Top

Published in:

01-03-2007 | Original Article

Clinical evaluation of chemomechanical and mechanical caries removal: status of the restorations at 3, 6, 9 and 12 months

Authors: Zuhal Kirzioglu, Taskin Gurbuz, Yucel Yilmaz

Published in: Clinical Oral Investigations | Issue 1/2007

Abstract

In this study, the clinical efficacy of Carisolv™ system and the hand excavation method in the removal of occlusal dentine caries of primary molar teeth was evaluated. Both Carisolv system and hand excavation method were applied for the removal of caries on different teeth of the same children. After the removal of the caries, Dyract AP materials were used to restore the teeth. The clinical follow-up was made every 3 months within a year. The clinical evaluations of restorations were carried out in accordance with US Public Health Service (USPHS) criteria. To determine whether there was any statistical difference between the groups, chi-square analysis was used. During both excavation methods, pain occurrence and the need for anesthesia and the time spent were all recorded. The time spent for the removal of caries in Carisolv system and in hand excavation method was 9.03±4.14 min (mean±SD) and 7.34±3.41 min (mean±SD), respectively (P>0.05). At the end of 1 year, differences between Carisolv and hand excavation groups in terms of marginal adaptation and secondary caries were found to be statistically insignificant (P>0.05). During the removal of caries, certain children complained about pain both in Carisolv system and hand excavation method (7.1 and 35.7%, respectively). As a result, it can be argued that Carisolv system is effective in the removal of caries and causes minimum level pain occurrence. Compared to hand excavation, Carisolv system seems to be a promising restorative approach to remove occlusal caries in primary molar teeth. Studies of longer duration are needed to confirm these findings.

Aboush YEY, Tarabzadeh H (1998) Fluoride releave from tooth-colored restorative materials: a 12-month report. J Can Dent Assoc 64:8

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

Azrak B, Collaway A, GrundheberA, Stender E, Willershauser B (2004) Comparison of the efficacy of chemomechanical caries removal (Carisolv) with that of conventional excavation in reducing the cariogenic flora. Int J Paediatr Dent 14:182–191PubMedCrossRef

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

Banerjee A, Watson TF, Kidd EAM (2000) Dentin caries excavation: a review of current clinical techniques. Br Dent J 188:476–482PubMedCrossRef

Bergmann J, Leitaod J, Kultje C, Bergmann D, Clode MJ (2005) Removing dentine caries in deciduous teeth with Carisolv: a randomised, controlled, prospective study with six-month follow-up, comparing chemomechanical treatment with drilling. Oral Health Prev Dent 3:105–111PubMed

Björndal L, Larsen T, Thylstrup A (1997) A clinical and microbiological study of deep carious lesions during stepwise excavation using long treatment intervals. Caries Res 31:411–417PubMedCrossRef

Cehreli ZC, Altay N (2000) Three-year clinical evaluation of a polyacid-modified resin composite in minimally invasive occlusal cavities. J Dent 28:117–122PubMedCrossRef

Chaussain-Miller C, Decup F, Domejean-Orliaguet S, Gillet D, Guigand M, Kaleka R et al (2003) Clinical evaluation of the Carisolv chemomechanical caries removal technique according to the site/stage concept, a revised caries classification system. Clin Oral Investig 7:32–37PubMed

10.

Dahlin S (2001) Chemical mode of action of Carisolv. In: Albrektsson T, Bratthall D, Glantz PO, Lindhe J (eds) Tissue preservation in caries treatment. Quintessence, London, pp 167–175

11.

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 30:59–65PubMedCrossRef

12.

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 33:171–177PubMedCrossRef

13.

Ericson D, Bornstein R (2001) Development of a tissue-preserving agent for caries removal. In: Albrektsson T, Bratthall D, Glantz PO, Lindhe J (eds) Tissue preservation in caries treatment. Quintessence, London, pp 153–166

14.

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

15.

Fure S, Lingström P (2004) Evaluation of the chemomechanical removal of dentine caries in vivo with a new modified Carisolv gel. Clin Oral Investig 8:139–144PubMedCrossRef

16.

Fusayama T (1997) The process and results of revolution in dental caries treatment. Int Dent J 47:157-166PubMed

17.

