Clinical evaluation of carisolv® in the chemico-mechanical removal of carious dentin

Abstract

The Chemo-mechanical caries removal technique involves the application of chemical agents, to cause a selective softening of the carious dentine and facilitate removal by gentle excavation. Carisolv® is one such new chemical agent used in this minimal invasive technique of carious dentine removal. The present study was, therefore, undertaken to evaluate the efficacy of Carisolv® in the chemo-mechanical removal of carious dentine, the time taken for caries removal, the perception of the treatment by the patient, and to evaluate the restorations, radiographically. Accordingly, fifty primary and permanent molars with dentinal carious lesions were excavated using this technique of caries removal. The chemo-mechanical caries removal technique using Carisolv® proved to be an effective atraumatic treatment modality with potential interest for use in clinical pediatric dentistry.

A comparative clinical study of various methods of caries removal in children

“…According to Munshi et al (2001), Kakaboura et al (2003), the reason for increased time taken by Carisolv might be because of the multiple applications of Carisolv gel for complete caries removal.…”

Comparative Evaluation of Carisolv in Removal of Carious Dentin in Primary Molar Teeth: in vitro Study

“…Philosophies of dental treatment change with time and now there is more than ample evidence provided by research for a reappraisal of traditional approaches to caries treatment 3 . Recently, the concept of minimally invasive dentistry has been introduced on removing caries with methods that minimize the loss of sound enamel and dentin 8 .…”

“…Moreover, the use of drill equally removes infected and affected dentin, resulting in excessive loss of healthy tooth structure 2 . In recent years, with the advent of adhesive restorative materials and the subsequent development in minimal cavity design, the widely accepted principle of "Extension for prevention" proposed by G.V Black, in operative treatment of carious lesions has been challenged and is now considered a very destructive method for caries removal 3 . The minimal removal of infected carious dentin, together with use of therapeutic restorative material is a fundamental requirement of modern operative dentistry.…”

"Avaliação da dentina remanescente após remoção de cárie com instrumento cortante rotatório e métodos químico-mecânicos, utilizando análise de microdureza, fluorescência laser e MEV"

“…A remoção químico-mecânica do tecido cariado com Carisolv® é um método eficaz e confortável para o paciente (ERICSON et al,1999;MARAGAKIS ;HELLWING, 2001;MUNSHI;HEDGE;SHETTY, 2001;NADONOVSKY, CARNEIRO;MELLO, 2001;OL IVEIRA et al, 2000), entretanto requer maior tempo de trabalho (BANERJEE; KIDD; WATSON, 2000a;FURE;LINGSTROM;BIRKHED, 2000;FLUCKIGER et al, 2005;NADONOVSKY, CARNEIRO;MELLO, 2001;YAZICI et al, 20003), podendo deixar restos de tecido infectado na cavidade dental (CHAUSSAIN-MILLER et al, 2003;YAZICI et al, 2003) De modo geral, pode-se dizer que a comparação entre os resultados obtidos no presente estudo e aqueles obtidos em investigações anteriores torna-se difícil, devido a falta de trabalhos que contemplem a utilização de técnicas de fluorescência laser, microdureza e observação de tags na dentição decídua. Os resultados encontrados indicam características semelhantes da dentina para todas as formas de tratamento .…”

“…Inúmeros estudos foram realizados para avaliar a eficácia e a segurança clínica do Carisolv®, muitos dos quais apontaram que a maioria dos pacientes não sentiu desconforto durante o tratamento (ERICSON et al, 1999;MUNSHI;HEDGE;SHETTY, 2001;NADANOVSKY;CARNEIRO;MELLO, 2001;OLIVEIRA et al, 2000), poucas vezes foi necessário o uso de anestesia local (KAKABOURA et al, 2003;MARAGAKIS;HELLWING, 2001). Tamay et al (2001) NADANOVSKY; CARREIRO; MELLO, 2001;YAZICI et al, 2003), menos eficaz na remoção do tecido cariado que o instrumento rotatório, gastando mais tempo para a remoção da dentina cariada do que o método convencional (CHAUSSAIN -MILLER, et al, 2003.…”