Atena Galuscan, Daniela Jumanca, Angela Podariu, Lavinia Ardelean, Laura Cristina Rusu<br>Evaluation by Fluorescent Light of Chemo-Mechanical Treatment <br>of Caries Removal Using CarisolvTM

Atena Galuscan, Daniela Jumanca, Angela Podariu, Lavinia Ardelean, Laura Cristina Rusu
Evaluation by Fluorescent Light of Chemo-Mechanical Treatment
of Caries Removal Using CarisolvTM

Abstract:

The objective of this study is to compare the performance of dental caries treatment by conventional means using a rotary instrument (RST) and chemo-mechanical means (CMCR) and the quality of remnant tissue to the tooth preparation using fluorescent light (FL) with DIAGNOdent Pen 2190 (KaVo Biberach Germany) . To evaluate the efficiency in removal of the decrepit caries, we selected 81 small and medium-sized carious lesions both on temporary and permanent teeth, we also accomplished the treatment of the lesions by using Carisolv™ (n=42) and rotary standard treatment (n=39) to remove the decrepit dentin. The patients were informed about the purpose of the study, also about the advantages and risks of the treatment and they gave their consent. The prepared cavities were evaluated by DIAGNOdentPen 2190 in order to identify the mineralization degree of the remnant tissue. The modified dental substance and bacteria at its level has a specific fluorescence when exposed to a certain wavelength of FL. Results demonstrate that, in case of the CMCR preparation, we got a percentage of 83.33% clean cavities, LF values indicate corresponding to the healthy tissue. At the RST-prepared cavities, we obtained a percentage of 74.35% clean cavities (not bacterial-contaminated) which, at LF measurements, had values specific to the healthy tissue. The difference, (8.98%) between the results demonstrates that the chemical effect added to the mechanical preparation of cavity allows obtaining some healthier dental remnant tissue than in case of the simple mechanical preparation by RST. Keywords: dental caries, dentin, collagen, chemo-mechanical, fluorescent light

Issue: 2012, Volume 63, Issue 9

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