In Vitro Assessment of Brix 3000 and Ceramic Bur in Comparison with Conventional Method for Caries excavation in Primary Molars | ||||
Al-Azhar Journal of Dentistry | ||||
Volume 2024, Issue 1, January 2024 | ||||
DOI: 10.58675/2974-4164.1660 | ||||
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Authors | ||||
Noha M. Mohamed1; Mohamed A. El Maaty2; Mohammed H. Mostafa3 | ||||
1Assistant Lecturer of Pedodontics and Oral Health, Faculty of Dental Medicine for Girls, Al -Azhar University, Cairo, Egypt | ||||
2Professor of Pedodontics and Oral Health, Faculty of Dental Medicine for Boys, Al-Azhar University, Cairo, Egypt. | ||||
3Assistant Professor of Pedodontics and Oral Health, Head of Pedodontics and Oral Health Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt. | ||||
Abstract | ||||
Purpose To assess the effectiveness of Brix 3000 and ceramic bur for the caries excavation in primary molars compared to the conventional approach in vitro. Materials and methods For this investigation, 30 carious primary molars were chosen and sectioned mesiodistally, followed by caries excavation using Brix 3000 (Group I), ceramic bur (Group II), and diamond bur (Group III), each group comprising 20 samples. Caries removal efficiency and efficacy were measured, and then selected samples were examined under SEM Results Regarding efficiency, diamond bur was the most efficient, followed by ceramic bur, while Brix 3000 was the least efficient. Regarding efficacy, the ceramic and diamond bur groups exhibited the highest efficacy, with no significant differences between them, whereas the Brix 3000 group exhibited the lowest efficacy. SEM results showed that surfaces treated with Brix3000® exhibited distinct remaining dentine textures; a smear layer with uniform and cracked surfaces appeared in some areas, while in other places, rough and porous surfaces were observed. The SEM images of rotatory instrument groups involving (ceramic and diamond burs) showed a smear layer, but exposed dentinal tubules were more evident in the diamond bur group. Conclusion Ceramic bur offers a promising treatment for caries removal as it combines efficacy and efficiency. Brix 3000® produced an irregular surface with minimal smear layers and more open dentinal tubules in comparison with rotating instruments. | ||||
Keywords | ||||
caries management; Minimal invasive; Brix 3000®; primary molars; ceramic bur; Diamond bur | ||||
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