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Pain control during dental treatments is the most challenging situations that face the pediatric dentist especially in young and fearful or anxious child. Minimal invasive approach for caries removal includes many techniques to remove caries either by dental excavators, rotatory burs, atraumatic restorative treatment (ART), chemo-mechanical caries removal and smart bur.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ART | Active Comparator |
| |
| Brix 3000 | Experimental |
| |
| Carie Move | Experimental |
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| Smart Bur | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ART | Other | The restorative procedure performed in relative isolation and without the use of anesthesia consisted of removal of the carious tissue using hand instrument excavators and dentin |
| Measure | Description | Time Frame |
|---|---|---|
| pain scores | Wong-Baker Faces Pain Rating Scale (WBFPS) Presents 6 faces with increasing degrees of pain from left to right. Each face was attributed a scale from 0 to 10 indicated onthe scale. Children were asked to choose the face that best describe his or her pain. | Immediately after the intervention |
| caries removal time | The total working time required for caries removal will be recorded in minutes using a stopwatch | During procedure |
| Caries removal efficacy | The caries removal criteria: 0 Caries removed completely
| Immediately after the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient Clinic of Pediatric dentistry, Faculty of dentistry, pharos University, Egypt | Alexandria | Egypt |
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| Brix 3000 | Other | Brix 3000 gel will be applied to the caries lesion using a spoon excavator** leaving gel according to the manufacturer's instructions. After 2 minutes, the gel will turn from translucent green colour to cloudy after the gel removal. |
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| Carie Move | Other | Carie-Move gel will be applied to the caries lesion according to the manufacturer's instructions at second visit in the same child. After 30 second the gel will be removed. |
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| Smart Bur | Other | Removal of carious dentin will be carried out employing smart bur II mounted on a low-speed handpiece without water spray. Caries removal will be proceeded until the smart bur II becomes dull after repeated contact with healthy dentin (21) (figure 3) |
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