ASSESSMENT OF THE PERFORMANCE OF PAPAIN BASED GEL IN CARIES REMOVAL FROM PRIMARY TEETH – AN IN VIVO STuDY
Egyptian dental journal
Statement of problem: Restorative dentistry in children is usually considered traumatic and hard to perform in view of factors such as anxiety and expectation both by children and their parents. The main feature for aversion is the noise of the rotary instrument and anesthesia. Several researchers are seeking replacement of traditional mechanical removal of the carious lesions by alternative methods, such as the chemo-mechanical method of caries removal. Objective: This in-vivo clinical trial
... vo clinical trial was designed to assess the speed of caries removal from primary teeth using Papain-based gel & the perceived level of dental anxiety among the treated children. Materials and methods: 20 children were recruited from the outpatient clinic of Pediatric Dentistry and Dental Public health Department, Faculty of Dentistry, Ain Shams University. Inclusion criteria: Age range from 5 to 8 years and presence of two primary occlusal carious lesions involving dentin only not extending to the pulp. For each patient one carious tooth was treated with the conventional carbide bur, while the other one was treated using Papacarié duo. Clinical evaluation was performed by estimating the time required for complete caries removal using stop watch whereas the children's level of anxiety was assessed based on The Facial Image Scale. Wilcoxon signed-rank test was used to compare between Papacarié Duo and conventional technique. Comparisons between quantitative data measured in the same patients were done using paired t-test. Results: Conventional carbide bur showed a statistically significantly higher mean score of perceived pain than Papacarié Duo. Regarding the speed of caries removal, conventional carbide bur required the least time for complete caries removal where a statistically significant difference was detected between both methods. Conclusions: Papacarié Duo was found to be less painful but more time consuming than the conventional technique. (1378) Manar M. Soliman, et al.