An 8 year old asthmatic patient complains of food lodgment with her lower back tooth. Patient is apprehensive and frightened by the sound of air rotor. IOPA reveals dentinal caries with 46 not involving the pulp. Which of the following methods should be used for caries removal?

CHEMO-MECHANICAL CARIES REMOVAL Chemical softening of carious dentin – gentle excavation CARIE CARE contains: Papaya extracts – 100 mg Clove oil – 2 mg Colored gel – 10 mg Sterile water – 1 ml Chloramine Sodium chloride Sodium methylparaben Sodium propylparaben Advantages: Safe, no adverse effects on pulp Reduced need for LA Conservation of tooth structure Reduced risk of pulp exposure Pediatric, medically compromised patients Limitations: Need for rotary and hand instruments. Reference-  Sturdevant 6th ed Pg-310