New treatment method for pain and reduction of local anesthesia use in deep caries
윤지혜, 심연수, 박소영, 안소연,
소속 상세정보
윤지혜 ( Yun Ji-Hye ) - Wonkwang University College of Dentistry Department of Pediatric Dentistry
심연수 ( Shim Youn-Soo ) - Sunmoon University College of Health Science Department of Dental Hygiene
박소영 ( Park So-Young ) - Wonkwang Health Science University Department of Dental Hygiene
안소연 ( An So-Youn ) - Wonkwang University College of Dentistry Department of Pediatric Dentistry
Abstract
Chemo-mechanical caries removal methods are known to be more effective compared with conventional methods in pain reduction. Carie-care™, a chemo-mechanical caries removal agent, was introduced in 2010 but a systematic review of its efficacy has not yet been performed. The purpose of this study was to investigate the effectiveness of Carie-care™ on the outcomes of treatment of caries in children and adolescents. The primary outcome was pain while the secondary outcomes included complete caries removal (CCR), time, need for local anesthesia and behavioral response changes. A Comprehensive literature search was performed in PubMed, EMBASE, and the Cochrane Library up to 30 September 2018. The following keywords were used in the search: ‘chemo-mechanical caries removal agent’, ‘dental caries’, ‘Carie-care’, ‘chemo-mechanical caries removal’, ‘chemo-mechanical caries excavation’, other related keywords, and their combinations. From 942 studies identified, 16 were analyzed. Finally, 4 studies met the eligibility criteria and 260 teeth in 120 children and adolescents were included in this review. This review showed that Carie-care™ reduces pain during caries treatment but requires a longer time for effective treatment than conventional methods. Local anesthesia was not required in the Chemo-mechanical caries removal (CMCR) group. In addition, dental anxiety decreased compared to the control group, and co-operation was more positive. Therefore, it may be a useful alternative to conventional methods in children and adolescents, but further verification through additional studies is needed.
키워드
Carie-Care; Chemo-Mechanical Caries Removal; Dental Anxiety; Dental Caries; Local Anesthesia; Pain
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