International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 8 , ISSUE 1 ( January-April, 2015 ) > List of Articles


Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients

Swati Chowdhry, Aarti Garg, Preet Chowdhry

Keywords : Chemomechanical caries removal, Clinical efficacy, Microbiological assessment, Patient acceptability

Citation Information : Chowdhry S, Garg A, Chowdhry P. Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients. Int J Clin Pediatr Dent 2015; 8 (1):6-11.

DOI: 10.5005/jp-journals-10005-1275

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2015; The Author(s).


Aims: To compare the three different methods of caries removal, conventional method using Airotor and chemomechanical method using Carisolv and Papacarie. Settings and design: The patients with multiple carious teeth were selected either in the deciduous dentition or mixed dentition. Ninety primary molars were selected from 30 children (10 males and 20 females) between the age group 6 and 9 years. Materials and methods: After caries excavation, cavities were evaluated for caries removal or clinical efficacy by the tactile and visual criteria, microbiological efficacy, time taken for the procedure. Patient acceptability toward the treatment was also checked with the help of a visual analog scale (VAS). The observations thus obtained were subjected to statistical analysis using analysis of variance (ANOVA), Mann-Whitney U-test and Kruskal-Wallis test. Results: The clinical efficacy of caries removal was highest with Airotor while the microbiological efficacy of caries removal was almost comparable with Airotor, Carisolv and Papacarie caries removal methods. The time taken to remove caries by Airotor method was observed to be least while the patient acceptance was found to be highest with Papacarie method. How to cite this article: Chowdhry S, Saha S, Samadi F, Jaiswal JN, Garg A, Chowdhry P. Recent vs Conventional Methods of Caries Removal: A Comparative in vivo Study in Pediatric Patients. Int J Clin Pediatr Dent 2015;8(1):6-11.

PDF Share
  1. Edelstein BL. The dental caries pandemic and disparities problem. J Oral Health 2006;6(Suppl 1):S2.
  2. Correa FN, Rocha RD, Filho LE. Chemical versus conventional caries removal techniques in primary teeth: a microhardness study. J Pediat Dentist 2007;31(3):187-192.
  3. Bussadori SK, Castro LC, Galvão AC. Papain gel: a new chemomechanical caries removal agent. J Clinical Pediat Dentist 2005;30(2):115-119.
  4. Munshi AK, Hegde AM, Shetty PK. Clinical evaluation of Carisolv in the chemomechanical removal of carious dentin. J Clin Pediat Dentist 2001;26(1):49-54.
  5. Ericson D, Zimmerman M, Raber H, Gotrick B, Bornstein R, Thorell J. Clinical evaluation of efficacy and safety of a new method of chemomechanical removal of caries: a multi centre study. Caries Res 1999;33(3):171-177.
  6. Tolia V, Han C, North JD, Amer F. Taste comparisons for Lasoprazole strawberry flavoured delayed release orally disintegration tablet and Ranitidine Peppermint flavoured syrup in children. Clinical Drug Investigation 2005;25(5): 285-292.
  7. Banerjee A, Watson TF, Kidd EAM. Dentine caries excavation: A review of current clinical techniques. Br Dent J 2000;188(5):476-482.
  8. Maragakis GM, Hahn P, Hellwig E. Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients. Caries Res 2001;35(3):205-210.
  9. Yazici AR, Atilla P, Ozgunaltay G, Muftuoglu S. In vitro comparison of the efficacy of Carisolv and conventional rotary instrument in caries removal. J Oral Rehabil 2003; 30(12):1177-1182.
  10. Peters MC, Flamenbaum MH. Chemomechanical caries removal in children: efficacy and efficiency. J Am Dent Assoc 2006;137:1658-1666.
  11. Fure S, Lingstrom P, Birkhed D. Evaluation of carisolv for the chemomechanical removal of primary root caries in vivo. Caries Res 2000;34(3):275-280.
  12. Azrak B, Callaway A, Grundheber A, Stender E, Willershausen B. Comparison of the efficacy of chemomechanical caries removal (Carisolv) with that of conventional excavation in reducing the cariogenic flora. Int J Pediat Dent 2004;14(6): 182-191.
  13. Sterer N, Shavvit L, Lipovetsky M, Haramaty O. Effect of chemomechanical excavation (Carisolv) on residual cariogenic bacteria. J Minimal Intervention Dentist 2007;9:64-72.
  14. Subramaniam P, Babu KL. Comparison of the antimicrobial efficacy of chemomechanical caries removal (Carisolv) with that of conventional drilling in reducing cariogenic flora. J Clin Pediat Dentist 2008;32(3):215-220.
  15. Dawkins G, Hewitt H, Wint Y, Obiefuna PC, Wint B. Antibacterial effects of carica papaya fruit on common wound organisms. West Indian Med J 2003;52(4):290-292.
  16. Motta LJ, Martins, Porta KP, Bussadori SK. Aesthetic restoration of deciduous anterior teeth after removal of carious tissue with Papacarie. Ind J Dent Res 2009;20(1):117-120.
  17. Jawa D, Sigh S, Somani R, Jaidka S, Sirkar K, Jaidka R. Comparative evaluation of the efficacy of chemomechanical caries removal agent (Papacarie) and conventional method of caries removal: an in vitro study. J Ind Soc Pedodont 2010; 28(2):73-77.
  18. Ansari G, Beelay JA, Fung DE. Chemomechanical caries removal in primary teeth in a group of anxious children. J Oral Rehabil 2003;30:773-779.
  19. Rafique S, Fiske J, Banerjee A. Clinical trial of an air-abrasion/chemomechanical operative procedure for the restorative treatment of dental patients. Caries Res 2003;37:360-364.
  20. Lozano-Chourio MA, Zambrano O, Gonzalez H, Quero M. Effectiveness and efficacy of chemomechanical carious dentine removal. Brazilian Dent J 2006;17(1):63-67.
  21. Pandit IK, Srivastava N, Gugnani N, Gupta M, Verma L. Various methods of caries removal in children: a comparative clinical study. J Ind Soc Pedodont Prevent Dentist 2007; 26(6):93-96.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.