Background:Chemomechanical caries removal is an effective alternative to the traditional rotary drilling method. The advantages of chemomechanical techniques in terms of the need for anesthesia, pain perception and patient preference are systematically reviewed and a meta-analysis of the time required for caries removal is reported.Method:Randomized controlled studies of comparison of chemomechanical techniques with conventional rotary drill were selected from a systematic search of standard biomedical databases, including the PubMed and Cochrane clinical trials. Non-repeated search results were screened for relevance and risk of bias assessment, followed by methodology assessment. Statistical models were applied to the outcome parameters - time required, pain perception, need of anesthesia and patient preference - extracted from the studies. Results:Out of the 111 non-repeated search results, 26 studies receiving a low bias score were selected for the review, and 16 randomized clinical trials of rotary and Carisolv techniques were considered for meta-analysis. Meta-analysis by fixed effect as well as random effect models indicate that Carisolv takes more time (3.65 ± 0.05 and 4.09 ± 0.29 min) than rotary drill (8.65 ± 0.09 and 8.97 ± 0.66 min) method. Advantages of reduced pain (14.67 for Carisolv vs. 6.76 for rotary drill), need for anesthesia (1.59% vs. 10.52%) outweigh the longer time requirement and make it the preferred (18.68% vs. 4.69%) method.Conclusion:Chemomechanical techniques stand out as a minimally invasive and preferred method based on the meta-analyses. Evaluation of pain experienced using robust methods is needed to strengthen the evidence for their use.

IntroductionCleidocranial dysplasia is a rare congenital defect of autosomal dominant inheritance caused by mutations in the Cbfa1 gene, also called Runx2, located on the short arm of chromosome 6. It primarily affects bones which undergo intramembranous ossification. This condition is of clinical significance to dentistry due to the involvement of the facial bones, altered eruption patterns and multiple supernumerary teeth.Case presentationOur patient, a 15-year-old Indian girl, presented with the typical features of prolonged retention of deciduous dentition and delayed eruption of permanent teeth, that is, mandibular prognathism along with other skeletal abnormalities like shrugged shoulder and the absence of clavicles. A multidisciplinary approach was followed, comprising orthodontic, surgical and pedodontic teams for management.ConclusionSuccessful treatment of such a case lies in a holistic approach that takes care of all aspects, including the primary pathology, the deformity itself and even the psychological angle.

Objectives : To evaluate and compare the efficiency, marginal leakage and shear bond strength of Carisolv and Papacarie in primary molars. Method: Freshly extracted 60 human carious primary molars were randomly divided into two experimental groups - Group I [ caries removal by Carisolv ] and Group II [ caries removal by Papacarie ]. The amount of time taken for complete caries removal was recorded using a stopwatch. After bonded restorations, both the experimental groups were further randomly subdivided into four experimental groups and subjected to marginal leakage and shear bond strength evaluation. Results : Papacarie [ 337.67 ± 18.13 ] was clinically more efficient than Carisolv [461.33 ± 27.76 ] in removing caries with respect to time in seconds. 66.7% of teeth treated with Carisolv did not show any marginal leakage as compared to 20% with Papacarie. The mean [ ± SD ] shear bond strength of Carisolv [ 9.67 ± 3.80 ] treated teeth was slightly more when compared to Papacarie [ 8.36 ± 4.51]. Conclusion :Papacarie was clinically more efficient in caries removal but showed significantly more marginal leakage than Carisolv.

Background/Purpose. To evaluate and compare the marginal leakage and shear bond strength between conventional and Papacarie techniques of caries removal in primary molars. Materials and Methods. Sixty freshly extracted human carious primary molars were randomly divided into two groups: group I—caries removal by conventional method and group II—caries removal using Papacarie. After bonded restorations, both groups were further randomly subdivided into four subgroups for marginal leakage and shear bond strength evaluation. Results. Papacarie treated teeth (46.70%) showed less marginal leakage when compared to conventionally treated teeth (86.70%) for caries removal. The mean shear bond strength was found more in Papacarie treated teeth (12.91 MPa) than in those treated conventionally (9.64 MPa) for caries removal. Conclusion. Papacarie showed less marginal leakage and more shear bond strength when compared to those treated conventionally for caries removal.