Citation Information :
Somkuwar JK, Ansari AA, Singh RK, Bahal R. Comparative Evaluation of BRIX3000 Smart Burs and Conventional Technique of Caries Excavation among 5–9-year-old Children: A Randomized Clinical Trial. J South Asian Assoc Pediatr Dent 2024; 7 (3):143-150.
Background: Conventional caries removal procedures often remove healthy tooth structure, and children find them challenging due to the vibrations and noise involved. Therefore, BRIX3000 and Smart Burs (SB) were introduced to preserve healthy tooth structure and reduce discomfort during caries removal.
Aim: To evaluate the time consumption, efficacy, and patient satisfaction among 5–9-year-old children during caries removal with BRIX3000, SB, and conventional diamond burs (CDB).
Materials and methods: About 54 children diagnosed with class I cavitated carious lesions were included in the study and randomized into three groups: BRIX3000, SB, and CDB. The study evaluated efficiency (working time), efficacy (presence of residual caries confirmed with caries detector dye), and patient satisfaction using the Face, Legs, Activity, Cry, Consolability (FLACC) scale. Statistical analysis was performed using SPSS version 20.0 statistical software.
Results: For optimal performance, CDB demonstrated the highest efficiency and efficacy, followed by BRIX3000, with no statistically significant difference (p > 0.05). Conversely, SB showed the lowest efficiency and efficacy, which was statistically significant (p < 0.05). Regarding patient satisfaction, BRIX3000 was perceived as the most satisfactory, followed by SB, whereas CDB was rated the least satisfactory (p < 0.05).
Conclusion: All three treatment modalities removed infected caries effectively; however, BRIX3000 proved to be potentially effective in minimally invasive caries excavation and was more comfortable for children compared to SB and CDB.
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