Frencken J, Makoni F (1994) A treatment technique for tooth decay in deprived communities. World Health 1:15–17

18.

Frencken JE, Makoni F, Sithole WD (1996) Atraumatic restorative treatment and glass-ionomer sealants in school oral health programme in Zimbabwe: evaluation after 1 year. Caries Res 30:428–433PubMed

19.

Gurbuz T, Yilmaz Y (2002) The effect of caries removal methods on microleakage in the primary molar teeth. Atatürk Univ Dent Fac J 12:22–28

20.

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

21.

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

22.

Katz E (1988) A comparison of the efficacies of Caridex and conventional drills in caries removal. Compend Contin Educ Dent 9:804

23.

Kavvadia K, Karagianni V, Polychronopoulou A, Papagiannouli L (2004) Primary teeth caries removal using the Carisolv chemomechanical method a clinical trial. Pediatr Dent 26:23–28PubMed

24.

Kidd EA, Joyston-Bechal S, Beighton D (1993) The use of a caries detector dye during cavity preparation: a microbiological assessment. Br Dent J 174:245–248PubMedCrossRef

25.

Mandari GJ, Truin GJ, van’t Hof MA, Frencken JE (2001) Effectiveness of three minimal intervention approaches for managing dental caries: Survival of restorations after 2 years. Caries Res 35:90–94PubMedCrossRef

26.

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

27.

Mjör IA, Gordan VV (1999) A review of atraumatic restorative treatment (ART). Int Dent J 49:127–131PubMed

28.

Mjor IA, Odont D (2001) Pulp-dentin biology in restorative dentistry. Part 2: initial reactions to preparation of teeth for restorative procedures. Quintessence Int 32:537–551PubMed

29.

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

30.

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

31.

Ohgushi K, Fusayama T (1975) Electron microscopic structure of the two layers of carious dentine. J Dent Res 54:1019–1026

32.

Ryge G (1980) Clinical criteria. Int Dent J 30:347–358PubMed

33.

Siegel SC, von Fraunhofer JA (1998) Dental cutting: the historical development of diamond burs. J Am Dent Assoc 129:740–745PubMed

34.

Siegel SC, von Fraunhofer JA (1999) Dental cutting with diamond burs: heavy-handed or light-touch? J Prosthodont 8:3–9PubMedCrossRef

35.

Schutzbank SG, Marchwinski M, Kronman JH, Goldman M, Clark RE (1975) In vitro study of the effect of GK 101 on the removal of carious material. J Dent Res 54:907PubMed

36.

Yip HK, Stevenson AG, Beeley JA (1994) The specificity of caries detector dyes in cavity preparation. Br Dent J 176:417–421PubMedCrossRef

37.

Yip HK, Samaranayake LP (1998) Caries removal techniques and instrumentation: a review. Clin Oral Investig 2:148–154PubMedCrossRef

38.

Yip HK, Smales RJ, Yu C, Gao XJ, Deng DM (2002) Comparison of atraumatic restorative treatment and conventional cavity preparations for glass-ionomer restorations in primary molars: one-year results. Quintessence Int 33:17–21PubMed

Title: Clinical evaluation of chemomechanical and mechanical caries removal: status of the restorations at 3, 6, 9 and 12 months
Authors: Zuhal Kirzioglu
Taskin Gurbuz
Yucel Yilmaz
Publication date: 01-03-2007
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 1/2007
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-006-0072-1

At a glance: The STEP trials

Springer Medicine

Clinical evaluation of chemomechanical and mechanical caries removal: status of the restorations at 3, 6, 9 and 12 months

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2007

Recommendations for conducting controlled clinical studies of dental restorative materials

Proximal direct composite restorations and chairside CAD/CAM inlays: Marginal adaptation of a two-step self-etch adhesive with and without selective enamel conditioning

Demineralized freeze-dried bone allograft and platelet-rich plasma vs platelet-rich plasma alone in infrabony defects: a clinical and radiographic evaluation

Effect of an intensified treatment with 40% chlorhexidine varnish on plaque acidogenicity

Deposition of fluoride on enamel surfaces released from varnishes is limited to vicinity of fluoridation site

High-molecular tenascin-C as an indicator of atypical cells in oral brush biopsies