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...

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Autores: Quiroz-Reynoso, Josselyn Myriam, Mungi-Castañeda, Sabina, Marroquín-Soto, Consuelo, Carranza-Samanez, Kilder Maynor, Dulanto-Vargas, Julissa Amparo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Costa Rica
Institución:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Idioma:inglés
OAI Identifier:oai:portal.ucr.ac.cr:article/59516
Acceso en línea:https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516
Access Level: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.
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dc.title.none.fl_str_mv 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
title Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies
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.
title_short 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_sort Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro Studies
dc.creator.none.fl_str_mv Quiroz-Reynoso, Josselyn Myriam
Mungi-Castañeda, Sabina
Marroquín-Soto, Consuelo
Carranza-Samanez, Kilder Maynor
Dulanto-Vargas, Julissa Amparo
author 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
author2 Mungi-Castañeda, Sabina
Marroquín-Soto, Consuelo
Carranza-Samanez, Kilder Maynor
Dulanto-Vargas, Julissa Amparo
author2_role author
author
author
author
dc.subject.none.fl_str_mv 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 Dental caries; Chemical agents; Dental atraumatic restorative treatment; High-speed dental technique.
Caries dental; Agentes químicos; Tratamiento restaurativo atraumático; Técnica dental de alta velocidad.
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.
publishDate 2024
dc.date.none.fl_str_mv 2024-08-30
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
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info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516
10.15517/ijds.2024.59516
url https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516
identifier_str_mv 10.15517/ijds.2024.59516
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516/59540
https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516/59541
https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516/59542
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
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dc.publisher.none.fl_str_mv Universidad de Costa Rica
publisher.none.fl_str_mv Universidad de Costa Rica
dc.source.none.fl_str_mv Odovtos - International Journal of Dental Sciences; Vol. 26 No. 3 (2024): (September-December) Odovtos-International Journal of Dental Sciences; 55-78
Odovtos International Journal of Dental Sciences; Vol. 26 Núm. 3 (2024): (September-December) Odovtos-International Journal of Dental Sciences; 55-78
2215-3411
1659-1046
10.15517/ijds.2024
reponame:Portal de Revistas UCR
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instname_str Universidad de Costa Rica
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reponame_str Portal de Revistas UCR
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repository.name.fl_str_mv Portal de Revistas UCR - Universidad de Costa Rica
repository.mail.fl_str_mv jorge.polanco@ucr.ac.cr
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spelling Chemical-Mechanical Agents Versus Rotary Systems for Caries Removal: A Systematic Review of In Vitro StudiesAgentes químico-mecánicos versus sistema rotatorio para la remoción de caries: una revisión sistemática de estudios in vitroQuiroz-Reynoso, Josselyn MyriamMungi-Castañeda, SabinaMarroquín-Soto, ConsueloCarranza-Samanez, Kilder MaynorDulanto-Vargas, Julissa AmparoDental 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 Rica2024-08-30info:eu-repo/semantics/publishedVersionContributionartículo originalhttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdftext/htmlapplication/epub+ziphttps://revistas.ucr.ac.cr/index.php/Odontos/article/view/5951610.15517/ijds.2024.59516Odovtos - International Journal of Dental Sciences; Vol. 26 No. 3 (2024): (September-December) Odovtos-International Journal of Dental Sciences; 55-78Odovtos International Journal of Dental Sciences; Vol. 26 Núm. 3 (2024): (September-December) Odovtos-International Journal of Dental Sciences; 55-782215-34111659-104610.15517/ijds.2024reponame:Portal de Revistas UCRinstname:Universidad de Costa Ricainstacron:UCRenghttps://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516/59540https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516/59541https://revistas.ucr.ac.cr/index.php/Odontos/article/view/59516/59542Derechos de autor 2024 Josselyn Myriam Quiroz-Reynoso, Sabina Mungi-Castañeda, Consuelo Marroquín-Soto, Kilder Maynor Carranza-Samanez, Julissa Amparo Dulanto-Vargashttps://creativecommons.org/licenses/by-nc-sa/4.0/acceso abiertohttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccess2025-01-17T19:11:10Zoai:portal.ucr.ac.cr:article/59516Portal de revistashttps://revistas.ucr.ac.cr/Universidadhttp://www.ucr.ac.crhttps://revistas.ucr.ac.cr/index.php/index/oaijorge.polanco@ucr.ac.crCosta RicaNo aplicaNo aplicaNo aplicaopendoar:2025-08-13T10:44:41.700Portal de Revistas UCR - Universidad de Costa Ricafalse
score 15,812429