The use of papain gel associated with the atraumatic restorative treatment in childhood: clinical case reporting

The childhood restorative dental treatment presents difficulties, which can be diminished by the use of chemomechanical caries removal method by reducing the use of anesthesia and rotatory instruments. The aim of this study is to report the clinical case of a 27 months patient subjected to chemomechanical caries removal method of 85 tooth 85, which presented medium lesion depth. The procedure was performed using papain gel chemomechanical caries removal method (Papacarie ®) and the cavities were restored using the atraumatic restorative treatment, with glass ionomer cement. It took 6 applications of 1 minute and 30 seconds of gel, without need for anesthesia. However the use of rotatory instruments was necessary for cavity assessment resulting in worst child behavior. Taking into consideration the presented clinical case the application of papain gel associated with atraumatic restorative treatment seems to be a good alternative for childhood restorative treatment, since children’s discomfort decreased, resulting in positive behavior. On the other hand it took a long clinical time and the use of rotatory instruments was necessary for cavity access and these factors seem to negatively interfere on child’s behavior. DESCRITORES: Cárie Dentária; Dente decíduo; Preparo da

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