Chemomechanical caries removal methods: A literature review

Aim: To provide dental practitioners and researchers with a comprehensive review of the historical development, chemical composition, mechanisms of action, advantages, and drawbacks of different chemomechanical caries removal (CMCR) agents. Methods: An electronic search was performed for all article...

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Main Authors: Manal S. Maashi, Heba M. Elkhodary, Najlaa M. Alamoudi, Nada O. Bamashmous
Format: Article
Language:English
Published: Springer 2023-03-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905223000184
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author Manal S. Maashi
Heba M. Elkhodary
Najlaa M. Alamoudi
Nada O. Bamashmous
author_facet Manal S. Maashi
Heba M. Elkhodary
Najlaa M. Alamoudi
Nada O. Bamashmous
author_sort Manal S. Maashi
collection DOAJ
description Aim: To provide dental practitioners and researchers with a comprehensive review of the historical development, chemical composition, mechanisms of action, advantages, and drawbacks of different chemomechanical caries removal (CMCR) agents. Methods: An electronic search was performed for all articles published on CMCR agents in various databases, including the Web of Science, PubMed, Cochrane, Scopus, and Google Scholar bibliographic databases, from January 1, 1975, to July 31, 2022. Results: Records were identified using the following search terms: Brix3000, Carie-Care, Caridex, Carisolv, chemomechanical caries removal, conventional surgical method, and Papacárie. A total of 171 articles were screened based on the titles and abstracts, of which 126 were deemed eligible for inclusion after duplicates were removed. Following a manual search of the reference list, eight articles were added. Articles were then excluded for other reasons, such as being written before 1975, being written in a language other than English, and the non-availability of the full text. Overall, 120 articles were included in the analysis (literature reviews [n = 27], systematic reviews [n = 8], research articles [n = 82], case reports [n = 3]). Conclusion: CMCR is a potential method of caries control in the future as an alternative to the conventional surgical approach in standard dentistry applications. It is more widely accepted, less painful, and has comparable efficacy to the conventional surgical method. Clinical significance: A continuous trend among manufacturers has been observed since 1975 to reduce the drawbacks of CMCR agents. Moreover, evidence-based minimally invasive techniques, including CMCR agents that require minimal or no aerosol-generating procedures, are preferred while measures to control the spread of coronavirus disease are in force.
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spelling doaj-art-db2ec430e481490fae9b3a1ed7f7992d2025-08-20T03:24:21ZengSpringerSaudi Dental Journal1013-90522023-03-0135323324310.1016/j.sdentj.2023.01.010Chemomechanical caries removal methods: A literature reviewManal S. Maashi0Heba M. Elkhodary1Najlaa M. Alamoudi2Nada O. Bamashmous3Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Ministry of Health, Jeddah, Saudi ArabiaPediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Department of Pedodontics and Oral Health, Faculty of Dental Medicine for Girls, Al Azhar University, Cairo, Egypt; Corresponding author at: Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, PO Box 17848, Jeddah 21494, Saudi Arabia.Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi ArabiaPediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi ArabiaAim: To provide dental practitioners and researchers with a comprehensive review of the historical development, chemical composition, mechanisms of action, advantages, and drawbacks of different chemomechanical caries removal (CMCR) agents. Methods: An electronic search was performed for all articles published on CMCR agents in various databases, including the Web of Science, PubMed, Cochrane, Scopus, and Google Scholar bibliographic databases, from January 1, 1975, to July 31, 2022. Results: Records were identified using the following search terms: Brix3000, Carie-Care, Caridex, Carisolv, chemomechanical caries removal, conventional surgical method, and Papacárie. A total of 171 articles were screened based on the titles and abstracts, of which 126 were deemed eligible for inclusion after duplicates were removed. Following a manual search of the reference list, eight articles were added. Articles were then excluded for other reasons, such as being written before 1975, being written in a language other than English, and the non-availability of the full text. Overall, 120 articles were included in the analysis (literature reviews [n = 27], systematic reviews [n = 8], research articles [n = 82], case reports [n = 3]). Conclusion: CMCR is a potential method of caries control in the future as an alternative to the conventional surgical approach in standard dentistry applications. It is more widely accepted, less painful, and has comparable efficacy to the conventional surgical method. Clinical significance: A continuous trend among manufacturers has been observed since 1975 to reduce the drawbacks of CMCR agents. Moreover, evidence-based minimally invasive techniques, including CMCR agents that require minimal or no aerosol-generating procedures, are preferred while measures to control the spread of coronavirus disease are in force.http://www.sciencedirect.com/science/article/pii/S1013905223000184Brix3000Carie-CareCaridexCarisolvChemomechanical caries removalPapacárie
spellingShingle Manal S. Maashi
Heba M. Elkhodary
Najlaa M. Alamoudi
Nada O. Bamashmous
Chemomechanical caries removal methods: A literature review
Saudi Dental Journal
Brix3000
Carie-Care
Caridex
Carisolv
Chemomechanical caries removal
Papacárie
title Chemomechanical caries removal methods: A literature review
title_full Chemomechanical caries removal methods: A literature review
title_fullStr Chemomechanical caries removal methods: A literature review
title_full_unstemmed Chemomechanical caries removal methods: A literature review
title_short Chemomechanical caries removal methods: A literature review
title_sort chemomechanical caries removal methods a literature review
topic Brix3000
Carie-Care
Caridex
Carisolv
Chemomechanical caries removal
Papacárie
url http://www.sciencedirect.com/science/article/pii/S1013905223000184
work_keys_str_mv AT manalsmaashi chemomechanicalcariesremovalmethodsaliteraturereview
AT hebamelkhodary chemomechanicalcariesremovalmethodsaliteraturereview
AT najlaamalamoudi chemomechanicalcariesremovalmethodsaliteraturereview
AT nadaobamashmous chemomechanicalcariesremovalmethodsaliteraturereview