Evaluación clínica y microbiológica usando tres técnicas de eliminación de tejido cariado

Maria Lorena  Cardoso; Patricia Noemi Goicoechea; Gustavo Giusiano

doi:10.47990/alop.v13i1.523

Autores

Maria Lorena Cardoso Universidad Nacional del Nordeste https://orcid.org/0000-0002-0909-0693
Patricia Noemi Goicoechea
Gustavo Giusiano https://orcid.org/0000-0003-4696-4158

DOI:

https://doi.org/10.47990/alop.v13i1.523

Palavras-chave:

compostos quimicos, carie dentaria, resultado do tratamento, instrumentação

Resumo

Objetivo. Este estudo pretende comparar a eficácia clínica e microbiológica de três técnicas para a eliminação do tecido cariado, em crianças dos 4 aos 8 anos. Materiais e Método. Cinquenta e sete dentes decíduos foram analisados. Grupo I: técnica tradicional (19 dentes), Grupo II: Brix (18 dentes), Grupo III: Papacarie (20 dentes). Os dados para avaliação clínica (necessidade de anestesia e tempo de execução) foram registrados em cada anamnese. Antes e após o procedimento operatório, foram retiradas amostras da lesão cariosa com microbrush estéril, transportadas em tioglicolato para análise quantitativa do total de bactérias presentes por mililitro, utilizando culturas de ágar sangue (base Columbia). A informaçâo foi tabulada e analisada estatisticamente por meio do Analize da Varianza, testes de Tukey e do Qui-Quadrado, estabelecendo-se p≤0.05 como critério de significância. Resultados. A diferença na cantidade de bactérias entre o grupo I (41.22 ± 4.45), II e III (65.96 ± 4.33, 83.45 ± 4.57), revelou que o grupo I foi menos eficaz. Os grupos II e III não necessitaram do uso de anestesia, sendo a diferença significativa no grupo de pré-escolares (4 e 5 anos). O tempo de execução de cada técnica foi mais rápido no grupo I (2.12 min ± 0.15) p˂0.0001. Conclusão. As técnicas que utilizam algum agente químico permitem uma maior eliminação de bactérias durante a remoção do tecido cariado, sem recorrer à anestesia, podendo ser recomendadas como alternativa ao tratamento tradicional, especialmente em crianças pequenas.

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