Assessment of pulpal exposures and the need for administration of local anesthesia in removing caries using Carisolv gel compared to the conventional rotary method in temporary molars. Clinical study.

Abstract

Background & Aim:  Caries removal with conventional  method  is usually accompanied by severe discomfort, especially in children and patients with dental anxiety. Also, removing dental caries by using  high-speed instruments to obtain an access to the  carious  lesion, leads to  uncomfortable and painful feeling for many patients, and also leads to pressure and vibration  that cause  a rise in temperature; These vibration and thermal stimulation are painful, and local anesthesia is often needed to control the pain. This thermal  stimulation often leads to irreversible damage to the dental tissues.
Material & Method: A total of 40 carious primary mandibular molars were selected for the study from  children aged (6-8) years, they were selected from Damascus schools. Caries was removed by one of two methods: the  chemomechanical method and the conventional  method for each child  randomly.

Results: Statistical analyzes of the samples showed that there were significant differences between groups (p < 0.05) with regard to the need for administration of local anesthesia, as for the incidence of pulp exposure, There was no significant difference between the two groups.

Conclusion: The cases treated with carisolv gel showed less need for administration of  local anesthesia compared to the conventional method, and the incidence of pulp exposure was similar between the two groups. Thus, Carisolv gel can be adopted as
an alternative solution to the conventional method.