J Kumar1, M Nayak, K L Prasad, N Gupta. 1. Department of Conservative Dentistry and Endodontics, KVG Dental College and Hospital, Kurunjibagh Sullia (Karnataka), India.
Abstract
OBJECTIVES: The purpose of this study was to compare the clinical efficiency of chemomechanical caries removal using Carisolv and Papacarie - a papain gel. MATERIALS AND METHODS: The Carisolv system for caries removal, consisting of a solvent gel and a specially designed hand instrument, was compared to Papacarie - a papain gel. The outcome variables were: time taken for complete caries removal and volume of carious tissue excavated. Forty patients in the age-group of 20-40 years, having Black's class I dentinal caries with cavity entrance size of ≥3 mm in the molars, were enrolled for the study. The time taken for the complete removal of caries was measured using a stopwatch. Pre- and post-excavation single-step putty/wash elastomeric impression was recorded using addition silicone impression material. Subsequently, casts were poured and measured under a traveling microscope. The total volume of caries excavated was computed using the formula π (d/2)² h. The difference between the two groups in clinical efficiency and volume excavated was statistically analyzed using the Student's unpaired 't' test. RESULTS: The time for caries removal with Carisolv and Papacarie were, respectively, 11.67 ± 3.25 minutes and 10.48 ± 2.96 minutes (P>.05). The mean volume of carious tissue removed with Papacarie (135.99 ± 66.43 mm ³ ) was higher than that with Carisolv (126.33 ± 53.56 mm ³ ); however, the difference was not significant. CONCLUSION: Carisolv and Papacarie have similar clinically efficiency as chemomechanical agents for dentinal caries removal.
OBJECTIVES: The purpose of this study was to compare the clinical efficiency of chemomechanical caries removal using Carisolv and Papacarie - a papain gel. MATERIALS AND METHODS: The Carisolv system for caries removal, consisting of a solvent gel and a specially designed hand instrument, was compared to Papacarie - a papain gel. The outcome variables were: time taken for complete caries removal and volume of carious tissue excavated. Forty patients in the age-group of 20-40 years, having Black's class I dentinal caries with cavity entrance size of ≥3 mm in the molars, were enrolled for the study. The time taken for the complete removal of caries was measured using a stopwatch. Pre- and post-excavation single-step putty/wash elastomeric impression was recorded using addition silicone impression material. Subsequently, casts were poured and measured under a traveling microscope. The total volume of caries excavated was computed using the formula π (d/2)² h. The difference between the two groups in clinical efficiency and volume excavated was statistically analyzed using the Student's unpaired 't' test. RESULTS: The time for caries removal with Carisolv and Papacarie were, respectively, 11.67 ± 3.25 minutes and 10.48 ± 2.96 minutes (P>.05). The mean volume of carious tissue removed with Papacarie (135.99 ± 66.43 mm ³ ) was higher than that with Carisolv (126.33 ± 53.56 mm ³ ); however, the difference was not significant. CONCLUSION: Carisolv and Papacarie have similar clinically efficiency as chemomechanical agents for dentinal caries removal.
Authors: Lara Jansiski Motta; Sandra Kalil Bussadori; Ana Paula Campanelli; André Luis da Silva; Thays Almeida Alfaya; Camila Haddad Leal de Godoy; Maria Fidela de Lima Navarro Journal: Int J Dent Date: 2013-12-04