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The method involves the use of a gel that selectively reacts with denatured collagen, thereby making the carious dentine softer. Specially designed instruments, hand and power operated, are used to remove the softened material.

Manufacturer: Carisolv


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[Comparative studies of carious defects filling using the classical method and dental drill, and using the Carisolv chemomechanical method and the YAG:Er CTL-1601 laser]

Ann Acad Med Stetin. 2007;53(3):88-99

Authors: Giza S

INTRODUCTION: The aim of the study was to establish advantages and disadvantages of caries treatment methods and in consequence to choose the method that not only is the most friendly for a patient but also offers the largest range of use in treating of carious defects. MATERIAL AND METHODS: Clinical examinations were conducted on the group of 312 patients of Dentistry Department of Pomeranian Medical University in Szczecin and Dentist's Surgery "Centrum Stomatologii Eskulap". 312 carious defects were found in these patients. The patients were divided into 3 groups. In 1st group, carious defects were treated with YAG:Er CTL-1601 laser, in 2nd group carious defects were treated using the Carisolv chemomechanical method, in 3rd group carious defects were treated using classical method that is with the use of dental drills. CONCLUSIONS: Painless treatment of caries despite the constant progress still causes problems and is often for dentists and their patients a real worry. As it turns out, despite the producer's assurances on painless treatment in their new methods, the problem still exists and has not been solved yet.

PMID: 18595490 [PubMed - indexed for MEDLINE]

Related Articles

Comparison of the antimicrobial efficacy of chemomechanical caries removal (Carisolv) with that of conventional drilling in reducing cariogenic flora.

J Clin Pediatr Dent. 2008;32(3):215-9

Authors: Subramaniam P, Babu KL, Neeraja G

PURPOSE: The aim of this study was to evaluate the antimicrobial efficacy of chemomechanical caries removal (Carisolv) in reducing the count of cariogenic flora and compare it to conventional drilling. MATERIALS: The study group consisted of 20 healthy children aged between four and eight years. In each child, two primary molars with broad occlusal cavitated lesions were chosen for caries removal either with Carisolv or by conventional drilling. Dentin samples of both groups were taken prior to and following caries removal. They were then processed after suitable dilutions and cultured using Schaedler agar for the Total Viable Bacteria and MRS agar for the lactobacilli. After incubation at 35 degrees C for 3 days, the Total Viable Count and lactobacilli count was determined and expressed as Colony Forming Units per ml. The two methods of caries removal were then compared and the data was statistically analyzed. Both methods reduced the TVC count by 92% and lactobacilli count by 91%. RESULTS have indicated that the antimicrobial efficacy of Carisolv was comparable to that of conventional drilling and can be used as a suitable alternative for caries removal, especially in children.

PMID: 18524272 [PubMed - indexed for MEDLINE]

Related Articles

Strategies for addressing restorative challenges in HIV-infected children.

J Dent Child (Chic). 2008 Jan-Apr;75(1):69-73

Authors: Abdelnur JP, Cerqueira DF, Castro GF, Maia LC, de Souza IP

The complete caries removal of deep/extensive dentin carious lesions with conventional procedures (high- and low-speed bur) may increase the risk of pulp exposure. In children with systemic diseases, such as HIV-infected children, the dental treatment proposed for the primary dentition with pulp involvement is tooth extraction once endodontic therapies cannot be guaranteed successfully. Therefore, the objective of this study was to describe 3 cases of alternative techniques for caries removal in extensive and/or deep dentin carious lesions in the primary dentition of HIV-infected children: (1) atraumatic restorative treatment (ART); (2) Carisolv; and (3) Papacarie.

PMID: 18505652 [PubMed - indexed for MEDLINE]

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Efficacy of chemo-mechanical caries removal with Carisolv.

J Coll Physicians Surg Pak. 2008 Apr;18(4):222-5

Authors: Hosein T, Hasan A

OBJECTIVE: To determine the efficacy of chemo-mechanical caries removal using Carisolv and compare it to the conventional method of caries removal. DESIGN: A quasi-experimental study. PLACE AND DURATION OF STUDY: The Department of Operative Dentistry, Fatima Jinnah Dental College Hospital, Karachi, from October 2003 to March 2004. PATIENTS AND METHODS: Thirty patients with contralateral cariously involved mandibular molars participated in the study. Patients were selected using convenience sampling. One side of each patient was randomly selected for treatment with either Carisolv or the conventional method. In the study group, carious lesion was removed with Carisolv instruments, whereas in control group excavators and round steel burs were used. Single observer assessed all the treated lesions. Time required to remove caries and completeness of caries removal was observed for both techniques. Data was compared using 'Fisher's exact test' and 'Independent samples t-test'. RESULTS: Time taken to remove caries using Carisolv was 12.19 (SD 3.7) minutes, whereas time taken to remove caries by conventional method was 7.4 (SD 3.21) minutes. The difference was statistically significant (p-value<0.005). Caries could not be removed in 3 teeth in the study group with Carisolv. Complete caries removal was, however, achieved in the control group. The difference was statistically insignificant (p-value>0.005). CONCLUSION: Chemo-mechanical caries removal with Carisolv is as effective as conventional methods in removing dental caries, however, it is significantly more time-consuming.

