Caries Excavation: Evidence Gaps

2018 ◽  
pp. 167-171
Author(s):  
Nicola Innes ◽  
Mark Robertson ◽  
Falk Schwendicke
Keyword(s):  
Caries Excavation

Clinical Evaluation of Ozone on Dentinal Lesions in Young Permanent Molars using the Stepwise Excavation

2017 ◽  
Vol 41 (6) ◽  
pp. 429-441 ◽  
Author(s):  
Osama Safwat ◽  
Mona Elkateb ◽  
Karin Dowidar ◽  
Omar El Meligy
Keyword(s):  
Ozone Treatment ◽  
Group I ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Stepwise Excavation ◽  
Permanent Molars ◽  
Clinical Changes ◽  
And Control ◽  
Caries Excavation ◽  
Indirect Pulp Capping

Aim: To evaluate the clinical changes in dentin of deep carious lesions in young permanent molars, following ozone application with and without the use of a remineralizing solution, using the stepwise excavation. Study design: The sample included 162 first permanent immature molars, showing deep occlusal carious cavities that were indicated for indirect pulp capping. Teeth were divided into 2 main groups according to the method of ozone treatment. Each group was further subdivided equally into test and control subgroups. Following caries excavation, color, consistency and DIAGNOdent assessments of dentin were evaluated after 6 and 12 months. Results: Regarding dentin color and consistency, no significant differences were observed following ozone application, with and without a remineralizing solution. There were no significant differences between ozone treatment, and calcium hydroxide during the different evaluation periods, except in group I cases after 6 months, concerning the dentin color. The DIAGNOdent values were significantly reduced following ozone application, with or without a remineralizing solution, as well as between test and control cases in group I after 6 months. Conclusions: Ozone application through the stepwise excavation had no significant effect on dentin color and consistency in young permanent molars. DIAGNOdent was unreliable in monitoring caries activity.

Micro-tensile bond strength and interfacial characterization of an adhesive bonded to dentin prepared by contemporary caries-excavation techniques

2011 ◽  
Vol 27 (6) ◽  
pp. 552-562 ◽  
Author(s):  
Aline de A. Neves ◽  
Eduardo Coutinho ◽  
Marcio V. Cardoso ◽  
Jan de Munck ◽  
Bart Van Meerbeek
Keyword(s):  
Bond Strength ◽  
Tensile Bond Strength ◽  
Caries Excavation

Self-limiting caries excavation with a polymer bur: Adhesive bonding to residual dentin

2020 ◽  
Vol 98 ◽  
pp. 102509 ◽  
Author(s):  
Teresa Wohlleb ◽  
Dalia Kaisarly ◽  
Peter Rösch ◽  
Karl-Heinz Kunzelmann
Keyword(s):  
Adhesive Bonding ◽  
Caries Excavation

Caries-removal effectiveness and minimal-invasiveness potential of caries-excavation techniques: A micro-CT investigation

2011 ◽  
Vol 39 (2) ◽  
pp. 154-162 ◽  
Author(s):  
Aline de A. Neves ◽  
Eduardo Coutinho ◽  
Jan De Munck ◽  
Bart Van Meerbeek
Keyword(s):  
Micro Ct ◽  
Minimal Invasiveness ◽  
Caries Removal ◽  
Caries Excavation ◽  
Invasiveness Potential

Colour coded caries excavation

BDJ ◽  
2013 ◽  
Vol 214 (4) ◽  
pp. 196-196
Keyword(s):  
Caries Excavation

Systematic Review and Meta-Analysis of Randomized Clinical Trials on Chemomechanical Caries Removal

2015 ◽  
Vol 40 (4) ◽  
pp. E167-E178 ◽  
Author(s):  
HHH Hamama ◽  
CKY Yiu ◽  
MF Burrow ◽  
NM King
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Sodium Hypochlorite ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Assessment Process ◽  
Cochrane Library ◽  
Removal Method ◽  
Caries Removal ◽  
Caries Excavation

SUMMARY Objectives The aim of this review was to assess the methodologies used in previously published prospective randomized clinical trials on chemomechanical caries removal and to conduct a meta-analysis to quantify the differences in the excavation time between chemomechanical and conventional caries removal methods. Methods An electronic search was performed using Scopus, PubMed, EBSCO host, and Cochrane Library databases. The following categories were excluded during the assessment process: non-English studies published before 2000, animal studies, review articles, laboratory studies, case reports, and nonrandomized or retrospective clinical trials. The methodologies of the selected clinical trials were assessed. Furthermore, the reviewed clinical trials were subjected to meta-analysis for quantifying the differences in excavation time between the chemomechanical and the conventional caries removal techniques. Results Only 19 randomized clinical trials fit the inclusion criteria of this systematic review. None of the 19 reviewed trials completely fulfilled Delphi's ideal criteria for quality assessment of randomized clinical trials. The meta-analysis results revealed that the shortest mean excavation time was recorded for rotary caries excavation (2.99±0.001 minutes), followed by the enzyme-based chemomechanical caries removal method (6.36±0.08 minutes) and the the hand excavation method (atraumatic restorative technique; 6.98±0.17 minutes). The longest caries excavation time was recorded for the sodium hypochlorite-based chemomechanical caries removal method (8.12±0.02 minutes). Conclusions It was found that none of the current reviewed trials fulfilled all the ideal requirements of clinical trials. Furthermore, the current scientific evidence shows that the sodium hypochlorite-based (Carisolv) chemomechanical caries removal method was more time consuming when compared to the enzyme-based (Papacarie) chemomechanical and the conventional caries removal methods. Further prospective randomized controlled clinical trials evaluating the long-term follow-up of papain-treated permanent teeth are needed.

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