Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients
Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients
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DOI：
10.1159/000047457
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发表时间：
2001-05-01
期刊：
影响因子：
4.2
通讯作者：
Hellwig, E
中科院分区：
文献类型：
--
作者：
Maragakis, GM;Hahn, P;Hellwig, E
本研究的目的是评估化学机械除龋剂Carisolv （TM）在乳牙上的临床疗效和患者的接受程度。对16例7 ~ 9岁患者（32颗牙）分别采用空气马达和Carisolv进行对侧磨牙治疗。患者回答了术前和术后的问卷调查。在所有空气马达疗程中均完成了完全的龋齿去除（CCR）。在6次（37.5%）Carisolv疗程中，未能在15分钟的时限内完成。气动马达CCR时间范围为6 ~ 18s（平均11.81 s）。Carisolv CCR时间在15分钟内完成，范围在6分46秒到13分57秒之间（平均：6分51秒）。术前，大多数儿童报告不喜欢钻孔，如果可以避免，他们会更频繁地去看牙医，更喜欢坐在椅子上更长时间。术后，大多数儿童报告不喜欢Carisolv的味道，估计Carisolv需要更长的时间，不会向他们的朋友推荐它，而更喜欢空气马达。综上所述，Carisolv虽然在所需的溶液体积方面向前迈进了一步，但还不能取代旋转仪器来去除龋齿：它没有完全去除我们三分之一的样品中的龋齿；它比空气马达慢得多；它有一种氯味/气味，我们的病人不喜欢。版权所有(C) 2000 S. Karger AG，巴塞尔。
The purpose of this study was to evaluate the clinical efficiency end patient acceptance of the chemomechanical caries removal agent Carisolv (TM) in deciduous teeth. Contralateral primary molars of sixteen 7- to 9-year-old patients (32 teeth) were treated with the air-motor and with Carisolv, respectively. Patients replied to a pre- and a postoperative questionnaire. Complete caries removal (CCR) was accomplished in all air-motor sessions. It was not achieved within the time limit of 15 min in 6 (37.5%) Carisolv sessions. Air-motor CCR time ranged between 6 and 18 s (mean: 11.81 s). Carisolv CCR time, where accomplished within 15 min, ranged between 6 min 46 s and 13 min 57 s (mean: 6 min 51 s), Preoperatively, the majority of the children reported disliking the drilling, and that they would visit the dentist more often and prefer sitting in the chair longer if they could avoid it. Postoperatively, the majority of the children reported disliking the taste of Carisolv, estimated Carisolv to have taken longer, would not recommend it to their friends, and preferred the air-motor. In conclusion, Carisolv, although a step forward in terms of solution volume required, is not in a position to replace rotary instruments for caries removal: it did not remove decay completely in one third of our sample; it was much slower than the air-motor; it had a chlorine taste/odor our patients disliked. Copyright (C) 2000 S. Karger AG, Basel.