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THE EFFICACY OF CHEMO-MECHANICAL REMOVAL OF DENTIN CAR10US LESION
±èÀοÁ, Ȳ¿í, ±èÁ¤½Å,
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±èÀοÁ ( ) - °æÈñ´ëÇб³ ´ëÇпø Ä¡ÀÇÇаú
Ȳ¿í ( ) - °æÈñ´ëÇб³ ´ëÇпø Ä¡ÀÇÇаú
±èÁ¤½Å ( ) - °æÈñ´ëÇб³ ´ëÇпø Ä¡ÀÇÇаú
KMID : 0362320050300030149
Abstract
º» ¿¬±¸´Â ¿ì½ÄÀÇ ±â°èÀû Á¦°Å¿Í ±â°èÈÇÐÀû Á¦°ÅÀÇ È¿°ú¸¦ ºñ±³, Æò°¡ÇÏ°íÀÚ ÇÏ¿´À¸¸ç, ±â°èÀû Á¦°Å¹æ¹ýÀº Àú¼ÓÀÇ round bur·Î, ±â°è ÈÇÐÀû Á¦°Å ¹æ¹ýÀº Carisolv·Î ¿ì½ÄÀ» Á¦°ÅÇÑ ÈÄ, ÀÜÁ¸ ¿ì½ÄÀ» È®ÀÎÇÏ¿© ¼Ò¿ä½Ã°£À» ÃøÁ¤ÇÏ¿´°í, ¶Ç ½ÇÇè½Ç¿¡¼ ¹ßÄ¡ÇÑ ¿ì½Ä ´ë±¸Ä¡ 20°³¸¦ À§ µÎ °¡Áö ¹æ¹ýÀ¸·Î ¿ì½ÄÀ» Á¦°Å ÈÄ, Villanueva bone stain¾×À¸·Î ¿°»öÇÏ°í Ç¥º»À» Á¦ÀÛ ÈÄ °üÂûÇÏ¿© ´ÙÀ½ÀÇ °á·ÐÀ» ¾ò¾ú´Ù; 1.¿ì½ÄÁ¦°Å¿¡ Æò±Õ¼Ò¿ä½Ã°£Àº ±â°èÈÇÐÀû Á¦°Å°¡ ±â°èÀûÀÎ Á¦°Åº¸´Ù 1.5¹è ´õ ±æ°Ô ³ªÅ¸³µ´Ù (P < 0.05). 2, ¿ì½ÄÁ¦°Å¿¡ Æò±Õ¼Ò¿ä½Ã°£Àº ¼Ò±¸Ä¡º¸´Ù ´ë±¸Ä¡¿¡¼ ´õ ±æ¾ú°í, ÀüÄ¡¿¡¼ °¡Àå ÀûÀº°ÍÀ¸·Î ³ªÅ¸³µ´Ù (P < 0.05) 3 »ó ¡¤ ÇϾǿ¡¼´Â Â÷ÀÌ°¡ ¾ø¾ú´Ù (P > 0.05) 4. ±â°èÈÇÐÀû ¹æ¹ýÀ¸·Î ¿ì½Ä »ó¾ÆÁúÀ» Á¦°Å ½Ã ÀÜÁ¸ ¿ì½Ä »ó¾ÆÁúÀÌ °üÂûµÇ¾úÀ¸¸ç µÎ ¹æ¹ý ¸ðµÎ ¿ì½Ä »ó¾ÆÁúÀ» Á¦°ÅÇÑ Ç¥¸é¿¡¼´Â µµ¸»ÃþÀ» °üÂûÇÒ ¼ö ¾ø¾ú´Ù.
Mechanical removals in decayed teeth have been performed using drill and sharp hand instruments. These methods have some disadvantages such as pain, local anesthesia and overextended cavities Therefore chemo-mechanical excavation of dentin carious lesions has been introduced. The purpose of this study was to evaluate the efficacy of traditional mechanical methods using burs and chemo-mechanical methods (Carisolv) of caries dentin. Mechanical caries removal was carried with low speed round bur Chemo-mechanical caries excavation was performed with Carisolv (Medi-team), using the Carisolv hand instruments. The mean time to remove caries with two different methods was evaluated and the data analyzed with SPSS software (ver 11.5) by t-test (p < 0.05). For histomorphometry of caries removal were also carried with mechanical or chemo-mechanical (Carisolv) methods from 20 extracted caries permanent molars. Complete caries removal was verified with a $\#$23 sharp explorers, Caries Detector (Kuraray Co. Japan), and standard apical radiography. 1. Chemo-mechanical method was taken more times than mechanical method (1.5 fold) (p < 0.05) 2. Excavation for caries took more time for molar lesion than premolar lesion, and the least time was taken to remove the caries in incisor lesion (p < 0.05). 3. There were no significant differences to remove the caries between the maxilla and mandible (p > 0.05). 4. The remaining carious dentin was detected after the ckemo-mechanical removal of the carious dentin, and no smear layer were seen after the mechanical and chemo-mechanical removal of the carious dentin.
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