Current update of chemomechanical caries removal methods

Area of Science:

• Dentistry
• Biomaterials Science

Background:

• Chemomechanical caries removal utilizes sodium hypochlorite (NaOCl)- or enzyme-based agents for minimally invasive excavation.
• Available agents include GK-101, GK-101E (Caridex), Carisolv, Papacarie, and Biosolv.

Purpose of the Study:

• To review recent laboratory and clinical studies on chemomechanical caries removal methods.
• To outline historical development, mechanisms, excavation times, and biological effects.

Main Methods:

• Literature review of laboratory and clinical studies on chemomechanical caries removal.
• Analysis of historical development, mechanism of action, excavation time, and biological effects.

Main Results:

• Chemomechanical methods are viable alternatives to conventional rotary instrumentation.
• These methods are particularly useful for anxious, disabled, and pediatric patients.
• Potential for quicker excavation times could enhance universal acceptance.

Conclusions:

• Chemomechanical caries removal is a successful method for conserving caries-affected dentine.
• It presents a less invasive approach compared to traditional rotary instrumentation.