Randomized controlled clinical trial of long-term chemo-mechanical caries
removal using PapacarieTM gel

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Abstract

Objectives

Compare the effectiveness of Papacarie ^TM gel for the chemo-mechanical removal of carious lesions on primary teeth to conventional caries removal with a low-speed bur with regard to execution time, clinical aspects and radiographic findings.

Material and Methods

A randomized controlled clinical trial with a split-mouth design was carried out. The sample was composed of 20 children aged four to seven years, in whom 40 deciduous teeth were randomly divided into two groups: chemo-mechanical caries removal with Papacarie ^TM and removal of carious dentin with a low-speed bur. Each child underwent both procedures and served as his/her own control. Restorations were performed with glass ionomer cement. The time required to perform the procedure was also analyzed. The patients underwent longitudinal clinical and radiographic follow-up of the restorations.

Results

No statistically significant difference between groups was found regarding the time required to perform the procedures and the radiographic follow up. Statistically significant differences between groups were found in the clinical evaluation at 6 and 18 months after treatment.

Conclusion

Papacarie ^TM is as effective as the traditional method for the removal of carious dentin on deciduous teeth, but offers the advantages of the preservation of sound dental tissue as well as the avoidance of sharp rotary instruments and local anesthesia.

Related collections

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Author and article information

Journal

Journal ID (nlm-ta): J Appl Oral Sci

Journal ID (iso-abbrev): J Appl Oral Sci

Title: Journal of Applied Oral Science

Publisher: Faculdade de Odontologia de Bauru da Universidade de São Paulo

ISSN (Print): 1678-7757

ISSN (Electronic): 1678-7765

Publication date (Print and electronic): Jul-Aug 2014

Publication date (Print): Jul-Aug 2014

Volume: 22

Issue: 4

Pages: 307-313

Affiliations

[1 ] School of Dentistry, University Nove de Julho (UNINOVE), São Paulo, SP, Brazil.

[2 ] Rehabilitation Sciences Post Graduation Program, University Nove de Julho (UNINOVE), São Paulo, SP, Brazil.

[3 ] Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

[4 ] Dental Clinic Post Graduation Program, Federal Fluminense University (UFF), Niterói, RJ, Brazil.

[5 ] Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

Author notes

Corresponding address: Sandra Kalil Bussadori - R. Vergueiro, 235/249 - Liberdade - São Paulo - SP - 01504-001 - Brazil - Phone: +55 11 3385 9222 - e-mail: sandra.skb@ 123456gmail.com

Article

DOI: 10.1590/1678-775720130488

PMC ID: 4126827

PubMed ID: 25141203

SO-VID: 5b941b26-dbe0-4807-babf-5e9817453280

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Date received : 18 October 2013

Date revision received : 17 January 2014

Date accepted : 28 February 2014

Funding

Funded by: São Paulo Research Foundation

Award ID: 2008/08642-3

The authors would like to thank the volunteers for their participation. This study was funded by FAPESP - São Paulo Research Foundation (Grant no. 2008/08642-3).