Pain during Removal of Carious Lesions in Children: A Randomized Controlled Clinical Trial

Author(s)

Motta, Lara Jansiski ; Bussadori, Sandra Kalil ; Campanelli, Ana Paula ; da Silva, Andre Luis ; Alfaya, Thays Almeida ; Leal de Godoy, Camila Haddad ; de Lima Navarro, Maria Fidela

• Document type: Journal article
• Source: INTERNATIONAL JOURNAL OF DENTISTRY; v. 2013, p. 4-pg., 2013-01-01.

Abstract

The aimof the present study was to assess pain and the need for anesthesia during chemomechanical caries removal with Papacarie gel and the traditional method (low-speed bur) in pediatric patients. A randomized, controlled, clinical trial with a "split-mouth" design was carried out involving 20 children (10 girls and 10 boys) aged four to seven years. Forty primary teeth (two per child) were randomly allocated to either Group 1 (G1: chemomechanical caries removal with Papacarie gel) or Group 2 ( G2: removal of carious dentin with low-speed bur). A face scale was used to classify the sensation of pain during the procedure (1: absence of pain; 2: mild pain; 3: moderate pain; 4: moderately intense pain; 5: intense pain; and 6: extremely intense pain). Statistical analysis of the data was performed using the Wilcoxon-Mann-Whitney (U) test. Pain scores were higher in G2, with statistically significant differences in comparison to G1 (U = 148.0; W= 358.0; P = 0.041). Chemomechanical caries removal with Papacarie provides a lesser degree of pain in comparison to conventional caries removal and does not require the use of local anesthesia. The clinical trial registration number is NCT01811420. (AU)

• FAPESP's process: 08/08642-3 - "RANDOMIZED CLINICAL TRIAL OF PAPACÁRIE" GEL IN THE CHEMICO-MECHANICAL REMOVAL OF CARIES LESION"
• Grantee: Maria Fidela de Lima Navarro
• Support Opportunities: Regular Research Grants