Clinical effect of Carisolv Ⅲ chemomechanical caries removal combined with glass ionomer cement for transi-tional filling repair in the treatment of severe early childhood caries

XU Long-bo; LIU Zhi-yong; SUN Qi-juan; XIONG Shi-jiang

doi:10.19538/j.kq.2024.04.008

Abstract：Objective To investigate the clinical efficacy of Carisolv Ⅲ chemomechanical caries removal combined with glass ionomer cement(GIC)in transitional filling repair technology for severe early childhood caries(SECC).Methods Totally 106 children with SECC(176 teeth)who visited the Department of Pediatric Stomatology of Jining Stomatological Hospital from June 2021 to June 2022 were selected.According to the random number table method,all children were di-vided into 4 groups,and according to the caries removal method(Carisolv Ⅲ chemomechanical caries removal,turbine caries removal)and filling method(GIC filling,composite resin filling),they were recorded as follows:chemical caries re-moval+GIC group(27 cases,46 teeth),chemical caries removal+resin group(27 cases,48 teeth),turbine caries removal+resin group(26 cases,40 teeth),and turbine caries removal+GIC group(26 cases,42 teeth).A self-made emotional eval-uation scale for children was used to compare the propor-tion of children with poor emotions in each group.Com-pare the success rates of each group at 3,6,and 12 months after treatment,as well as the occurrence of filling fracture or falling off and secondary caries at 12 months af-ter treatment.Results The proportion of children with poor emotions in the four groups was statistically different(x2=10.638,P=0.014),and the proportion of children with poor emotions in the chemical caries removal+GIC group(29.6％)was significantly lower than that in the turbine caries removal+resin group(69.2％)(x2=8.312,P=0.0039).After 3,6,and 12 months of treatment,the success rates of the four groups were compared,and the difference was not statistically significant(all P＞0.05).After 12 months of treatment,there was a statistically significant difference in the incidence of fracture or falling off of filling materials and secondary caries among the four groups(all P＜0.05).Among them,com-pared to the chemical caries removal+resin group(0.0％),the chemical caries removal+GIC group(15.2％)had a higher incidence of filling fracture or falling off;compared to the turbine caries removal+resin group(25.0％),the chemical car-ies removal+GIC group(4.3％)had a lower incidence of secondary caries(all P＜0.0083).Conclusion For children with SECC,Carisolv Ⅲ chemomechanical caries removal combined with GIC for transitional filling repair has good clini-cal efficacy.Compared to traditional turbine caries removal combined with resin filling,it can improve the emotional con-trol ability of children and reduce the risk of secondary caries.However,when applied to Class I deep caries involving the buccal and lingual surfaces,it is prone to the fracture or partial falling off of the filling material.