Effectiveness of caries removal using papain compared to other caries removal techniques - literature review

Authors

DOI:

https://doi.org/10.59471/ijhsc2024.176

Keywords:

Papain, caries, papacarie, minimally invasive techniques

Abstract

Dental caries is a chronic transmissible bacterial infection that causes the destruction of dental tissues. Over the years, different research has been carried out on the methodology used for the elimination of caries, even though it can be prevented, it is considered a public health problem. This paper will analyze the information gathered on the efficacy of caries removal using papain compared to other atraumatic removal techniques (ART). In addition, advantages and disadvantages of each method, treatment time, pain experience, acceptability of this treatment in patients, and caries removal effectiveness will be shown. Finally, the results found in this literature review indicate that although the treatment time is twice as long using papain gel ART compared to other ART techniques, the benefits are more rewarding. On the other hand, some studies showed that most of the patients presented significantly less pain and the risk of pulp exposure has been reduced without damaging healthy tissue, which makes papain gel an excellent and effective ally for caries removal.

References

Morales Miranda L, Gómez González W. Caries dental y sus consecuencias clínicas relacionadas al impacto en la calidad de vida de preescolares de una escuela estatal. Revista Estomatológica Herediana. 2019; 29(1): p. 58-65.

Basso M. Conceptos actualizados en cariología. Rev Asoc Odontol Argent. 2019; 107(1): p. 56-60.

Carillo Sánchez C. Recursos actuales en el diagnóstico de caries. Revista ADM. 2018; 75(6).

ElEmbaby A. Can Dental Caries Be Treated? IntechOpen Journals. 2018.

Cubero Santos A, Lorido Cano I, González Huéscar A, Ferrer García M, Dolores Zapata M, Ambel Sánchez J. Prevalencia de caries dental en escolares de educación infantil de una zona de salud con nivel socioeconómico bajo. Pediatría Atención Primaria. 2019; 21(82).

Velasco M. Tratamiento quimico-mecánico de la caries dental. UNCuyo. 2019; 13(1).

Machiulskiene V, Campus G, Carvalho J, Dige I, Ekstrand K, Jablonski A, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res. 2020; 54(1).

Ming Wong H. Childhood Caries Management. Int J Environ Res Public Health. 2022; 19(14).

Cabalén M, Molina G, Bono A, Burrow M. Nonrestorative Caries Treatment: A Systematic Review Update. Int Dent J. 2022; 72(6).

Fronza L, Schmitz M, Porn J, García E, Bussadori S, Hilgenberg S. Remoción quimica-mecánica del tejido cariado en dientes permanentes: reporte de caso clínico. Revista Estomatológica Herediana. 2017; 27(2).

Wakhloo T, Gosla S, Sharma S, Chug A, Dixit A, Thankur K. Silver Diamine Fluoride Versus Atraumatic Restorative Treatment in Pediatric Dental Caries Management: A Systematic Review and Meta-analysis. J Int Soc Prev Communuity Dent. 2021; 11(4).

Desai H, Stewart C, Finer Y. Minimally Invasive Therapies for the Management of Dental Caries-A Literature Review. Dent J (Basel). 2021; 9(12).

Bermeo M, Arana D, Arana Luis , Fong M, Velasco M. Eficacia de la papaína en la remoción de dentina cariada: una revisión sistemática. Tesis de Grado. .

Reddy V, Nagar P, Reddy S, Ragulakollu R, Tirupathi S, Ravi R, et al. Bromelain vs Papain Gel for Caries Removal in Primary Teeth. J Contemp Dent Pract. 2019; 20(11).

Bastos L, Lorencetti F, Queiroz J, Manfrin M, Faccioli L, Garcia F. Effects of Papain-Based Gel Used For Caries Removal on Macrophages and Dental Pulp Cells. Braz Dent J. 2019; 30(5).

Souza T, Martins M, Tavares C, Fonseca A, Maia L. Treatment time, pain experience and acceptability of the technique for caries removal in primary teeth using the ART approach with or without Brix3000™ papain gel: a preliminary randomised controlled clinical trial. Eur Arch Paediatr Dent. 2022; 23(5): p. 63.

Jansiski L, Kalil S, Campaneli , Silva A, Almeida T, Leal C, et al. Caries removal in primary teeth using Papacarie. Evid Based Dent. 2018; 19(3): p. 319-322.

Kurek A, Dragon K, Felitti R, Baron S, Olczyk P. Propolis and Diet Rich in Polyphenols as Cariostatic Agents Reducing Accumulation of Dental Plaque. Molecules. 2022; 27(1).

Oliveira A, Teles L, Francisconi L, Pedroso G, Salata F. Dental Bleaching, Microabrasion, and Resin Infiltration: Case Report of Minimally Invasive Treatment of Enamel Hypoplasia. Int J Prosthdont. 2020; 33(1).

Sotelo E, Juarez ML, Murrieta F. Evaluación clínica de un método de remoción química de caries en odotopediatría. Revista ADM. 2019; 50(4).

Souza TF, Martins ML, Tavares Silva CM, Fonseca A, Maia LC. Treatment time, pain experience and acceptability of the technique for caries removal in primary teeth using the ART approach with or without Brix3000™ papain gel: a preliminary randomised controlled clinical trial. Eur Arch Paediatr Dent. 2022; 23(5).

Lima Santos T, Bresciani E, Souza Matos F. Comparison between conventional and chemomechanical approaches for the removal of carious dentin. Sci Rep. 2020; 10(1).

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Published

2024-12-10

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Section

Review

How to Cite

1.
Fuertes Paguay MA, González Morales AM, Copo Moposita S del R, Morales Cobos JD. Effectiveness of caries removal using papain compared to other caries removal techniques - literature review. Interamerican Journal of Health Sciences [Internet]. 2024 Dec. 10 [cited 2025 Feb. 23];4:176. Available from: https://ijhsc.uai.edu.ar/index.php/ijhsc/article/view/176