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Chemo-mechanical and photodynamic approach in A deep dental cavity: A case report

机译：深牙腔中的化学机械和光动力学方法：案例报告

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Aim: To test a chemical-mechanical method and antimicrobial photodynamic therapy (a-PDT) in combination to manage a deep dental carious lesion in a permanent molar pediatric patient.Background: Due to specific characteristics of early-erupted teeth, as first permanent lower molars, techniques that provide less invasive tissue removal aiming keep healthy tooth parts, such as pulp tissue, are desired. Furthermore, especially to children, provide comfort, less noise and vibration are important issues that should be considered on the management of deep caries.Case description: The following case report presents an association of Papacarie Duo (R) (PD) and a-PDT used in a 9-year-old patient with a deep dental caries in the mandibular right first molar. After PD application, the carious tissue was carefully removed with the cavity stained for 1 min with rose bengal solution, irradiated with a high intensity LED constituting the a-PDT technique, and definitively restored with composite resin. At 6 months of follow-up, no signs of caries were verified, showing success to applied techniques. A microbiological evaluation attested the antimicrobial effects of the alternative procedures.Conclusion: Although it reached optimal clinical and bacterial reduction outcomes, the approach demonstrated an excessive length of time taken for the management of carious lesion.Clinical significance: The use of new technologies should be encouraged, especially when treating deep caries aiming for a less invasive approach.
机译：目的：测试化学机械方法和抗微生物光动力治疗（A-PDT），组合以管理永久磨牙小儿患者的深层龋齿病变。返回地：由于早期牙齿的特异性特征，至第一个永久性臼齿，提供旨在保持旨在保持健康齿部（例如纸浆组织）的侵入性组织去除的技术。此外，特别是对儿童提供舒适性，噪音和振动较少是应考虑的深刻龋齿的重要问题。Case描述：以下案例报告呈现Papacarie Duo（R）（PD）和A-PDT协会用于一名9岁的患者，在下颌右侧有一个深深的龋齿。在PD施用之后，用玫瑰孟加拉溶液染色1分钟的腔体小心地除去龋齿，用构成A-PDT技术的高强度LED照射，并明确地用复合树脂恢复。在6个月的后续行动中，没有核实龋齿，表现出应用技术的成功。微生物评估证明了替代方法的抗微生物作用。结论：虽然它达到了最佳的临床和细菌还原结果，但该方法展示了龋齿病变管理的过度时间。临床意义：应该使用新技术鼓励，特别是在治疗深深龋齿时，旨在侵入较少的侵入方法。

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