Metrics details Key Points Chemochemical caries removal involves the selective removal of carious dentine. The reagent is prepared by mixing solutions of amino acids and sodium hydrochlorite. Reagents for the procedure were originally marketed as a solution known as Caridex. More recently, a similar system in the form of a gel has been marketed as Carisolv.

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As possible alternatives to conventional techniques of caries removal, chemomechanical caries removal systems have emerged. This study aims to clinically observe the advantages of chemomechanical method of caries removal over conventional technique. Materials and Methods: Inthis randomized controlled trial a total of 60 children with Class 1 open carious lesions were selected for the study. They were divided into two equal groups according to a method of caries removal 30 chemomechanical and 30 conventional on permanent molars.

In Group A, caries was removed using the Carie-Care system and in Group B with the conventional drill and were restored equally with glass ionomer cement. The visual analogy face scale was used to determine the level of anxiety in children at baseline, during treatment and after treatment. It showed that though chemomechanical technique took a marginal increase in time compared to the conventional technique, it was found to be more comfortable for all the children.

Conclusion: Chemomechanical technique though time-consuming is definitely superior compared to the conventional technique provided we use a less technique sensitive restorative material which retains in the oral cavity for longer period. It is definitely a better treatment protocol in school-based dental treatment and atraumatic restorative dentistry compared to the conventional technique.

A comparative study of the clinical efficiency of chemomechanical caries removal using Carie-Care gel for permanent teeth of children of age group of 12—15 years with that of conventional drilling method: A randomized controlled trial. The main disadvantages of the traditional rotary drills are perception of patients is unpleasant, requirement of local anesthesia, damaging thermal effects, resulting in excessive loss of sound tooth tissue, and drilling can cause pressure effects on the pulp which causes aversion in many patients, especially in children.

Instilling a positive behavior toward dental care has become increasingly significant. Chemomechanical caries removal CMCR agents are an alternative method to conventional drill. It involves chemical softening of carious dentin followed by gentle excavation to eliminate the outermost portion infected dentin leaving behind the affected demineralized dentin that can be remineralized and repaired.

The concept of conserving healthy tooth structures and atraumatic restorative treatment during cavity preparation is minimal invasive dentistry giving comfort, solace, and instilling a positive attitude toward dental treatment, which justifies the specialty of public health dentistry.

Carious material removal was thus facilitated. The main advantage of this method is that it does not require complete patient cooperation. Carie-Care has been locally introduced as its main active ingredient from papaya extract an endoprotein, chloramines, and dye. Papain, a papaya extract has antibacterial and anti-inflammatory properties [4] , [5] , [6] and also acts as a debris-removing agent.

It does not harm healthy tissues and promotes tissue healing and acts only on carious tissue, which lacks plasmatic protease inhibitor alphaantitrypsin; its proteolytic action is inhibited on healthy tissue because healthy tissue contains this substance. This helps in disruption of collagen structure, dissolves hydrogen bonds, and helps in tissue removal.

Sodium methylparaben is used as a preservative. The preparation also contains explicit gelling agent in accurate percentage to give exact consistency to the gel so that when applied there is no spill over. The main agents in all these existing gels used in chemomechanical caries removal consist of a mixture of sodium hypochlorite and three amino acids lysine, leucine, and glutamic acid in a gel preparation.

It softens the carious dentine which is then hand excavated and claims that it will not affect the underneath healthy affected dentine. Carie-Care not only softens-infected dentine but also gives the additional advantage of anti-inflammatory activity and aroma. Carie-Care is applied directly onto the tooth having caries by means of a disposable applicator tip; soon gel changes the color in the affected area.

After 1 min, the gel along with dissolved caries is removed by means of a sharp spoon excavator. The aim of the study was to compare the clinical efficiency of CMCR using Carie-Care gel with that of conventional drilling method CDM in permanent molars of children aged 12—15 years. Informed consent was obtained from both individuals and their parents before the commencement of the procedure. A pilot study was designed and carried out to check the feasibility of the study among five patients in the age group of 12—15 years and for the estimation of sample size for the main research in the same institute.

The study population comprised of 60 children which were divided into two Group A and Group B. Each group consisted of 30 students. A total of 78 individuals in the age group ranging between 12 and 15 years were screened from the institute, and those fulfilling the inclusion criteria were selected for the study. Thus, a sample ofsixty individuals was obtained who fulfilled all the inclusion criteria of the study.

Inclusion criteria Single open carious lesions with dentin involvement, but not involving the pulp The access of the carious lesion has to be large enough to allow the penetration of the excavator Asymptomatic vital teeth, without clinical evidence of pulp, furcation, or periapical pathology. Exclusion criteria.


Chemochemical caries removal: a review of the techniques and latest developments

Karthik Venkataraghavan. Sanand, Ahmedabad — Email: ni. Copyright J. Abstract The invention and application of engine driven or rotary instruments in operative treatment of carious lesions has resulted in removal of considerable toothe structure. However, with the introduction of adhesive materials for restorations, and the advent of minimal cavity design this principle has been challenged and is now considered to be too destructive to the tooth structure during caries removal. A number of techniques are available for cutting tooth tissue.


Ghanashyam Prasad Email: moc. This article has been cited by other articles in PMC. Abstract Objective: To compare the effectiveness of various caries removal techniques in mandibular primary molars using Smart Burs, atraumatic restorative technique ART mechanical caries removal and Carie-care chemomechanical caries removal [CMCR] among primary school children in clinical and community-based settings. Materials and Methods: A total of 80 carious primary mandibular molars were selected for the study from the dental clinic and community.





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