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A clinical and microbiological assessment of the efficacy of chemo-mechanical caries removal versus conventional caries removal methods in children: a randomized controlled clinical trial
Abstract
Background: Effective caries removal in pediatric dentistry is vital for reducing discomfort and
maintaining oral health. Traditional methods like drilling can be invasive, prompting interest in
alternatives such as the chemo-mechanical caries removal method.
Aim: This study aimed to compare the efficacy, pain and satisfaction, treatment time, and
microbiological outcomes of a sodium hypochlorite-based chemo-mechanical caries removal
method (CarieMove® Gel) with conventional drilling in pediatric patients.
Methods: A randomized controlled clinical trial involved 30 children aged 7-9 years with a
bilateral class 1 caries in first permanent molars, as per the International Caries Detection and
Assessment System (ICDAS)No 4, with no pulp involvement. CarieMove® Gel was randomly
applied to one side for caries removal, while the conventional drilling method was used on the
other side. Caries removal efficacy, pain and satisfaction, caries excavation time and microbial
presence before and after treatment were registered. Data were collected, and tabulated statiscally
analyzed at a 5% significance level (p ≤0.05).
Results: Comparative analysis showed similar overall efficacy between the chemo-mechanical
and conventional methods, with no significant difference (p=0.083). Pain and patient satisfaction
pain perception were significantly higher with the chemo-mechanical method (p<0.001), despite a
longer treatment time (p<0.001). Microbiological evaluations revealed no significant difference in
bacterial count between the two methods (p=0.893).
Conclusion: This study highlighted the efficacy and acceptability of CarieMove® Gel as a
promising alternative to traditional drilling for caries removal in pediatric patients. While both
methods were effective, CarieMove® Gel resulted in a higher patient satisfaction. Although
treatment time was slightly longer, the increased comfort and positive experiences suggest its value
for young children.
Received: 09 August 2024
Accepted: 31 October 2024
Published: 19 November 2024
Keywords
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DOI: http://dx.doi.org/10.21622/AMPDR.2024.04.2.956
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Copyright (c) 2024 Mutasim Babiker Zainelabdin Elbashir, Nadia Moustafa Mahmoud Farrag, Ahmed Hamdy Wahba
Advances in Medical, Pharmaceutical and Dental Research
E-ISSN: 2812-4898
P-ISSN: 2812-488X
Published by:
Academy Publishing Center (APC)
Arab Academy for Science, Technology and Maritime Transport (AASTMT)
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