Reports in the literature have proposed and analyzed several minimally invasive techniques for caries removal in recent decades. In light of recent events surrounding the ongoing epidemiological context, concerns have been raised regarding the generation of aerosols during dental procedures. The aim of our research was to provide an overview of the scientific literature on the topic of chemo-mechanical caries removal (CMCR) methods, focusing on two products (Carisolv, BRIX3000), commercially available in Europe. A bibliometric analysis was used to investigate the scientific articles included in Web of Science (WoS) Core Collection database, published from January 2010 to December 2020. We analyzed the co-occurrence of all keywords (Author Keywords and the KeyWords Plus section), co-authorship and co-citation, using the free software VOSviewer. Our bibliometric analysis revealed a worldwide interest in the subject of chemo-mechanical methods of caries removal, which has transcended the area of pediatric dentistry. The analyzed studies have been conducted mainly in high-income countries that have developed sanitary policies regarding prevention and early treatment of carious lesions as a health priority.

Dental decay affects 4-86% of preschoolers (temporary dentition), and regarding mixed and permanent dentition, the percentage of affected children is between 27-86%. Caries lesions of the temporary teeth is the main dental problem that the preschooler encounters, a problem that affects to some extent the permanent dentition, with repercussions on the development of the stomatognathic system. The use of silver diamine fluoride (SDF), in dental treatment of Early Chilhood Caries (ECC) has been drawing increasing attention cause to its antimicrobial effect on the species Streptococcus Mutans, Actinomyces Naeslundii and Lactobacillus Acidophilus, which are the pathogens most commonly associated with both the onset and the progression of caries, being usually discovered on the surface and in the depth of the lesion. A case report of a 4 years-old female patient suffering of SECC is presented with the application of SDF and glass-ionomer cement restauration showing advantages as carious lesions arrest, improved esthetic appearance avoiding early teeth loss

Maintaining the child's oral cavity in optimal health by preserving the morpho-functional integrity of primary teeth, given the influence they have on the growth and development of the stomatognathic system is the duty and responsibility of the pedodontist. In addition to prevention, increased attention should be granted to the space control in case of early loss of primary teeth in the support area, recommending the use of space maintainers until the eruption of permanent successors, to intercept the appearance of future anomalies.