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J Am Dent Assoc, Vol 138, No 1, 47-55.
© 2007 American Dental Association
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CLINICAL PRACTICE

JADA Continuing Education

Chemomechanical caries removal in children

An operator’s and pediatric patients’ responses



Marita R. Inglehart, Dr. Phil Habil, Mathilde C. Peters, DMD, PhD, Michael H. Flamenbaum, DMD, MS, Nnenna N. Eboda, DDS, MS and Robert J. Feigal, DDS, PhD

Background. This study investigated an operator’s and pediatric patients’ responses to chemo-mechanical caries removal (CMCR) versus the traditional method (TM) of caries removal using a handpiece and a round bur when treating dentinal-depth occlusal lesions with minimal enamel access in primary molars.

Methods. Data were collected from 50 children at baseline and before, during and after caries removal using CMCR or TM. The subjects in the CMCR group were on average younger than the subjects in the TM group and had more deep lesions.

Results. The operator rated CMCR as needing more clinical and technical effort and more total effort than TM. He was less satisfied with CMCR than with TM. Subjects in the CMCR group perceived the time needed for treatment as significantly longer than did the subjects in the TM group. Fear of the dentist decreased in subjects in the TM group from before to after the operative appointment, while it increased in subjects in the CMCR group.

Conclusions. The authors found no direct advantage in using CMCR over using TM.

Clinical Implications. CMCR cannot be recommended as an alternative to TM when treating dentinal depth occlusal lesions with minimal access in primary molars.

Key Words: Behavioral sciences; anxiety; pain; pediatric dentistry; caries

Abbreviations: CMCR: Chemomechanical caries removal • IRB: Institutional review board • SD: Standard deviation • TM: Traditional method






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