用于乳牙选择性龋损去除的伢典化学机械去龋系统和聚合金刚砂车针的临床及微生物学评估
Clinical and Microbiological Assessment of Carisolv and Polymer Bur for Selective Caries Removal in Primary Molars.
作者信息
Asal Mohamed A, Abdellatif Abeer M, Hammouda Hossam E
机构信息
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Dakahlia, Egypt.
出版信息
Int J Clin Pediatr Dent. 2021 May-Jun;14(3):357-363. doi: 10.5005/jp-journals-10005-1956.
AIM AND OBJECTIVE
To assess the efficacy of the new Carisolv system and Polymer bur (SmartbursII®) for selective caries removal in primary molars clinically and microbiologically, compared with the conventional mechanical method.
MATERIALS AND METHODS
Sixty children with class I active carious lesions were selected. The children were randomly allocated to three groups ( = 20) according to the caries removal method. Under rubber dam isolation, dentin samples were taken before and after caries removal for microbial culture. Time spent in each technique was recorded. The clinical efficacy of caries removal was verified using caries detector dye. Patient satisfaction toward the treatment was evaluated using a facial image scale.
RESULTS
The median of caries detector dye scores was significantly lower in the conventional group compared to others ( value < 0.05). The mean time for caries removal was the longest with Carisolv ( value < 0.05). The median of facial image scale scores was significantly higher in the conventional group compared with others ( value < 0.05). The mean total viable bacterial count after caries removal was significantly higher in polymer bur group compared with others ( value < 0.05). While, there was no significant difference between Carisolv and conventional groups ( value > 0.05).
CONCLUSION
The clinical efficacy of caries removal was highest with the mechanical method. Carisolv took the longest time for caries removal. Patient satisfaction was higher with Carisolv and polymer bur than the mechanical method. The antimicrobial efficacy of Carisolv and the mechanical method was higher than the polymer bur.
CLINICAL SIGNIFICANCE
Carisolv is a viable alternative to the mechanical method in the management of dental caries, especially in children. Further studies are needed to assess the efficacy of caries removal by SmartbursII®.
HOW TO CITE THIS ARTICLE
Asal MA, Abdellatif AM, Hammouda HE. Clinical and Microbiological Assessment of Carisolv and Polymer Bur for Selective Caries Removal in Primary Molars. Int J Clin Pediatr Dent 2021;14(3):357-363.
目的
在临床和微生物学方面评估新型伢典微创龋齿治疗系统和聚合钻（SmartbursII®）与传统机械方法相比，用于乳牙选择性龋坏去除的疗效。
材料与方法
选取60名患有I类活动性龋损的儿童。根据龋坏去除方法将儿童随机分为三组（每组n = 20）。在橡皮障隔离下，龋坏去除前后采集牙本质样本进行微生物培养。记录每种技术所花费的时间。使用龋病检测染料验证龋坏去除的临床疗效。使用面部图像量表评估患者对治疗的满意度。
结果
与其他组相比，传统组的龋病检测染料评分中位数显著更低（P值< 0.05）。伢典微创龋齿治疗系统去除龋坏的平均时间最长（P值< 0.05）。与其他组相比，传统组的面部图像量表评分中位数显著更高（P值< 0.05）。与其他组相比，聚合钻组龋坏去除后的平均总活菌数显著更高（P值< 0.05）。而伢典微创龋齿治疗系统组和传统组之间无显著差异（P值> 0.05）。
结论
机械方法去除龋坏的临床疗效最高。伢典微创龋齿治疗系统去除龋坏花费的时间最长。与机械方法相比，伢典微创龋齿治疗系统和聚合钻使患者满意度更高。伢典微创龋齿治疗系统和机械方法的抗菌效果高于聚合钻。
临床意义
伢典微创龋齿治疗系统是治疗龋齿，尤其是儿童龋齿的一种可行的替代机械方法。需要进一步研究评估SmartbursII®去除龋坏的疗效。
如何引用本文
Asal MA, Abdellatif AM, Hammouda HE. Clinical and Microbiological Assessment of Carisolv and Polymer Bur for Selective Caries Removal in Primary Molars. Int J Clin Pediatr Dent 2021;14(3):357 - 363.
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