Minimally Invasive Chemo-Mechanical Treatment Methods Used in Paediatric Dentistry

Abstract

Dental caries prevention is one of the main tasks of therapeutic dentistry. Despite this fact dental anxiety in young children is a clinical reality and thus the application of conventional therapeutic protocols is a challenge for any paediatric dentistry specialist. Pain associated with the therapeutic act of removing a carious process and the use of local anaesthetic agents are still a real problem in pediatric dentistry, concerning anxious patients. For these reasons, we try to create a relaxing environment and perform minimally invasive procedures to increase patient comfort and increase the rate of acceptance of the therapeutic act, especially in the case of anxious and uncooperative children. The use of chemo-mechanical methods involves the application of proteolytic substances that soften the infected dentinal tissue and allow the selective removal of necrotic tissue using hand instruments, keeping only healthy dental tissue. The main advantage of this technique is that allows the practitioners to achieve dental treatment without the use of rotary instruments, without generating aerosols and is pain free so, well tolerated by children.