Journal of AdvancedMedical and Dental Sciences Research

Background- Painless dentistry, minimising fear, minimal intervention and instilling positive dental attitude are some of the factors justifying the speciality of pediatric dentistry. Caries excavation using Carie-Care, Polymer bur are two such minimally-invasive approaches. Recently, a drill-free approach Silver-Diamine-Fluoride (SDF) has been introduced in the practice of MID for arrest of carious lesion. Aim-To compare two contemporary stratagies- ‘Less Invasive Approach’(polymer bur/Carie-Care) and‘Only Arrest and No Excavation Approach’( SDF). Method and Materials- 45-primary molars were randomly divided into 2 groups- Group1 (Less Invasive Approach, LIA) included polymer bur and Carie-Care with 15 samples each, and Group2 (Only Arrest and No Excavation Approach, OAANEA) included SDF with 15 samples. Statistical analysis: The data obtained was subjected to statistical-analysis using Chi-square test. Results- In primary outcome, both the LIA and OAANEA groups were found to be-painless with SDF taking the lead. In secondary outcome, on comparison between-Group1A and Group1B, Carie-Care showed-significant reduction in pain (p<0.05) and better-caries removal efficacy though statistically insignificant. Conclusion- Both the LIA and OAANEA groups were found to be effective for pediatric patients. Carie-Care was found to be more effective than polymer burs in terms of pain experienced during operative procedures and caries removal efficacy. SDF application was reported to be easy and painfree as well as well accepted by the parents. At the end of 3 months all the samples were asymptomatic clinically.