PMID: 18474155 [PubMed - indexed for MEDLINE]

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Evaluation of residual dentin after conventional and chemomechanical caries removal using SEM.

J Clin Pediatr Dent. 2008;32(2):115-20

Authors: Corrêa FN, Rodrigues Filho LE, Rodrigues CR

The purpose of this in vitro study was to analyze the residual dentinal surfaces following caries removal using rotatory instruments and two chemomechanical methods (Papacárie and Carisolv), by scanning electron microscopy (SEM). Thirty primary incisors were divided into three groups, according to the caries removal method used, and their residual dentin was examined under SEM (15). After caries removal, 15 of these teeth were restored with Single Bond (3M) adhesive system and Z100 Filtek composite resin (3M). The tags of the replicas were observed under SEM. The chemomechanical caries removal methods (Papacárie and Carisolv) formed an amorphous layer, similar to the smear layer and few exposed dentinal tubules; the conventional caries removal method produced a smooth and regular dentinal surface, with typical smear layer and exposed dentinal tubules. All groups showed abundant tag formation. Scanning electron microscopy analysis revealed a difference between dentin treated with rotatory instruments and that treated with chemomechanical methods in spite of the occurrence of a similar tag formation in both groups.

PMID: 18389676 [PubMed - indexed for MEDLINE]

Related Articles

Analysis of surface roughness and microleakage of fissure sealants following organic debris removal with Carisolv.

J Dent. 2008 Feb;36(2):130-7

Authors: Yamada Y, Hossain M, Shimizu Y, Kimura Y, Masuda Y, Nakamura Y, Matsumoto K

OBJECTIVE: The objective of the present study was to improve fissure sealing by pre-treatment with Carisolv in order to remove organic debris. The surface morphology and roughness of fissure cavities and the degree of microleakage after Carisolv application were compared with those after bristle brush treatment in vitro. METHODS: Fifty extracted human teeth were used in this study. The teeth were randomly divided into two groups of 25 each. Artificial fissures were prepared in all teeth into which artificial organic debris was placed. The debris in 25 teeth of one group was removed using Carisolv applied for 30s and excavation was performed with a dental explorer until the gel was clear. The remaining 25 teeth were then cleaned using bristle brush with prophylaxis paste. Surface roughness was analyzed in five samples from each group by color laser three-dimensional (3D) microscopy and by scanning electron microscopic examination. The remaining samples were filled with sealant and subjected to a microleakage test under thermocycling. Statistical analysis was performed using the Mann-Whitney U-test; a value of p<0.05 was considered significant. RESULTS: Morphologically, most of the debris in the fissures was removed by Carisolv treatment, whereas some fissures were not cleaned by bristle brush. Carisolv-treatment with acid-etching resulted in removal of debris-like smear layer leaving enamel prisms open, and 3D laser microscopy demonstrated that the roughness values increased after acid-etching. However, microleakage test of both Carisolv and brush methods showed similar results. CONCLUSIONS: Carisolv-treated surfaces especially when subjected to acid-etching might facilitate good adaptation of sealant to enamel, because of an increase in surface roughness and favorable surface characteristics.

PMID: 18179855 [PubMed - indexed for MEDLINE]

Related Articles

Erbium, chromium:yttrium scandium gallium garnet laser for caries removal: influence on bonding of a self-etching adhesive system.

