J Korean Acad Conserv Dent.  2005 May;30(3):149-157. 10.5395/JKACD.2005.30.3.149.

The efficacy of chemo-mechanical removal of dentin carious lesion

• Lim SB
• Choi KK
• Park SJ

• KMID: 2045240
• DOI: http://doi.org/10.5395/JKACD.2005.30.3.149

Abstract

Mechanical removals in decayed teeth have been performed using drill and sharp hand instruments. These methods have some disadvantages such as pain, local anesthesia and overextended cavities. Therefore chemo-mechanical excavation of dentin carious lesions has been introduced. The purpose of this study was to evaluate the efficacy of traditional mechanical methods using burs and chemo-mechanical methods (Carisolv) of caries dentin. Mechanical caries removal was carried with low speed round bur. Chemo-mechanical caries excavation was performed with Carisolv (Medi-team), using the Carisolv hand instruments. The mean time to remove caries with two different methods was evaluated and the data analyzed with SPSS software (ver 11.5) by t-test (p < 0.05). For histomorphometry of caries removal were also carried with mechanical or chemo-mechanical (Carisolv) methods from 20 extracted caries permanent molars. Complete caries removal was verified with a #23 sharp explorers, Caries Detector (Kuraray Co. Japan), and standard apical radiography. 1. Chemo-mechanical method was taken more times than mechanical method (1.5 fold) (p < 0.05). 2. Excavation for caries took more time for molar lesion than premolar lesion, and the least time was taken to remove the caries in incisor lesion (p < 0.05). 3. There were no significant differences to remove the caries between the maxilla and mandible (p > 0.05). 4. The remaining carious dentin was detected after the chemo-mechanical removal of the carious dentin, and no smear layer were seen after the mechanical and chemo-mechanical removal of the carious dentin.

Keyword

Chemo-mechanical method; Caries; remaining caries; Carisolv; Standard apical radiography; Mechanical removal

MeSH Terms

Anesthesia, Local
Bicuspid
Dental Caries
Dentin*
Hand
Incisor
Mandible
Maxilla
Molar
Radiography
Smear Layer
Tooth

Figure

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  Figure 1 The mean time for Caries removal with two methods.

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  Figure 2 The mean time for Caries removal in Maxillary and Mandibular teeth (*Mx = Maxilla, *Mn = Mandible).

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  Figure 3 Chemo-mechanical method <100×>.

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  Figure 4 Chemo-mechanical method <400×>.

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  Figure 5 Mechanical method <100×>.

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  Figure 6 Mechanical method <400×>.

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  Figure 7 Carisolv gel, Special instruments (Medi-Team. Sweden), #23 Explorer, and Caries Detectors. (Kuraray co. Japan)

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