Background
dentine caries, caries, pain, teeth with hand, carious dentine
DENTAL CARIES, DISEASE, CARIES, DECAY, DENTAL CARIES, HEAT
Dental caries is the most common childhood disease worldwide. Despite reliable scientific advancements and the fact that caries is preventable, the disease continues to be one of the major public health issues [According to estimates, dental caries affects about 60–90% of school-age children. This percentage fluctuates significantly depending on the population, where the incidence of dental caries being much higher in developing countries like the Middle East than in developed [When dental caries is removed using traditional rotary devices, the pulp is frequently subjected to pressure and heat effects that usually cause pain. In addition, drilling could sometimes involve the removal of sound tooth tissue close to the affected caries area [The Mechanical caries removal by ART is restoring teeth with hand instruments for decay removal and fluoride releasing adhesive materials (resin modified glass ionomer) for filling. It is the most documented alternative to traditional drilling for dentine caries removal. There are several advantages for the ART method when used in children, such as the elimination of noise and vibration of the handpiece, water coolant and high velocity suction [The CMCR technique has attracted the attention of dental researchers due to its concept of sparing unaffected tooth structure while assuring the removal of the denatured collagen stage of carious dentine [The CMCR agents are either sodium hypochlorite based such as Carisolv or Papain based such as Papacarie [Few studies were conducted to study the effectiveness of Carie-Care™ as a CMCR agent. Kumar et al. in 2016 [Moreover, Sontakke et al. in 2019 [Papacarie and the earlier CMCR agents, do not contain essential oils which have been included in Carie-Care™ and serves as an anti-inflammatory agent. In addition to softening infected dentin, Carie-Care™ has anti-inflammatory and mild anesthetic effects. Therefore complete patient co-operation is not required [Clinical studies on the Carie-Care™ in primary teeth are scarce in the literature [The tested null hypothesis stated that there was no significant difference between CMCR method and mechanical caries removal by ART in terms of the time taken for caries removal, efficacy of caries removal, pain assessment, and child behavior.