Thirty human molars were bisected through occlusal carious lesions into two equal halves. Dental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth tissues. Chemomechanical caries removal method versus mechanical. Many chemomechanical caries removal cmcr agents have. Pdf current update of chemomechanical caries removal. In essence, the technique involved applying a solution onto the decayed dentinal tissue, allowing it to soften it, and, finally, scraping it off with blunt hand instruments. Chemomechanical caries removal for children irena balciuniene, ruta sabalaite, inga juskiene summary pain is still an actual problem in dentistry, and a usage of anaesthetics can be still limited, so new ways of caries treatment are still being searched in order to ease this process both to a patient and a doctor. Patient treated with cariecare gel experienced significantly comfort score 1 p caries removal.
Pdf effect of chemomechanical caries removal on bonding. Pain score during chemomechanical method of caries removal was 1. Conservative caries removal has become an integral part of minimally invasive dentistry mid. Chemomechanical caries removal involves the application of a solution that selectively softens the carious dentine, thus facilitating its removal. Polymer burs and chemomechanical caries removal are two feasible methods of mid. Chemomechanical caries removal system is part of the minimal invasive dentistry. Chemomechanical caries removal cmcr is a noninvasive technique eliminating infected dentine via. This paper proposes the use of a papainbased gel for the removal of active caries with infected tissue followed by a glass ionomer restoration in an adolescent patient. The available data has prompted the introduction of the chemomechanical approach as an acceptable alternative for caries removal especially at the time of treating fear. In children, caries removal by means of conventional rotary instruments is often. The different concepts in caries removal 1ozone therapy 2air abrasion technique 3 chemomechanical caries removal 4smart bur 5stepwise excavation 6use of laser in tooth preparation 7use of ultrasonic in tooth preparation 6. Chemomechanical caries removal is an effective alternative to the traditional rotary drilling method.
Current update of chemomechanical caries removal methods. Efficacy of new chemomechanical caries removal agent. This article is from international journal of clinical pediatric dentistry, volume 7. Intergroup comparison of time taken for caries removal, the efficacy of caries removal and patient acceptance by cariecare in community settings group 3 and art in community settings group 4 was made to find out better method of treatment among chemomechanical and mechanical methods of caries excavation. Chemomechanical caries removal, introduced almost three decades ago, was claimed to be a non. The objective of this study was to assess and compare the efficacy of polymer bur and chemomechanical caries removal agent clinically and microbiologically for selective removal of. Efficacy of chemomechanical caries removal with carisolv. Pdf current update of chemomechanical caries removal methods. An alternative method to conventional caries removal techniques is the use of chemomechanical techniques which will make the child cooperative to the dental treatment as this technique is free of sensitivity or pain 1, 2, 3.
Chemomechanical versus drilling methods for caries removal. The chemomechanical caries removal technique was effective in removing 90100% of decayed dentine in 98% of the cavities treated. A significant difference was observed in relation to the microbiological scores before and after caries removal for all methods wilcoxon test. Pdf chemomechanical caries removal cmcr is a noninvasive technique.
As possible alternatives to conventional techniques of caries removal, chemomechanical caries removal systems have emerged. The aims of this in vitro study were both to determine the time necessary for removal of carious dentin efficiency and the knoop hardness number khn of the remaining dentin effectiveness, using a chemomechanical method carisolv or hand excavation. It has been more than 10 years since the chemomechanical caries removal method5,10,11 was reported and several changes have occurred to improve its usefulness. In the last decade, several chemomechanical caries removal agents have been removed from the market or beenimproved. Out of these, air abrasion, sono abrasion, ultrasonic instrumentation, lasers are found to be costly and tooth. Chemomechanical caries removal is an excellent method for minimally invasive caries excavation, and the removal agents are either sodium hypochlorite naocl or enzymebased. This study aims to clinically observe the advantages of chemomechanical method of caries removal. Chemomechanical caries removal cmcr agents are an alternative method to conventional drill. Dental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth structures.
