Abstract
The objective of the present study was to assess the efficiency and benefit of a chemomechanical system for carious dentin removal, Carisolv, in general practice. A revised caries classification, the site/stage concept, was used to describe the clinical situations of all carious lesions treated. The study was performed by 12 investigators, and 120 carious lesions were treated with Carisolv. Sixty percent of the cases were treated without anaesthesia, and we found a significant correlation between chemomechanical treatment without anaesthesia and absence of pain (P=0.01). In 78.3% of the cases, carious dentin was totally removed with Carisolv, and in 21.7%, the dentin treatment was completed by drilling. In cases performed with Carisolv alone, the time required to remove carious dentin was 11.1±9.51 min (mean±SD). Treatment time was equivalent for all sites and increased significantly with each successive stage of lesion progression (P<0.001). In 82.5% of cases, the clinicians were satisfied with Carisolv, and in 99.2%, so were the patients. We conclude that, using clinical examination methods, Carisolv seems to remove carious dentin at all sites and stages of carious lesions but must be made more efficient for use in general practice.
Similar content being viewed by others
References
Anusavice KJ, Kincheloe JE (1987) Comparison of pain associated with mechanical and chemomechanical removal of caries. J Dent Res 66:1680–1683
Banerjee A, Kidd EAM, Watson TF (2000) In vitro evaluation of five alternative methods of carious dentin excavation. Caries Res 34:144–150
Banerjee A, Watson TF, Kidd EAM (2000) Dentin caries excavation: a review of current clinical techniques. Br Dent J 188:476–482
Barwart O, Moschen I, Graber A, Pfaller K (1991) In-vitro study to compare the efficacy of N-monochloro-D,L-2-aminobutyrate (NMAB, GK-101E) and water in caries removal. J Oral Rehabil 18:523–529
Beeley JA, Yip HK, Stevenson AG (2000) Chemochemical caries removal: a review of the techniques and latest developments. Br Dent J 188:427–430
Cederlund A, Lindskog S, Blomlöf J (1999) Effect of a chemo-mechanical caries removal system (Carisolv) on dentin topography of non-carious dentin. Acta Odontol Scand 57:185–189
Dahlin S (2001) Chemical mode of action of Carisolv. In: Albrektsson T, Bratthall D, Glantz P-O, Lindhe J (eds) Tissue preservation in caries treatment. Quintessence, London, pp 167–175
Ericson D, Bornstein R (2001) Development of a tissue-preserving agent for caries removal. In: Albrektsson T, Bratthall D, Glantz P-O, Lindhe J (eds) Tissue preservation in caries treatment. Quintessence, London, pp 153–166
Ericson D, Zimmerman M, Raber H, Götrick B, Bornstein R, Thorell J (1999) Clinical evaluation of efficacy and safety of a new method for chemo-mechanical removal of caries: a multi-centre study. Caries Res 33:171–177
Fure S, Lingström P, Birkhed D (2000) Evaluation of Carisolv for the chemo-mechanical removal of primary root caries in vivo. Caries Res 34:275–280
Fure S, Lingström P, Sellen A (2002) Chemomechanical caries removal with a new modified of Carisolv gel. Abstract. IADR/ PEF meeting, Cardiff
Haak R, Wicht MJ, Noack MJ (2000) Does chemomechanical caries removal affect dentin adhesion? Eur J Oral Sci 108:449–455
Hannig M (1999) Effect of Carisolv solution on sound, demineralized and denatured dentin—an ultrastructural investigation. Clin Oral Invest 3:155–159
Heyeraas KJ, Sveen OB, Mjor IA (2001) Pulp-dentin biology in restorative dentistry. Part 3: pulpal inflammation and its sequelae. Quintessence Int 32:611–625
Hosoya Y, Kawashita Y, Marshall GW Jr, Goto G (2001) Influence of Carisolv for resin adhesion to sound human primary dentin and young permanent dentin. J Dent 29:163–171
Kneist S, Heinrich-Weltzien R (2001) Antibacterial action of Carisolv. In: Albrektsson T, Bratthall D, Glantz P-O, Lindhe J (eds) Tissue preservation in caries treatment. Quintessence, London, pp 205–219
Lasfargues JJ, Kaleka R, Louis JJ (2000) Le concept SISTA. Un nouveau guide thérapeutique en cariologie. Real Clin 11:103–122
Lasfargues JJ, Kaleka R, Louis JJ (2000) New concepts of minimally invasive preparations: a SI/STA concept. In: Roulet JF, Degrange M (eds) Adhesion: the silent revolution. Quintessence, London, pp 107–152
Lasfargues JJ (2000) SISTA concept: new guidelines for prophylaxis and adhesive dentistry. In: Tagami J, Toledano M, Prati C (eds) Advanced adhesive dentistry—proceedings of the Granada International Symposium. International, Como, pp 301–307
Lasfargues J J, Bukiet F, Tirlet G, Decup F (2001) Bonded partial restorations for endodontically treated teeth. In: Roulet JF, Wilson NHF, Fuzzi M (eds) Advances in operative dentistry. Contemporary clinical practice. Vol 1. Quintessence, Paris, pp 191–209
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
Mjor IA, Odont D (2001) Pulp-dentin biology in restorative dentistry. Part 2: initial reactions to preparation of teeth for restorative procedures. Quintessence Int 32:537–551
Mount GJ, Hume WR (1997) A revised classification of carious lesions by site and size. Quintessence Int 28:301–303
Schutzbank SG, Galaini J, Kronman JH, Goldman M, Clark RE (1978) A comparative in vitro study of GK-101 and GK-101E in caries removal. J Dent Res 57:861–864
Siegel SC, von Fraunhofer JA (1999) Dental cutting with diamond burs: heavy-handed or light-touch? J Prosthodont 8:3–9
Siegel SC, von Fraunhofer JA (1998). Dental cutting: the historical development of diamond burs. J Am Dent Assoc 129:740–745
Splieth C, Rosin M, Gellissen B (2001) Determination of residual dentin caries after conventional mechanical and chemomechanical caries removal with Carisolv. Clin Oral Invest 5:250–253
Albrektsson T, Bratthall D, Glantz P-O, Lindhe J (2001) Tissue preservation in caries treatment. Quintessence, London, p 367
Yip HK, Samaranayake LP (1998) Caries removal techniques and instrumentation: a review. Clin Oral Invest 2:148–154
Yip HK, Stevenson AG, Beeley JA (1995) An improved reagent for chemomechanical caries removal in permanent and deciduous teeth: an in vitro study. J Dent 23:197–204
Acknowledgements
We thank all the patients who participated, Prof. Gerard Lasfargues for his helpful cooperation with Epi-Info software, Medi-Team (Sweden) and Medicadent-Pharmadent (France) for supporting this work, and all the participating public hospital Odontology service heads for allowing this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chaussain-Miller, C., Decup, F., Domejean-Orliaguet, S. et al. 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 (2003). https://doi.org/10.1007/s00784-003-0196-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-003-0196-5