化学机械制剂所需的时间(p=0.0001)。然而,Brix 3000(BG)的时间短于 Papacarie Duo(PG),分别为 85.0 和 110.5 秒。关于显微硬度测试,所有测试方法均有效(p<0.05)。最终的平均显微硬度值分别为 PG 48.54±16.31 KHN、BG 43.23±13.26 KHN 和 CBG 47.63±22.40 KHN。PG 与 BG 相比降低了细胞活力,但没有遗传毒性。与其他治疗方法相比,Brix 3000 由于去除时间较短和细胞毒性较低,可能是一种用于牙本质化学机械去龋的较好选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/124cf3e9742c/41598_2020_65159_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/145c4596c1f2/41598_2020_65159_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/ef8e6f2d387c/41598_2020_65159_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/124cf3e9742c/41598_2020_65159_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/145c4596c1f2/41598_2020_65159_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/ef8e6f2d387c/41598_2020_65159_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50a3/7229020/124cf3e9742c/41598_2020_65159_Fig3_HTML.jpg

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引用本文的文献

[1]
Chemomechanical Caries Removal with Enzymatic Technology: A Comparative Study.

Int J Clin Pediatr Dent. 2025-3

[2]
Histological Evaluation of Chemo Mechanical Caries Removal with a Babaco-Based Formulation Gel.

Gels. 2025-4-1

[3]
Comparative evaluation of the clinical effectiveness of chemomechanical (Papacarie) and conventional mechanical caries removal methods in treatment of carious primary molars: a randomized controlled clinical study.

BMC Oral Health. 2025-2-22

[4]
Comparative study for assessment of two different minimally invasive caries removal techniques.

BMC Oral Health. 2025-2-8

[5]
Effect of enzymatic chemo-mechanical agents on adhesion of composite resin to dentin of permanent teeth: an in vitro study.

Eur Arch Paediatr Dent. 2025-2

[6]
Development of a novel papain gel formulation: Exploring different concentrations for smear-layer deproteinization and enhanced dentin bonding.

Heliyon. 2024-10-5

[7]
Microhardness and characterization of human dental tissue after application of enzymatic chemical agents: study.

J Clin Exp Dent. 2024-8-1

[8]
An in-vitro evaluation of residual dentin retained after using novel enzymatic-based chemomechanical caries removal agents.

Sci Rep. 2024-8-19

[9]
An in vitro assessment of the residual dentin after using three minimally invasive caries removal techniques.

Sci Rep. 2024-3-26

[10]
Evaluation of the Efficacy of Minimal Invasive Methods Versus Conventional Methods for Caries Removal in Primary Molars.

Cureus. 2023-12-19

本文引用的文献

[1]
EDTA Conditioning Increases the Long-term Microtensile Bond Strength to Sclerotic Dentin Mediated by Self-etch Adhesives.

J Adhes Dent. 2018

[2]
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