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Stop Drill, Make a Change: An In Vivo Study.

Mehak Dogra¹, Monika P Gupta¹, Tasneem Sheikh¹

¹Department of Pedodontics and Preventive Dentistry, DJ College of Dental Sciences and Research, Ghaziabad, India.

International Journal of Clinical Pediatric Dentistry

|August 20, 2021

Summary

Apacaries gel, a chemomechanical caries removal agent, offers an effective alternative for children, showing comparable antimicrobial efficacy to traditional methods but with reduced pain and time. This innovative approach may also enhance resistance to future decay.

Keywords:

Antimicrobial efficacy Apacaries gel Chemomechanical caries removal agent

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Area of Science:

Pediatric Dentistry
Caries Management
Biomaterials

Background:

Chemomechanical caries removal offers a non-invasive, cost-effective approach to treating dental decay.
Integrating preventive measures with chemomechanical methods may enhance dentin resistance to future caries.
This study evaluates the in vivo efficacy of a novel chemomechanical agent, Apacaries gel.

Purpose of the Study:

To compare the antimicrobial efficacy, efficiency, and pain perception of Apacaries gel with conventional rotary instrument caries removal.
To assess the clinical effectiveness of a chemomechanical caries removal agent in a pediatric population.

Main Methods:

A comparative in vivo study involving 40 children (aged 6-12 years) with bilateral occlusal caries.
Group I: Caries removal using rotary instruments. Group II: Caries removal using Apacaries gel.
Measurements included caries removal time, pain perception (Wong-Baker Pain Scale), and microbiological analysis of dentin samples before and after treatment.

Main Results:

No significant difference in bacterial count was observed between the two groups.
Apacaries gel demonstrated significantly less time consumption for caries removal compared to rotary instruments.
A significant reduction in pain perception was noted with Apacaries gel compared to the conventional method.

Conclusions:

Chemomechanical caries removal using Apacaries gel is a viable and effective clinical alternative for treating dental caries in children.
Apacaries gel exhibits unique properties that may contribute to the prevention of future dental caries.
This study provides the first in vivo evidence for the efficacy and preventive potential of Apacaries gel.