Lasers Med Sci. 2007 Oct 26;

Authors: Tachibana A, Marques MM, Soler JM, Matos AB

This study evaluated the influence of the dental substrates obtained after the use of different caries removal techniques on bonding of a self-etching system. Forty, extracted, carious, human molars were ground to expose flat surfaces containing caries-infected dentine surrounded by sound dentine. The caries lesions of the specimens were removed or not (control-G1) either by round steel burs and water-cooled, low speed, handpiece (G2), or by irradiation with an erbium, chromium:yttrium scandium gallium garnet (Er,Cr:YSGG) laser (2W, 20 Hz, 35.38 J/cm(2), fiber G4 handpiece with 0.2826 mm(2), non-contact mode at a 2 mm distance, 70% air/20% water-G3) or using a chemo-mechanical method (Carisolv-G4). Caries-infected, caries-affected and sound dentines were submitted to a bonding system followed by construction of a resin-based composite crown. Hour-glass shaped samples were obtained and submitted to a micro-tensile bond test. The bond strength data were compared by analysis of variance (ANOVA), complemented by Tukey's test (P </= 0.05). The samples of sound dentine presented higher bond strengths than did samples of caries-affected dentine, except for the groups treated with the Er,Cr:YSGG laser. The highest bond strengths were observed with the sound dentine treated with burs and Carisolv. The bond strengths to caries-affected dentine were similar in all groups. Additionally, bonding to caries-affected dentine of the Er,Cr:YSGG laser and Carisolv groups was similar to bonding to caries-infected dentine. Thus, caries-affected dentine is not an adequate substrate for adhesion. Moreover, amongst the caries removal methods tested, the Er,Cr:YSGG laser irradiation was the poorest in providing a substrate for bonding with the tested self-etching system.

PMID: 17963019 [PubMed - as supplied by publisher]

Related Articles

Various methods of caries removal in children: a comparative clinical study.

J Indian Soc Pedod Prev Dent. 2007 Apr-Jun;25(2):93-6

Authors: Pandit IK, Srivastava N, Gugnani N, Gupta M, Verma L

An in vivo study comparing the different methods of caries removal was done in children of age group 6-9 years. Among these patients a total number of 150 carious deciduous teeth were selected. Caries removal was done by hand instruments, airotor and carisolv. The efficacy, time taken and pain experienced by the patient during caries removal was evaluated. The results showed that airotor was the most efficient method (mean value 0.38), while carisolv was the least painful (mean value 0.080) and the most time consuming method (534.8 seconds).

PMID: 17660645 [PubMed - in process]

Related Articles

In vitro evaluation of marginal leakage in bonded restorations, with mechanical or chemical-mechanical (Carisolv) removal of carious tissue.

Braz Oral Res. 2007 Apr-Jun;21(2):176-81

Authors: Okida RC, Martins TM, Briso AL

This study carried out an in vitro evaluation and comparison of the occurrence of marginal leakage in bonded restorations using mechanical or chemical-mechanical (Carisolv) removal of carious tissue. For that purpose, 40 extracted decayed human molars were divided into 4 groups: GI (burs + Prime & Bond NT + TPH), GII (Carisolv + Prime & Bond NT + TPH), GIII (burs + SBMP + Z100) and GIV (Carisolv + SBMP + Z100). After accomplishment of the restorations and thermal cycling, the teeth were exposed to dye, sectioned and qualitatively evaluated. The results demonstrated that the system of removal of carious tissue did not influence the results of microleakage at any of the cavity margins. At dentinal margins, use of the Prime & Bond NT + TPH restorative system allowed the occurrence of less microleakage than the SBMP + Z100 system.

PMID: 17589655 [PubMed - indexed for MEDLINE]

Related Articles

In vitro effectiveness of a chemo-mechanical method for caries removal.

Eur J Paediatr Dent. 2007 Jun;8(2):61-7

Authors: Peric T, Markovic D

AIM: The aim of the study was to assess the efficacy of chemo-mechanical method for caries removal based on histological analysis and scanning electron microscopy of dentine samples. METHODS: Forty-five freshly extracted human deciduous and permanent teeth with dentinal caries were used in this in vitro study. The teeth were allocated to two different technique groups. Chemo- mechanical caries removal using Carisolv was performed in 30 teeth and in 15 teeth caries was removed using conventional rotary instruments. The caries status of dentine was judged according to clinical criteria (probing and visual inspection). After caries removal had been completed, teeth were sectioned through the prepared cavities and the two halves of each tooth were processed for light microscopy and scanning electron microscopy. Light microscope was used to examine the specimens for the presence of bacteria in dentine tubules. Scanning electron microscope was used to determine surface characteristics of the cavity floor after caries removal. RESULTS: All examined dentine surfaces were clinically caries free. Regarding the presence of bacteria, 53% of chemo- mechanically prepared teeth and 87% of conventionally prepared teeth were bacteria-free (p>0.05). Efficacy of both methods was confirmed using scanning electron microscope, but different dentine topography was recorded after chemo-mechanical and conventional caries removal. Conclusion: Based on histological and scanning electron microscope analyses it could be concluded that this chemo-mechanical method is efficient in the removal of carious dentine.

PMID: 17571929 [PubMed - indexed for MEDLINE]


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