Chemo-mechanical Effectiveness of Papacarie in Removal of Dental Caries in Both Primary and Permanent Teeth: In-Vitro Comparative Study

Document Type : Original Article

Authors

1 Lecturer of Pediatric Dentistry and Public Health Department, Faculty of Dentistry, Sinai University

2 Lecturer at Conservative Dentistry Department, Faculty of Dentistry, Sinai University

3 Lecturer at Dental Biomaterials Department, Faculty of Dentistry, Al Salam University

4 Lecturer at Pediatric Dentistry and Public Health Department, Faculty of Dentistry, Sinai University

Abstract

Objective: Comparatively analyze the clinical efficiency of Papacarie as a chemo-mechanical caries removal agent in both dentitions by measuring the microhardness, volume, and surface area of prepared cavity. Methodology: Twenty-six deciduous and permanent molar teeth with occlusal decay were selected. They were equally split up into two groups (n=13); group I (deciduous molars), and group II (permanent molars). All cavities were subjected to initial measurement of microhardness by Vickers test, and pre-scan with Cone Beam Computed Tomography (CBCT) for assessing lesions’ volume and surface area. They underwent treatment with Papacarie Duo. The caries infected dentin was removed with spoon excavator. Until a clear gel was achieved, the gel application was repeated. Cavities were initially inspected for caries removal using “visual inspection and tactile sensation”, and then caries detection dye was used. The microhardness of cavities was measured again. A postoperative CBCT scan was conducted. The results were tabulated, one-way ANOVA analysis of variance was performed. Results: No significant variations were recorded in microhardness values after caries removal in group I (P=0.137), while a highly significant variations were seen in group II (P=0.001). Significant variations were recorded among both groups before caries removal (P=0.041) and after caries removal (P=0.024). CBCT analysis reported no significant variations between either the cavity volume (P=0.942,0.862) or surface area (P=0.254,0.993) before and after caries removal in both groups. Conclusion: Papacarie is an effective caries removal agent in the two primary and permanent dentitions.

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Egyptian Dental Journal
Volume 71, Issue 3 - Serial Number 5
Conservative Dentistry and Endodontics
July 2025
Pages 2595-2604

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