Carie care’ a novel method of caries removal and its effectiveness: A randomised clinical trial

Context: Newer methods of caries removal have been developed as an alternative to conventional methods to overcome few of these drawbacks. Chemo-mechanical caries removal (CMCR) is one such alternative and is based on the concepts of minimal invasive dentistry. Aim: To evaluate and compare the effectiveness of chemo-mechanical caries removing agent (carie- care) with conventional drilling method (CDM). Settings and Design: A randomised controlled clinical trial to evaluate the effectiveness and patient compliance using conventional and chemo-mechanical caries removal method. Methods and Material:28 healthy children in the age group of 6-8 years with class –l carious lesion with no clinical or radiographic pulpal involvement are divided into two groups. Pulse oximeter is used to assess the anxiety levels at various time intervals during the procedure. Caries is removed using airotor in group l and CMCR in group ll. Effectiveness of caries removal is assessed using caries detector dye and Ericson scale. Statistical analysis used: Students t test and Chi square test Results: There was no statistical significant difference in the pulse rate and oxygen saturation at different intervals of the procedure. On checking the effectiveness, both the CDM and CMCR showed no significant difference. Conclusions: CMCR method eliminates the noise, conserves tooth structure and helps in maintaining cooperative behaviour of the children. It can be a better alternative to the conventional method of caries removal.