Dental Caries, Primary Teeth
Conditions
Brief summary
Chemomechanical caries removal systems have emerged as a possible valuable alternative to conventional rotary caries removal techniques in pediatric patients. Carie-Care™ is an economically minimally invasive approach that selectively removes caries-infected tissue leaving the caries-affected tissue to conserve tooth structure
Interventions
caries in primary teeth will be removed using Carie-Care™ the chemomechanical agent.
caries in primary teeth will be removed using the mechanical caries removal by ART method.
Sponsors
Study design
Eligibility
Inclusion criteria
* Open carious lesions with a moderately deep dentin carious lesion(scores five or six, according to the International Caries Detection and Assessment System\[ICDAS\]. * The access of the carious lesion has to be large enough to allow the penetration of the excavator * Children with behavior rating 3 or 4 according to the Frankl scale
Exclusion criteria
* Clinical or radiographic evidence of pulp, furcation, or periapical pathosis * Proximal caries evidenced by bitewing x-ray
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time taken for caries removal | Through procedure completion | The time taken for the procedures will be measured from the beginning of caries removal procedure till the cavity is confirmed to be free of caries with the help of a stop watch and will be recorded in seconds. |
| Efficacy of caries removal | Through procedure completion | Caries removal will be rated according to the scoring criteria that range between score zero where caries is removed completely to score 5 where caries is present at the base,walls and margins of the cavity |
| Child pain perception | Through procedure completion | The type of response obtained for each observation was given a numerical value (score) like Score 1 (comfort), Score 2 (mild discomfort), Score 3 (moderately painful), and Score 4 (painful) |
| Child behavior | Through procedure completion | Score 1: Definitely positive, Good rapport with the dentist, interested in the dental procedures, laughing and enjoying the situation. Score 2: Positive, Acceptance of treatment; at times cautious, willingness to comply with the dentist, at times with reservation but patient follows the dentist's directions cooperatively. Score 3:Negative, Reluctant to accept treatment; uncooperative, some evidence of negative attitude but not pronounced, i.e. /sullen, withdrawn. Score 4: Definitely negative, Refusal of treatment, crying forcefully, fearful or any other overt evidence of extreme negativism. |
Countries
Egypt