Chemomechanical caries removal in children: efficacy and efficiency.
BACKGROUND
The authors investigated the effectiveness of chemomechanical caries removal (CMCR) compared with the traditional method (TM) of caries removal using a round bur when treating dentinal-depth occlusal lesions with minimal enamel access in primary molars. The authors also compare CMCR with TM to determine if it had a higher efficacy and could be used more frequently without the subject's having to undergo local anesthesia.


METHODS
The authors collected data from 50 children during operative appointments at which caries was removed using one of the two methods.


RESULTS
Complete caries removal within 15 minutes was achieved in only 57.7 percent of the CMCR-treated teeth. In 42.3 percent of these teeth, residual caries was removed using TM. CMCR was almost eight times more time-consuming than was TM when used to excavate dentinal-depth occlusal lesions with minimal cavitation. There was no significant difference between CMCR and TM in the number of subjects who needed to undergo local anesthesia.


CONCLUSIONS
The authors found no direct clinical advantage in using CMCR over using TM for treating occlusal dentinal lesions with minimal cavitation in pediatric patients.
Peters
Mathilde C
MC
Department of Cardiology and Restorative Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Michigan 48109-1078, USA. mcpete@umich.edu
Flamenbaum
Michael H
MH
Eboda
Nnenna N
NN
Feigal
Robert J
RJ
Inglehart
Marita R
MR
D017438:Bisphenol A-Glycidyl Methacrylate; D002648:Child; D019140:Dental Care for Children / Q000379:methods*; D003731:Dental Caries / Q000628:therapy*; D003737:Dental Cavity Preparation / Q000379:methods*; D003755:Dental High-Speed Technique; D003793:Dental Restoration, Permanent / Q000379:methods; D003804:Dentin / Q000473:pathology; D005260:Female; D018698:Glutamic Acid / Q000627:therapeutic use*; D006801:Humans; D007930:Leucine / Q000627:therapeutic use*; D008239:Lysine / Q000627:therapeutic use*; D008297:Male; D008963:Molar; D011446:Prospective Studies; D013997:Time Factors; D014094:Tooth, Deciduous
C119934:Carisolv; C115612:single bond; D018698:Glutamic Acid; D017438:Bisphenol A-Glycidyl Methacrylate; D007930:Leucine; D008239:Lysine