Randomized controlled clinical trial of long-term chemo-mechanical caries removal using Papacarie (TM) gel

Autor(es)

Motta, Lara Jansiski ^[1] ; Bussadori, Sandra Kalil ^[2] ; Campanelli, Ana Paula ^[3] ; da Silva, Andre Luis ^[3] ; Alfaya, Thays Almeida ^[4] ; Leal de Godoy, Camila Haddad ^[2] ; de Lima Navarro, Maria Fidela ^[5]

Afiliação do(s) autor(es)

^[1] Univ Nove de Julho UNINOVE, Sch Dent, Sao Paulo - Brazil

^[2] Univ Nove de Julho UNINOVE, Rehabil Sci Post Grad Program, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Bauru Sch Dent, Dept Biol Sci, Bauru, SP - Brazil

^[4] Univ Fed Fluminense, Dent Clin Post Grad Program, Niteroi, RJ - Brazil

^[5] Univ Sao Paulo, Bauru Sch Dent, Dept Operat Dent Endodont & Dent Mat, Bauru, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Journal of Applied Oral Science; v. 22, n. 4, p. 307-313, JUL-AUG 2014.
• Citações Web of Science: 4

Resumo

Advances in the field of cariology and the philosophy of minimally invasive intervention have led to transformations in the restorative treatment of dental caries. Objectives: Compare the effectiveness of PapacarieTM 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: chenno-mechanical caries removal with PapacarieTM 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 iononner 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: PapacarieTM 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. (AU)

• Processo FAPESP: 08/08642-3 - "ensaio clínico longitudinal randomizado da remoção químico-mecânica de lesões de cárie com gel papacárie®"
• Beneficiário: Maria Fidela de Lima Navarro
• Modalidade de apoio: Auxílio à Pesquisa - Regular