Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography

Objective: The purpose of this study was to evaluate dentin mineral density before and after caries removal with the traditional caries removal technique and chemo mechanical method, with or without the use of caries detection dye. Our null hypothesis was that the chemo mechanical method with minima...

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Main Authors: Firdevs Tulga Öz, Melike Turgut Coşgun, Kaan Orhan, Mert Ocak
Format: Article
Language:English
Published: Ankara University 2021-12-01
Series:European Annals of Dental Sciences
Subjects:
Online Access:https://dergipark.org.tr/en/download/article-file/1923743
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author Firdevs Tulga Öz
Melike Turgut Coşgun
Kaan Orhan
Mert Ocak
author_facet Firdevs Tulga Öz
Melike Turgut Coşgun
Kaan Orhan
Mert Ocak
author_sort Firdevs Tulga Öz
collection DOAJ
description Objective: The purpose of this study was to evaluate dentin mineral density before and after caries removal with the traditional caries removal technique and chemo mechanical method, with or without the use of caries detection dye. Our null hypothesis was that the chemo mechanical method with minimally invasive treatment would achieve an effect similar to that of conservative pediatric dentistry treatment. Forty-eight extracted human primary molar were used in this study. Materials and Methods: The two main study groups underwent treatment with the chemo mechanical and traditional methods. The teeth were then treated with chemo mechanical and traditional caries removal approach. Teeth were scanned with the same voxel sizes using micro-CT images to figure out the difference dentin mineral density and to calculate the removed (excavated) dentinal volume after chemo mechanical or traditional method application. Results: The results showed increase of cavity volume in the chemo mechanical and traditional method groups. No significant difference was found for cavity volume and dentinal carious volume in both groups (p˃0,05). The mineral density values of demineralized dentin were between 0.52-0.66 g/cm3 before caries removal, and 1.39-1.59 g/cm3 after removing caries. These values were found to be within the range of healthy dentin mineral density values again without any significant difference between groups (p˃0,05). Conclusions: In conclusion, chemo mechanical can be used effectively for removing the caries in the primary molar teeth similar to conservative treatments.
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spelling doaj.art-a9f6067bff5f4c4ea892ff547043ccf62024-02-28T14:28:30ZengAnkara UniversityEuropean Annals of Dental Sciences2757-67442021-12-0148310110710.52037/eads.2021.003245Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed TomographyFirdevs Tulga Öz0Melike Turgut Coşgun1Kaan Orhan2Mert Ocak3ANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, PEDODONTİ ANABİLİM DALI, PEDODONTİ BİLİM DALIANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, PEDODONTİ ANABİLİM DALI, PEDODONTİ BİLİM DALIANKARA MEDİPOL UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF CLINICAL SCIENCES (FACULTY OF DENTISTRY), DEPARTMENT OF ORAL AND MAXILLOFACIAL RADIOLOGYANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, TEMEL BİLİMLER BÖLÜMÜ, TEMEL TIP BİLİMLERİ ANABİLİM DALIObjective: The purpose of this study was to evaluate dentin mineral density before and after caries removal with the traditional caries removal technique and chemo mechanical method, with or without the use of caries detection dye. Our null hypothesis was that the chemo mechanical method with minimally invasive treatment would achieve an effect similar to that of conservative pediatric dentistry treatment. Forty-eight extracted human primary molar were used in this study. Materials and Methods: The two main study groups underwent treatment with the chemo mechanical and traditional methods. The teeth were then treated with chemo mechanical and traditional caries removal approach. Teeth were scanned with the same voxel sizes using micro-CT images to figure out the difference dentin mineral density and to calculate the removed (excavated) dentinal volume after chemo mechanical or traditional method application. Results: The results showed increase of cavity volume in the chemo mechanical and traditional method groups. No significant difference was found for cavity volume and dentinal carious volume in both groups (p˃0,05). The mineral density values of demineralized dentin were between 0.52-0.66 g/cm3 before caries removal, and 1.39-1.59 g/cm3 after removing caries. These values were found to be within the range of healthy dentin mineral density values again without any significant difference between groups (p˃0,05). Conclusions: In conclusion, chemo mechanical can be used effectively for removing the caries in the primary molar teeth similar to conservative treatments.https://dergipark.org.tr/en/download/article-file/1923743residual cariescaries removing techniquesmicro-ctpapacarie
spellingShingle Firdevs Tulga Öz
Melike Turgut Coşgun
Kaan Orhan
Mert Ocak
Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography
European Annals of Dental Sciences
residual caries
caries removing techniques
micro-ct
papacarie
title Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography
title_full Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography
title_fullStr Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography
title_full_unstemmed Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography
title_short Comparison of the Effectiveness of Chemo-mechanical and Traditional Caries Removal Methods in Primary Teeth Using Micro-Computed Tomography
title_sort comparison of the effectiveness of chemo mechanical and traditional caries removal methods in primary teeth using micro computed tomography
topic residual caries
caries removing techniques
micro-ct
papacarie
url https://dergipark.org.tr/en/download/article-file/1923743
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AT meliketurgutcosgun comparisonoftheeffectivenessofchemomechanicalandtraditionalcariesremovalmethodsinprimaryteethusingmicrocomputedtomography
AT kaanorhan comparisonoftheeffectivenessofchemomechanicalandtraditionalcariesremovalmethodsinprimaryteethusingmicrocomputedtomography
AT mertocak comparisonoftheeffectivenessofchemomechanicalandtraditionalcariesremovalmethodsinprimaryteethusingmicrocomputedtomography