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J Am Dent Assoc, Vol 137, No 12, 1658-1666. © 2006 American Dental Association

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JADA Continuing Education

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.

Key Words: Dental restoration; pediatric dentistry; carious lesions; caries; dental cavity preparation

This article has been cited by other articles:

				M. R. Inglehart, M. C. Peters, M. H. Flamenbaum, N. N. Eboda, and R. J. Feigal Chemomechanical caries removal in children: An operator's and pediatric patients' responses J Am Dent Assoc, January 1, 2007; 138(1): 47 - 55. [Abstract] [Full Text] [PDF]