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Clinical Efficiency of Three Caries Removal Systems: Rotary Excavation, Carisolv, and Papacarie

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Purpose: The removal of dentinal caries using the rotary method of excavation is most often associated with pain and anxiety in children. Chemo-mechanical caries removal may eliminate some of the drawbacks of the rotary technique and improve patient comfort. The purpose of this study was to compare the efficiency of the rotary, Carisolv, and Papacarie methods for caries removal in primary teeth, length of time needed, influence on child behavior, pain perception, and treatment preference of the child.

Methods: This controlled, split-mouth study with a cross-over design compared three caries removal methods in the primary molars of 50 five- to 12-year-old children.

Results: The rotary method was the most efficient and least time-consuming (P<0.001). Pain perception, however, was highest with this method (P<0.05). Papacarie exhibited a higher efficiency and required fewer applications than Carisolv (P<0.01). The Papacarie method was the most preferred, and the rotary method the least-preferred (P<0.05).

Conclusions: Chemo-mechanical caries removal may be a promising alternative treatment procedure, particularly for anxious young patients.
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Document Type: Research Article

Affiliations: 1: Department of Pediatric Dentistry, Pacific Dental College and Hospital, Udaipur, Rajasthan, India 2: Preventive Division, Riyadh Colleges of Dentistry, Riyadh, Kingdom of Saudi Arabia

Publication date: January 1, 2016

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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