Chemomechanical caries removal in primary teeth in a group of anxious children. Due to the shortcomings of the drill, alternative techniques like air abrasion, ultrasonic instrumentation, lasers and chemomechanical approach to caries removal were developed. Clinical and microbiological analysis of mechanical and. Chemomechanical caries removal cmcr methods involve the selective removal of the carious dentine hence it avoided the painful removal of the sound dentine and the anxiety resulted due to the. Cariecare, a new chemomechanical caries removal agent could be an effective caries removal method for the treatment of patients seeking an alternative to conventional methods. Chemomechanical caries removal in primary teeth in a group. The purpose of this controlled clinical trial was to compare the working time for caries removal in primary teeth, the need for local anesthesia and patient cooperation, when the chemomechanical carisolv or the conventional mechanical method were used. Studies by ericson, banerjee and fure showed that chemomechanical caries removal was as effective as the bur in caries removal. Chemomechanical caries removal cmcr is a noninvasive technique eliminating infected dentine via a chemical agent. Multiple regression adjusted access and caries removal time to account for volume of caries removed. Evaluation of the methodologies used in clinical trials.
The sample consisted of primary teeth of children who had occlusal or buccal carious lesions into dentin. Chemo mechanical caries removal cmcr is an effective alternative method of caries removal as they cause less pain, discomfort and less demand of anesthesia when compared with conventionalcaries removal. Efficacy of chemomechanical caries removal in reducing. Abstract chemomechanical caries removal is an excellent method for minimally invasive caries excavation, and the removal agents are either. Effectiveness of chemomechanical caries removal agents. The naoclbased agents include gk101, gk101e caridex and carisolv, and the enzymebased agents include papacarie. This study was designed as a splitmouth, randomized controlled trial with three treatments being compared in the same subject. Caries removal time the average time for complete caries removal in the cmcr group was 3.
The development as well as the clinical and laboratory assessment of the chemomechanical caries removal systems is also presented. A comparative study of the clinical efficiency of chemomechanical. To evaluate the sealing performance of selfetch adhesives sea after smear layer deproteinization with chemomechanical caries removal agents cra to enamel and dentin cavity walls in comparison with 6% naocl smear layer deproteinizing. Chemomechanical caries removal cmcr is a minimally invasive. Rampant caries and chemico machanical removal of caries. To evaluate and compare the efficacy and acceptability of a papain based chemomechanical caries removal gel, cariecare, against carisolv gel and conventional airrotor cavity preparation. The authors investigated the effectiveness of chemomechanical caries removal cmcr compared with the traditional method tm of caries removal using a.
Citeseerx document details isaac councill, lee giles, pradeep teregowda. Evaluation of the methodologies used in clinical trials and effectiveness of chemomechanical caries removal with carisolvtm. Chemomechanical caries removala clinical evaluation. The aim of the present study was to evaluate the effect of carisolvtm chemomechanical excavation on caries removal and residual cariogenic bacteria as. In cariousfree samples, the teeth were decoronated at the level of cemento enamel junction. A group of 20 patients, aged between 4 and 10 years with a high level of dental anxiety was selected. Chemomechanical caries removal cmcr is a minimally invasive technique of eliminating infected dentin using specific chemical agents and hand instruments. The chemomechanical caries removal cmcr technique stands out among other alternative methods as it is a nonaggresive excavation method which uses a chemical gel that is said to remove only the infected dentine where collagen is degraded, maintaining the demineralized portion that is capable of being remineralized and repaired.
This is a method of caries removal based on dissolution. Viability of intratubular bacteria after chemomechanical caries removal. Evaluation of the efficiency and effectiveness of three. Chemomechanical removal of caries in an adolescent. Chemo mechanical caries removal systems have been introduced over the conventional techniques of caries removal as one of the possible alternative.
Efficacy of chemomechanical caries removal in reducing cariogenic microbiota. Efficacy of new chemomechanical caries removal agent compared with conventional method in. Caries removal, carisolv, chemomechanical, dental caries, pain perception, rotary drill. Chemomechanical caries removal in children request pdf. Chemomechanical method for caries removal was introduced thirty years ago as an alternative to the conventional mechanical instruments. The method of caries removal is based on chemical dissolution. Chemomechanical caries removal was introduced to dentistry as an alternative to conventional drilling methods which was the most frequently used method for caries removal. Effect of two different chemomechanical caries removal agents on. Chemomechanical caries removal is primarily indicated to overcome the inconvenience of using burs and local anesthesia, hence preserving healthy dental structure and causing less discomfort to patients. Effect of chemomechanical excavation carisolv t m on. The mean times for caries removal by the mechanical and chemomechanical treatments were not statistically significantly different p 0. Pdf chemomechanical caries removal in primary teeth in a.
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