Dental Caries Clinical Trial
Official title:
Effect of Photodynamic Therapy With Low-level Laser on Infected Dentin in Primary Teeth: A Controlled Clinical Trial
The aim of the proposed study is to assess the clinical effect of photodynamic therapy (PDT) on dentin with carious lesions in primary teeth. Patients with primary molars exhibiting deep carious lesions on the occlusal surface indicated for restorative treatment will be randomly allocated to three groups: Group 1 - traditional caries removal with a low-speed drill; Group 2 - PDT + PapaMblue (carious tissue removal agent) modified with methylene blue; and Group 3 - PDT with methylene blue 0.05%. PDT will be performed with low-level laser for the treatment of the carious tissue. Dentin samples will be removed before and after PDT for microbiological analysis. The microbiological samples will be cultured in Brucella blood agar, Mitis Salibarius-bacitracin agar and Rogosa SL agar. The teeth will then be restored using high-viscosity glass ionomer cement, with clinical and radiographic follow up at six, 12 and 24 months. The data will be submitted to descriptive statistics.
The groups of study (Group 1)- Conventional caries removal with low-speed drill (Group 2)-
PDT combined with PapaMblue (Group 3)- PDT combined with methylene blue
The data in descriptive statistics will be used The chi-squared test and Fisher's exact test
will be used for the comparison of categorical variables (age and gender). The Student's
t-test and analysis of variance will be used for the comparison of signs and symptoms of
reversible pulpitis. Pearson's correlation coefficients will be calculated to determine the
strength of correlations among the continuous variables.
;
Allocation: Randomized, Endpoint Classification: Bio-availability Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Caregiver, Outcomes Assessor), Primary Purpose: Treatment
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