The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 15 , ISSUE 2 ( March-April, 2014 ) > List of Articles

CASE REPORT

Chemo-Mechanical Caries Removal with PapacarieTM: Case Series with 84 Reports and 12 Months of Follow-up

Sandra Kalil Bussadori, Camila Haddad Leal de Godoy, Thays Almeida Alfaya, Kristianne Porta Santos Fernandes, Raquel Agnelli Mesquita-Ferrari, Lara Jansiski Motta

Citation Information : Bussadori SK, de Godoy CH, Alfaya TA, Fernandes KP, Mesquita-Ferrari RA, Motta LJ. Chemo-Mechanical Caries Removal with PapacarieTM: Case Series with 84 Reports and 12 Months of Follow-up. J Contemp Dent Pract 2014; 15 (2):250-253.

DOI: 10.5005/jp-journals-10024-1523

License: CC BY-NC 3.0

Published Online: 00-04-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of the present study was to determine the success rate after 12 months of follow-up in a series of cases in which chemo-mechanical caries removal (CMCR) was performed with PapacarieTM, followed by restoration with glass ionomer cement.

Background

The development of conservative techniques for carious tissue removal and improvements in dental restoration materials have allowed better preservation of dental structures in the treatment of decayed teeth. Chemo-mechanical caries removal (CMCR) is a conservative atraumatic treatment option. PapacarieTM is a papain-based material developed to act only on the carious dentin, allowing its easy removal with a blunt curette.

Case report

The study involved a total of 84 deciduous posterior teeth with occlusal dentinal caries. Only teeth without risk of pulp exposure were studied. After a period of 12 months, the restorations were evaluated based on criteria employed in previous studies. The radiographic evaluation revealed resorption and calcification of the affected teeth. The data were submitted to descriptive statistical analysis with the aid of the XLSTAT program. The success rate was 88.1% and 98.8% based on the clinical and radiographic evaluations, respectively. The difference between the success and failure rates was statistically significant (p < 0.0001).

Conclusion

PapacarieTM is an effective product for CMCR on occlusal dentinal tissue in deciduous teeth, demonstrating a high clinical and radiographic success rate after 12 months of follow-up.

How to cite this article

Buskadori SK, de Godoy CHL, Alfaya TA, Fernandes KPS, Mesquita-Ferrari RA, Motta LJ. Chemo- Mechanical Caries Removal with Papacarietm: Case Series with 84 Reports and 12 Months of Follow-up. J Contemp Dent Pract 2014;15(2):250-253.


PDF Share
  1. Chemomechanical caries removal for children. Stomatologija 2005;7:40-44.
  2. Papain gel: a new chemo-mechanical caries removal agent. J Clin Pediatr Dent 2005;30:115-119.
  3. Atraumatic restorative treatment versus amalgam restoration longevity: a systematic review. Clin Oral Investig 2010;14:233-240.
  4. Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques. Br Dent J 2013;214:107-111.
  5. Chemo-Mechanical Method of Caries Removal: A Brief Review. IJCDS 2011;2:52-57.
  6. Clinical and radiographic study of chemical-mechanical removal of caries using Papacarie: 24-month follow up. J Clin Pediatr Dent 2011;35:251-254.
  7. Chemomechanical removal of caries in an adolescent patient using a papain gel: case report. J Clin Pediatr Dent 2008;32:177-180.
  8. Comparative evaluation of the efficacy of chemomechanical caries removal agent (Papacarie) and conventional method of caries removal: an in vitro study. J Indian Soc Pedod Prev Dent 2010;28:73-77.
  9. Effectiveness of 2 Chemomechanical Caries Removal Methods on Residual Bacteria in Dentin of Primary Teeth. Pediatr dent 2012;34:325-330.
  10. Clinical evaluation of Papacarie in primary teeth. J Clin Pediatr Dent 2009;34(2):117-123.
  11. Papain-based gel for biochemical caries removal: influence on microtensile bond strength to dentin. Braz Oral Res 2008;22:364-370.
  12. Conservación y restauración de la estructura dental. Madrid: Harcourt Brace 1999.
  13. Atraumatic restorative treatment (ART): a three-year community field trial in Thailand—survival of one-surface restorations in the permanent dentition. J Public Health Dent 1996;56:141-145.
  14. Clinical evaluation of chemomechanical and mechanical caries removal: status of the restorations at 3, 6, 9 and 12 months. Clin Oral Investig 2007;11:69-76.
  15. Epidemiology of traumatised primary teeth in the west-Mediterranean region of Turkey. Int Dent J 2005;55:329-333.
  16. Atraumatic restorative treatment: a dental alternative well-received by children]. Rev Panam Salud Publica 2012;31:148-152.
  17. Use of papain gel in disabled patients. J Dent Child (Chic) 2008;75:222-228.
  18. Chemomechanical caries removal in children: efficacy and efficiency. J Am Dent Assoc 2006;137:1658-1666.
  19. Comparison of operative time, costs and self-reported pain in children treated with atraumatic restorative treatment and conventional restorative treatment. Med Sci Tech 2012;53:159-163.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.