Assessing Caries Removal Efficacy and Pain Perception in Children, Using Smart Bur Versus Carbide Bur: A Randomized Clinical Study

11 January 2025 : Clinical Research

Satish Vishwanathaiah

^{ABCDEF 1*}, Prabhadevi C. Maganur

^{ABCDEF 1}, Shahad Mohammed Maafa^{BEFG 2}, Asayil Mohammed Tulays^{BEG 2}, May Mohammed Hakami^{BEG 2}, Nassreen H. Albar

^{ABCE 3}, Noura Alessa

^{ACDE 4}, Khalid Alhakami

^{ACDEF 5}, Ali Ahmed Assiry

^{ACEFG 6}, Amjad Ismail Alfaqih

^{BEG 2}, Ather Ahmed Syed

^{ACEF 1}

DOI: 10.12659/MSM.946802

Med Sci Monit 2025; 31:e946802

Introduction Material and Methods Results Discussion Conclusions References

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Table 3 Comparison of various parameters (ordinal data) during caries removal using smart and carbide burs.

SI. No	Parameters	Carbide burs[Median(Q1,Q3)]	Smart burs[Median(Q1,Q3)]	P value
1	Ericson Scale	0 (0, 0.25)	1 (0, 1)	0.047^*
2	FBRS
	Before anesthesia	3 (3, 4)	3 (3, 3.25)	0.506
	During anesthesia	2 (2, 3)	3 (3, 3)	0.059
	After anesthesia	3 (3, 3)	3 (3, 3)	0.353
3	FLACC Scale	4.5 (2, 5.25)	1 (1, 2)	<0.001^**
4	WBS
	During excavation	6 (6, 8)	2 (2, 4)	<0.001^**
	During restoration	2 (2, 2.5)	0 (0, 0.5)	<0.001^**
	At the end of treatment	0 (0, 0)	0 (0, 0)	0.573
^* Significant at 0.05 level; ^** Significant at 0.001 level. FBR – Frankel Behavior Rating scale, FLACC – Face Legs Activity Cry Consolability scale; WBS – Wong Baker Scale.

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