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Evaluation of the chemomechanical removal of dentine caries in vivo with a new modified Carisolv gel

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Abstract

Carisolv is a minimally invasive method for softening and removing dentine caries. A new, modified Carisolv gel has been developed in order to optimise the efficiency if its chemical caries dissolution. The aim of the present study was to compare the caries removal efficiency of the original gel with that of the new gel, which contains almost double the concentration of sodium hypochlorite. Ten dentists treated 202 cavities in 170 patients; 104 cavities were randomised to the new gel and 98 to the original gel. Their mean treatment times for caries removal were 6.7±4.1 min and 7.6±4.2 min, respectively (P>0.05). In close-to-pulp lesions, constituting 32% of the cavities, the mean times for caries removal were 9.0±7.0 min and 11.6±4.4 min for the new and original gels, respectively (P<0.01). Questionnaires revealed that 81% of the patients preferred chemomechanical treatment to drilling. In conclusion, the improved efficiency of the modified Carisolv gel did reduce the time for caries removal in deep lesions. However, it still needs more time than conventional drilling.

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References

  1. Ansari G, Beeley JA, Fung DE (2003) Chemomechanical caries removal in primary teeth in a group of anxious children. J Oral Rehabil 30: 773–779

    Article  CAS  PubMed  Google Scholar 

  2. Anusavice KJ, Kincheloe JE (1987) Comparison of pain associated with mechanical and chemomechanical removal of caries. J Dent Res 66: 1680–1683

    CAS  PubMed  Google Scholar 

  3. Arvidsson A, Stirling C, Sennerby L, Wennerberg A (2001) Reactions in the oral mucous membrane after exposure to Carisolv™—combined results from a clinical screening test in humans and an experimental study in rats. Gerodontology 18: 109–113

    Article  CAS  PubMed  Google Scholar 

  4. Banerjee A, Kidd EAM, Watson TF (2000) In vitro evaluation of five alternative methods of carious dentine excavation. Caries Res 34: 144–150

    Article  CAS  PubMed  Google Scholar 

  5. Chaussain-Miller C, Decup F, Domejean-Orliaguet S, Gillet D, Guigand M, Kaleka R, Laboux O, Lafont J, Medioni E, Serfaty R, Toumelin-Chemla F, Tubiana J, Lasafargues JJ (2003) Clinical evaluation of the Carisolv chemomechanical caries removal technique according to the site/stage concept, a revised caries classification system. Clin Oral Invest 7: 32–37

    CAS  Google Scholar 

  6. Dammaschke T, Stratmann U, Mokrys K, Kaup M, Ott KHR (2001) Histocytological evaluation of the reaction of rat pulp tissue to Carisolv. J Dent 29: 283–290

    Article  CAS  PubMed  Google Scholar 

  7. Dammaschke T, Stratmann U, Mokrys K, Kaup M, Ott KHR (2002) Reaction of sound and demineralised dentine to Carisolv in vivo and in vitro. J Dent 30: 59–65

    Article  CAS  PubMed  Google Scholar 

  8. Ericson D, Zimmerman M, Raber H, Götrick B, Bornstein R, Thorell J (1999) Clinical evaluation of efficacy and safety of a new method for chemomechanical removal of caries. Caries Res 33: 171–177

    Article  CAS  PubMed  Google Scholar 

  9. Fure S, Lingström P, Birkhed D (2000) Evaluation of Carisolv™ for the chemomechanical removal of primary root caries in vivo. Caries Res 34: 275–280

    Article  CAS  PubMed  Google Scholar 

  10. Hannig M (1999) Effect of Carisolv™ solution on sound, demineralized and denatured dentin—an ultrastructural investigation. Clin Oral Invest 3: 155–159

    Article  CAS  Google Scholar 

  11. Kakaboura A, Masouras C, Staikou O, Vougiouklakis G (2003) A comparative clinical study on the Carisolv caries removal method. Quintessence Int 34: 269–271

    PubMed  Google Scholar 

  12. Lager A, Thornqvist E, Ericson D (2003) Cultivable bacteria in dentine after excavation using rose-bur or Carisolv. Caries Res 37: 206–211

    Article  PubMed  Google Scholar 

  13. Maragakis GM, Hahn P, Hellwig E (2001) Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients. Caries Res 35: 205–210

    Article  CAS  PubMed  Google Scholar 

  14. Munshi AK, Hegde AM, Shetty PK (2001) Clinical evaluation of Carisolv in the chemico-mechanical removal of carious dentine. J Clin Pediatr Dent 26: 49–54

    CAS  PubMed  Google Scholar 

  15. Nadanovsky P, Cohen Carneiro F, Souza de Mello F (2001) Removal of caries using only hand instruments: a comparison of mechanical and chemomechanical methods. Caries Res 35: 384–389

    Article  CAS  PubMed  Google Scholar 

  16. Rafique S, Fiske J, Banerjee A (2003) Clinical trial of an air-abrasion/chemomechanical operative procedure for the restorative treatment of dental patients. Caries Res 37: 360–364

    Article  CAS  PubMed  Google Scholar 

  17. Splieth C, Rosin M, Gellissen B (2001) Determination of residual dentine caries after conventional mechanical and chemomechanical caries removal with Carisolv. Clin Oral Invest 5: 250–253

    Article  CAS  Google Scholar 

  18. Wennerberg A, Sawase T, Kultje C (1999) The influence of Carisolv™ on enamel and dentine surface topography. Eur J Oral Sci 107: 297–306

    Article  CAS  PubMed  Google Scholar 

  19. Yazici AR, Atílla P, Özgünaltay G, Müftüoglu S (2003) In vitro comparison of the efficacy of Carisolv™ and conventional rotary instrument in caries removal. J Oral Rehabil 30: 1177–1182

    CAS  PubMed  Google Scholar 

  20. Young C, Bongenhielm U (2001) A randomised, controlled and blinded histological and immunohistochemical investigation of Carisolv™ on pulp tissue. J Dent 29: 275–281

    Article  CAS  PubMed  Google Scholar 

  21. Zinck JH, McInnes-Ledoux P, Capdeboscq C, Weinberg R (1988) Chemomechanical caries removal—a clinical evaluation. J Oral Rehabil 15: 23–33

    CAS  PubMed  Google Scholar 

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Acknowledgements

MediTeam Dentalutveckling AB in Gothenburg, Sweden, supported the investigation by providing Carisolv gel and specially designed hand instruments.

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Authors and Affiliations

  1. Department of Cariology, Faculty of Odontology, Sahlgrenska Academy at Gothenburg University, Box 450, 40530, Gothenburg, Sweden

    Solveig Fure & P. Lingström

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  1. Solveig Fure
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  2. P. Lingström
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Correspondence to Solveig Fure.

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Fure, S., Lingström, P. Evaluation of the chemomechanical removal of dentine caries in vivo with a new modified Carisolv gel. Clin Oral Invest 8, 139–144 (2004). https://doi.org/10.1007/s00784-004-0271-6

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  • DOI: https://doi.org/10.1007/s00784-004-0271-6

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