Maashi Manal S, Elkhodary Heba M, Alamoudi Najlaa M, Bamashmous Nada O
Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Ministry of Health, Jeddah, Saudi Arabia.
Saudi Dent J. 2023 Mar;35(3):233-243. doi: 10.1016/j.sdentj.2023.01.010. Epub 2023 Feb 6.
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.
目的:为牙科从业者和研究人员提供一份关于不同化学机械去龋(CMCR)剂的历史发展、化学成分、作用机制、优点和缺点的全面综述。 方法:对1975年1月1日至2022年7月31日期间在各种数据库(包括科学网、PubMed、考克兰、Scopus和谷歌学术文献数据库)上发表的关于CMCR剂的所有文章进行电子检索。 结果:使用以下检索词识别记录:Brix3000、Carie-Care、Caridex、Carisolv、化学机械去龋、传统手术方法和Papacárie。基于标题和摘要共筛选出171篇文章,去除重复项后,其中126篇被认为符合纳入标准。在对参考文献列表进行手动检索后,又增加了8篇文章。然后因其他原因排除文章,如发表于1975年之前、非英文撰写以及无法获取全文。总体而言,120篇文章纳入分析(文献综述[n = 27]、系统评价[n = 8]、研究文章[n = 82]、病例报告[n = 3])。 结论:在标准牙科应用中,CMCR作为传统手术方法的替代方案,是未来龋齿控制的一种潜在方法。它更被广泛接受,疼痛更小,且与传统手术方法疗效相当。 临床意义:自1975年以来,已观察到制造商持续致力于减少CMCR剂的缺点。此外,在实施控制冠状病毒病传播的措施时,包括需要最少或无需产生气溶胶程序的CMCR剂在内的循证微创技术更受青睐。
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