Chemico Mechanical Versus Drilling Methods Of Caries Removal- An In Vitro Study

Main Article Content

S B Divya
S.Delphine Priscilla Antony S
M.S.Nivedhitha
S Rajeshkumar

Keywords

chemico mechanical caries removal, drilling, papain gel, bromelain gel, Tree species, Children

Abstract

Context: The conventional method for caries removal is drilling with dental burs can cause anxiety and fear especially in children. Different methods of caries removal can be tried in such cases. Papain and bromelain gel being proteolytic can be used as a caries removal agent.
Aim: To evaluate the efficacy of caries removal, time taken for caries removal and surface changes using Polarized light microscopy of self-made Papain Gel and Bromelain gel with that of conventional Drilling group.
Methods and Material: Papain and Bromelain gel were self prepared in the laboratory and used as caries removal agent in the study. Fifteen permanent extracted molar teeth with class I dental caries were taken and divided into three groups randomly. Group A- Bromelain Group B- Papain Group C- Drilling. Caries removal was done, teeth restored with composite and sectioned. The teeth were mounted on slides and observed under polarized light microscopy.
Results: The time taken for caries removal using drilling method was 1.46 ± 0.1817minutes, that for bromelain gel group was 7 ± 0.695, for papain gel also it was 6.4 ± 0.56. Based on the observation made under polarized light microscopy, surface roughness and irregularities were more in Drilling group. No significant difference between papain and bromelain group was seen in time taken for caries removal.
Conclusions: There was no significant difference in the caries removal efficacy of the papain, bromelain and the drilling methods. The time taken for caries removal is more in the papain and bromelain group compared to the drilling group. However there is no significant difference between papain and bromelain. Surface irregularities and roughness is more in the drilling group compared to other groups

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