Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies
The purpose of this systematic review was to compare the efficacy and efficiency of chemical-mechanical agents (CMA) versus rotary systems (RS) for the removal of dental caries (DC) in permanent molars. The search was carried out in five electronic databases (PubMed, Ebsco, Scopus, ScienceDirect, LI...
| Autores: | ; ; ; ; |
|---|---|
| Tipo de documento: | Artículo |
| Estado: | Published version |
| Fecha de publicación: | 2024 |
| País: | Costa Rica |
| Institución: | UCR |
| Repositorio: | Portal de Revistas UCR |
| Lenguaje: | Inglés |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/59516 |
| Acceso en línea: | https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516 |
| Nivel de acceso: | Acceso abierto |
| Palabra clave: | Dental caries; Chemical agents; Dental atraumatic restorative treatment; High-speed dental technique. Caries dental; Agentes químicos; Tratamiento restaurativo atraumático; Técnica dental de alta velocidad. |
| _version_ | 1878655164701736961 |
|---|---|
| author | Quiroz-Reynoso, Josselyn Myriam |
| author2 | Mungi-Castañeda, Sabina Marroquín-Soto, Consuelo Carranza-Samanez, Kilder Maynor Dulanto-Vargas, Julissa Amparo |
| author2_role | author author author author |
| author_browse | Carranza-Samanez, Kilder Maynor Dulanto-Vargas, Julissa Amparo Marroquín-Soto, Consuelo Mungi-Castañeda, Sabina Quiroz-Reynoso, Josselyn Myriam |
| author_facet | Quiroz-Reynoso, Josselyn Myriam Mungi-Castañeda, Sabina Marroquín-Soto, Consuelo Carranza-Samanez, Kilder Maynor Dulanto-Vargas, Julissa Amparo |
| author_role | author |
| collection | Portal de Revistas UCR |
| description | The purpose of this systematic review was to compare the efficacy and efficiency of chemical-mechanical agents (CMA) versus rotary systems (RS) for the removal of dental caries (DC) in permanent molars. The search was carried out in five electronic databases (PubMed, Ebsco, Scopus, ScienceDirect, LILACS) and gray literature, complemented with a manual search in impact journals until July 2022 in English, Spanish and Portuguese. The efficacy of DC treatment was analyzed histologically, microbiologically, radiographically, or physicochemical-mechanically and efficiency was evaluated according to the shortest time for removal. Risk of bias was assessed with the RoB tool. Nine studies were included out of 914 publications that evaluated 337 molars with split design treated with low- or high-speed RS and CMA, such as Carisolv, Papacarie, Carie Care and Brix 3000. Significant differences were found among the studies (p<0.05), with Carisolv presenting a higher amount of residual caries, the presence of bacteria in dentin and less extent or volume of extracted caries, while Papacarie showed an absence of smear in dentin tubules and RS obtained higher microhardness values and required less time for removal. There was no difference between the two methods with respect to calcium-phosphorus titration or bond strength (p≥0.05). CMAs removed DC with less invasion to sound dentin tissues compared to RS, but reduced surface hardness and required a longer removal time. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | CR_4b85f54db1edb53d6f2ef5e89f5ebdce |
| identifier_str_mv | 10.15517/ijds.2024.59516 |
| institution | UCR |
| instname_str | Universidad de Costa Rica |
| language | eng |
| network_acronym_str | CR |
| network_name_str | Costa Rica |
| oai_identifier_str | oai:portal.ucr.ac.cr:article/59516 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| publisher | Universidad de Costa Rica |
| publisherStr | Universidad de Costa Rica |
| reponame_str | Portal de Revistas UCR |
| spelling | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies Agentes químico-mecánicos versus sistema rotatorio para la remoción de caries: una revisión sistemática de estudios in vitro Quiroz-Reynoso, Josselyn Myriam Mungi-Castañeda, Sabina Marroquín-Soto, Consuelo Carranza-Samanez, Kilder Maynor Dulanto-Vargas, Julissa Amparo Dental caries; Chemical agents; Dental atraumatic restorative treatment; High-speed dental technique. Caries dental; Agentes químicos; Tratamiento restaurativo atraumático; Técnica dental de alta velocidad. The purpose of this systematic review was to compare the efficacy and efficiency of chemical-mechanical agents (CMA) versus rotary systems (RS) for the removal of dental caries (DC) in permanent molars. The search was carried out in five electronic databases (PubMed, Ebsco, Scopus, ScienceDirect, LILACS) and gray literature, complemented with a manual search in impact journals until July 2022 in English, Spanish and Portuguese. The efficacy of DC treatment was analyzed histologically, microbiologically, radiographically, or physicochemical-mechanically and efficiency was evaluated according to the shortest time for removal. Risk of bias was assessed with the RoB tool. Nine studies were included out of 914 publications that evaluated 337 molars with split design treated with low- or high-speed RS and CMA, such as Carisolv, Papacarie, Carie Care and Brix 3000. Significant differences were found among the studies (p<0.05), with Carisolv presenting a higher amount of residual caries, the presence of bacteria in dentin and less extent or volume of extracted caries, while Papacarie showed an absence of smear in dentin tubules and RS obtained higher microhardness values and required less time for removal. There was no difference between the two methods with respect to calcium-phosphorus titration or bond strength (p≥0.05). CMAs removed DC with less invasion to sound dentin tissues compared to RS, but reduced surface hardness and required a longer removal time. Esta revisión sistemática tuvo como propósito comparar la eficacia y la eficiencia de los agentes químico-mecánicos (AQM) frente al sistema rotatorio (SR) para la remoción de caries dental (CD) en molares permanentes. La búsqueda se realizó en cinco bases de datos electrónica (PubMed, Ebsco, Scopus, ScienceDirect, LILACS) y literatura gris, complementada con búsqueda manual en revistas de impacto, hasta julio de 2022 en idioma inglés, español y portugués. La eficacia del tratamiento de CD se analizó de forma histológica, microbiológica, radiográfica o fisicoquímico-mecánicas y la eficiencia según el menor tiempo para la remoción. El riesgo de sesgo se evaluó con la herramienta RoB. De 914 publicaciones, se incluyeron 9 estudios que evaluaron 337 molares con diseño partido tratados con SR de baja o alta velocidad y AQM, como Carisolv, Papacarie, Carie Care y Brix 3000. Más estudios demostraron diferencias significativas (p<0,05) donde Carisolv tuvo mayor cantidad de caries residual, presencia de bacterias en dentina y menor extensión o volumen de caries eliminada, mientras que Papacarie mostró ausencia de barrillo dentinario en túbulos dentinarios y SR obtuvo mayores valores de microdureza y requirió menor tiempo para la remoción. No hubo diferencias entre ambos métodos respecto a valoración de calcio y fósforo o la resistencia a la unión (p≥0,05). Los AQM eliminaron la DC con menos invasión de los tejidos de dentina sanos en comparación con el RS, pero aminoraron la dureza de la superficie y requirieron un tiempo de eliminación más prolongado. Universidad de Costa Rica https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516 10.15517/ijds.2024.59516 |
| spellingShingle | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies Quiroz-Reynoso, Josselyn Myriam Dental caries; Chemical agents; Dental atraumatic restorative treatment; High-speed dental technique. Caries dental; Agentes químicos; Tratamiento restaurativo atraumático; Técnica dental de alta velocidad. |
| status_str | publishedVersion |
| title | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies |
| title_full | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies |
| title_fullStr | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies |
| title_full_unstemmed | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies |
| title_short | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies |
| title_sort | Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies |
| topic | Dental caries; Chemical agents; Dental atraumatic restorative treatment; High-speed dental technique. Caries dental; Agentes químicos; Tratamiento restaurativo atraumático; Técnica dental de alta velocidad. |
| topic_facet | Dental caries; Chemical agents; Dental atraumatic restorative treatment; High-speed dental technique. Caries dental; Agentes químicos; Tratamiento restaurativo atraumático; Técnica dental de alta velocidad. |
| url | https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516 |