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This study will be conducted to assess the efficacy of caries excavation using the papain-based chemo-mechanical method (Brix 3000) in comparison to conventional rotary tools in the reduction of the bacterial population in occlusal carious cavities
Twenty-three patients who will fulfill the inclusion criteria will be enrolled to the study. For every patient two contra-lateral class I carious molars will be selected, so the total number of included molars will be 46 molars. One contra-lateral molar will be randomly assigned to the chemo-mechanical (Brix 3000) caries removal technique and the other will be assigned to the conventional rotary one. From every molar two dentin specimens will be collected (baseline and after excavation) with a total of 92 samples
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| papain chemomechenical caries removal agent (brix 3000) | Experimental | papain chemomechenical caries removal agent (Birx 3000) and the exclusive Encapsulating Buffer Emulsifier (EBE) technology claim it has effective and selective proteolytic action |
|
| conventional | Placebo Comparator | conventional 330 bur |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Papain-based Chemo-mechanical caries removal agent | Drug | Birx 3000 and the exclusive Encapsulating Buffer Emulsifier (EBE) technology claim it has effective and selective proteolytic action to remove collagen fiber in the carious tissue. It has an antibacterial and antifungal power, thus it has an antiseptic power at the tissue level .furthermore, this gel does not contain chloramines in its formula, which enhances its toxicological safety feature. |
| Measure | Description | Time Frame |
|---|---|---|
| bacterial count by Digital Colony Counter | The number of colonies will be expressed as colony-forming units (CFU/ml) compared before and after removal caries using brix 3000 or rotary method | at the same visit (20 minutes) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| laila akml emad eldin elokaly, master | Contact | 01147604339 | 0223806159 | lailaelokaly15@gmail.com |
| laila akmal emad eldin elokaly, master | Contact | 01147604339 | 0223806159 | lailaelokaly15@gmail.com |
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|
|
| conventional rotary | Device | traditional rotary method |
|
|
| ID | Term |
|---|---|
| D003141 | Communicable Diseases |
| ID | Term |
|---|---|
| D007239 | Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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