Dental Caries in Children
Conditions
Keywords
Minimal Invasive Dentistry
Brief summary
Pain control during dental treatments is the most challenging situations that face the pediatric dentist especially in young and fearful or anxious child. Minimal invasive approach for caries removal includes many techniques to remove caries either by dental excavators, rotatory burs, atraumatic restorative treatment (ART), chemo-mechanical caries removal and smart bur.
Interventions
OTHERART
The restorative procedure performed in relative isolation and without the use of anesthesia consisted of removal of the carious tissue using hand instrument excavators and dentin
OTHERBrix 3000
Brix 3000 gel will be applied to the caries lesion using a spoon excavator\*\* leaving gel according to the manufacturer's instructions. After 2 minutes, the gel will turn from translucent green colour to cloudy after the gel removal.
OTHERCarie Move
Carie-Move gel will be applied to the caries lesion according to the manufacturer's instructions at second visit in the same child. After 30 second the gel will be removed.
OTHERSmart Bur
Removal of carious dentin will be carried out employing smart bur II mounted on a low-speed handpiece without water spray. Caries removal will be proceeded until the smart bur II becomes dull after repeated contact with healthy dentin (21) (figure 3)
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 8 Years
Healthy volunteers
No
Inclusion criteria
* Each child has three teeth with carious cavity enough for insertion of hand instruments * Positive or definitely positive child behaviour according to the Frankl Behaviour Scale (FBS) * Caries lesion in dentin of primary teeth
Exclusion criteria
* Negative or definitely negative child behaviour according to the FBS. * Presence of sign and symptoms of pulp lesion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain scores | Immediately after the intervention | Wong-Baker Faces Pain Rating Scale (WBFPS) Presents 6 faces with increasing degrees of pain from left to right. Each face was attributed a scale from 0 to 10 indicated onthe scale. Children were asked to choose the face that best describe his or her pain. |
| caries removal time | During procedure | The total working time required for caries removal will be recorded in minutes using a stopwatch |
| Caries removal efficacy | Immediately after the intervention | The caries removal criteria: 0 Caries removed completely 1. Caries noticed at the base of the cavity 2. Caries noticed at the base and/or one wall of the cavity 3. Caries noticed at the base and/or two walls of the cavity 4. Caries noticed at the base and/or more than two walls of the cavity 5. Caries noticed at the base, walls and margins of the cavity. |
Countries
Egypt
Outcome results
None listed