Related Experiment Videos
Chemomechanical caries removal--a clinical evaluation
J H Zinck1, P McInnes-Ledoux, C Capdeboscq
1Department of Operative Dentistry, LSU School of Dentistry, New Orleans 70119.
Journal of Oral Rehabilitation
|January 1, 1988
Summary
The chemomechanical caries removal technique using N-monochloro-DL-2 aminobutyrate (CARIDEX) effectively removes 90-100% of decayed dentine in most cavities. Patients overwhelmingly preferred this method over conventional drilling.
Area of Science:
- Restorative Dentistry
- Caries Management
- Biomaterials
Background:
- Traditional caries removal relies on mechanical drilling, which can be invasive.
- Chemomechanical caries removal offers a potentially less invasive alternative.
- N-monochloro-DL-2 aminobutyrate (CARIDEX) is a chemomechanical agent for dentine caries removal.
Purpose of the Study:
- To evaluate the efficacy and convenience of CARIDEX for decayed dentine removal.
- To compare CARIDEX with conventional mechanical drilling across all cavity classes.
- To assess patient preference for chemomechanical versus mechanical caries removal.
Main Methods:
- Fifty-seven patients with paired carious cavities were treated.
- One cavity per patient received CARIDEX chemomechanical treatment; the other received conventional drilling.
- Caries removal time and efficacy were recorded; cavities were restored with amalgam, composite, or glass ionomer.
Main Results:
- CARIDEX achieved 90-100% decayed dentine removal in 98% of treated cavities.
- Adjusted caries removal time was 4-10 minutes longer for CARIDEX, depending on caries volume and operator.
- Ninety-three percent of patients significantly preferred the CARIDEX method (P < 0.001).
Conclusions:
- CARIDEX demonstrates high efficacy in removing decayed dentine from all cavity classes.
- Despite being slower, CARIDEX offers a viable alternative due to its effectiveness and patient acceptance.
- Chemomechanical caries removal with CARIDEX presents a patient-preferred option in restorative dentistry.