Abstract
The objective of the present study is to compare the pain response associated with the chemomechanical method and hand excavation method during caries removal. Previous studies have indicated that a chemomechanical caries removal system (Carisolv™) has been effective in minimizing the use of conventional mechanical instruments and that it may reduce the need for local anaesthesia. In the present study, a comparison of the pain experienced during treatment with a chemomechanical tecnique and during conventional hand excavation method was carried out in 34 patients. Patients between 4 and 6 years of age were selected for the research. In our study, during the removal of caries some children felt pain both using the Carisolv system and hand excavation method (26.5% and 58.8%, respectively). In the Carisolv group 11.8% of the children wanted local anaesthesia to remove the pain which occurred during the operation; in the hand excavation group 23.5% wanted anaesthesia. In conclusion, the Carisolv system is effective in the removal of caries, causes less pain and need for anaesthesia, decreases the fear, anxiety and stress of children especially created by injectors and drills and increases cooperation.
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