Background: Dental caries is considered as one of the most serious dental diseases that results in localized dissolution and destruction of the calcified tooth tissues. As possible alternatives to conventional techniques of caries removal, chemomechanical caries removal systems have emerged. This study aims to clinically observe the advantages of chemomechanical method of caries removal over conventional technique. Materials and Methods: Inthis randomized controlled trial a total of 60 children with Class 1 open carious lesions were selected for the study. They were divided into two equal groups according to a method of caries removal (30 chemomechanical and 30 conventional on permanent molars). In Group A, caries was removed using the Carie-Care system and in Group B with the conventional drill and were restored equally with glass ionomer cement. The visual analogy face scale was used to determine the level of anxiety in children at baseline, during treatment and after treatment. Results: The results were subjected to statistical analysis using Student's unpaired t -test. It showed that though chemomechanical technique took a marginal increase in time compared to the conventional technique, it was found to be more comfortable for all the children. Conclusion: Chemomechanical technique though time-consuming is definitely superior compared to the conventional technique provided we use a less technique sensitive restorative material which retains in the oral cavity for longer period. It is definitely a better treatment protocol in school-based dental treatment and atraumatic restorative dentistry compared to the conventional technique.

No abstract

The COVID-19 pandemic has turned to be a huge international challenge. Being the part of dental care, we hold responsibilities both to the dental staff and our patients so that the cross infection of virus can be avoided. Since dentists mainly have to work inside the oral cavity, the whole dental team, staff and the technician are at the highest risk of getting affected by the virus. Not only they are at risk of getting infected but at the same time they can potentially transmit the virus. According to latest studies, the presence of virus in salivary secretion of many symptomatic as well as asymptomatic patients, the dental professionals especially Endodontist are at the greatest life threatening situation if they do not follow proper guidelines such as sterilization at their workplace. Till today no medicine manufacturing companies have come up with the proper treatment or vaccines which can protect dentist from contracting with the virus. In this pandemic situation, the general practicing dentist and the Endodontist must provide only emergency treatments so as to relieve pressure and pain. As this COVID continues, it is the responsibility of health care workers to come up with more definitive treatment plans that to stick on to just palliative care. This article aims to bring latest updates on treatment considerations in clinical practice in general. However, the article also includes the guidelines to be followed by the endodontist so as to limit the cross infection but at the same time relieve patient from dental pain or any dental disease.

No abstract

No abstract