International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 7 , ISSUE 1 ( January-April, 2014 ) > List of Articles

RESEARCH ARTICLE

Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study

Ankush Ramnarayan Boob, M Manjula, N Srilaxmi, Tabitha Rani

Keywords : Carisolv, Papacarie, Knoop hardness number, Chemomechanical caries removal

Citation Information : Boob AR, Manjula M, Srilaxmi N, Rani T. Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study. Int J Clin Pediatr Dent 2014; 7 (1):11-18.

DOI: 10.5005/jp-journals-10005-1226

License: CC BY-NC 4.0

Published Online: 01-10-2018

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Background: Many chemomechanical caries removal (CMCR) agents have been introduced and marketed since 1970s, with each new one being better and effective than the previously introduced. Papacarie and Carisolv are new systems in the feld of CMCR techniques. These are reportedly minimally invasive methods of removing carious dentin while preserving sound dentin. Aim: To compare the Efficiency (time taken for caries removal) and effectiveness (Knoop hardness number of the remaining dentin) of caries removal by three minimally invasive methods, i.e. hand excavation and chemomechanical caries removal using Carisolv and Papacarie. Materials and methods: Thirty recently extracted human permanent molars with occlusal carious lesions were divided randomly in three equal groups and bisected through the middle of the lesion mesiodistally and excavated by two methods on each tooth. Results: Statistically significant difference was present among three methods with respect to time and knoop hardness values (KHN) of the remaining dentin. Conclusion: The Efficiency of Hand method is better compared to CMCR techniques and effectiveness of CMCR techniques is better than Hand method in terms of dentin preservation so the chances of maintaining vitality of the pulp will be enhanced. How to cite this article: Boob AR, Manjula M, Reddy ER, Srilaxmi N, Rani T. Evaluation of the Efficiency and Effectiveness of Three Minimally Invasive Methods of Caries Removal: An in vitro Study. Int J Clin Pediatr Dent 2014;7(1):11-18.


PDF Share
  1. AAPD reference manual 2008.
  2. Peterson PE. The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century––the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003 Dec;31 Suppl 1:3-23.
  3. Strassler HE (Department of Endodontics, Prosthodontics, and Operative Dentistry, University of Maryland Dental School, 666 West Baltimore Street, Baltimore, MD 21201, USA. hstrassler@ umaryland.edu), Porter J, Serio CL. Contemporary treatment of incipient caries and the rationale for conservative operative techniques. Dent Clin North Am 2005 Oct;49(4):867-887, viii.
  4. McComb D (Restorative Dentistry, Faculty of Dentistry, University of Toronto, 124 Edward Street, Room 352C, Toronto, Ontario M5G 1G6, Canada. d.mccomb@utoronto.ca). Conservative operative management strategies. Dent Clin North Am 2005 Oct;49(4):847-865, vii-viii.
  5. Banerjee A (Division of Conservative Dentistry, Guy's, King's and St. Thomas’ Dental Institute, KCL, London. avijit.banerjee@ kcl.ac.uk), Watson TF, Kidd EAM. Dentine caries excavation: A review of current clinical techniques. Br Dent J 2000 May 13;188(9):476-482.
  6. Schutzbank SG, Marchwinski M, Kronman JG, Goldman M, Clark RE. In vitro study of GK-101 on the removal of carious material. J Dent Res 1975 Jul-Aug;54(4):907.
  7. Goldman M, Kronman JH. A prelimnary report on chemomechanical removal of caries. J Am Dent Assoc 1976 Dec;93(6):1149-1153.
  8. Kurosaki N, Sato Y, Iwaku M, Fusayama T. Effect of a carious dentin softener on the dentin and pulp. J Prosthet Dent 1977 Aug;38(2):169-173.
  9. Vougiouklakis G, Paroussis D. Chemomechanical means of removing caries—Caridex system. Hell Stomatol Chron 1988 Apr-Jun;32(2):97-102.
  10. Barwart O (Universitätsklinik für Zahn-, Mund- und Kieferheilkunde Innsbruck, Austria), Moschen I, Graber A, Pfaller K. 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 1991 Nov;18(6):523-529.
  11. Yip HK, Beeley JA, Stevenson AG. An improved reagent for chemo-mechanical caries removal in permanent and deciduous teeth: An in vitro study. Journal of Dentistry 1995;23(4):197-204.
  12. Yip HK (University of Hong Kong, Prince Philip Dental Hospital, Hong Kong), Stevenson AG, Beeley JA. Chemomechanical removal of dental caries in deciduous teeth: Further studies in vitro. Br Dent J 1999 Feb 27;186(4 Spec No):179-182.
  13. Banerjee A (Division of Conservative Dentistry, Guy's, King's and St. Thomas’ Dental Institute, KCL, London, UK. avijit. banerjee@kcl.ac.uk), Kidd EA, Watson TF. In vitro evaluation of five alter-native methods of carious dentine excavation. Caries Res 2000 Mar-Apr;34(2):144-150.
  14. Beeley JA (University of Glasgow Dental School), Yip HK, Stevenson AG. Chemochemical caries removal: A review of the techniques and latest developments. Br Dent J 2000 Apr 22;188(8):427-430.
  15. Maragakis GM (Department of Operative Dentistry and Periodontology, University of Freiburg School of Dentistry, Freiburg, Germany. gmarag@tee.gr), Hahn P, Hellwig E. Clinical evaluation of chemo-mechanical caries removal in primary molars and its acceptance by patients. Caries Res 2001 May- Jun;35(3):205-210.
  16. Bussadori SK (FUNDECTO/USP, Universidade de São Paulo (USP), Brazil. skb@osite.com.br), Castro LC, Galvao AC. Papain gel: A new chemo-mechanical caries removal agent. J Clin Pediatr Dent 2005 winter;30(2):115-119.
  17. Lopes MC (Araras Dental School, Hermínio Ometto University Center (UNIARARAS), Araras, São Paulo, Brazil), Mascarini RC, Silva BMC, Florio FM, Basting RT. Effect of Papain-based gel for chemomechanical caries removal on dentin shear bond strength. J Dent Child (Chic) 2007 May-Aug;74(2):93-97.
  18. Abdelnur JP (Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil), Cerqueira DF, Castro GF, Maia LC, de Souza IP. Strategies for addressing restorative challenges in HIV-infected children. J Dent Child (Chic) 2008 Jan-Apr;75(1):69-73.
  19. Piva E (Biomaterials Development and Control Center, School of Dentistry, Federal University of Pelotas, RS, Brazil. piva@ufpel.edu.br), Ogliari FA, Ratto R, et al. Papain-based gel for biochemical caries removal: Influence on microtensile bond strength to dentin. Braz Oral Res 2008 Oct-Dec;22(4):364-370.
  20. Ericson D (Department of Cariology, Lund University, Malmö, Sweden. Dan.Ericson@odcariol.lu.se), Zimmerman M, Raber H, Gotrick B, Bornstein R, Thorell J. Clinical evaluation of efficacy and safety of a new method for chemo-mechanical removal of caries. A multi-centre study. Caries Res 1999 May- Jun;33(3):171-177.
  21. Fure S (Department of Cariology, Faculty of Odontology, Göteborg University, Göteborg, Sweden. fure@odontologi. gu.se), Lingstrom P, Birkhed D. ‘Evaluation of Carisolv for the chemo-mechanical removal of primary root caries in vivo.’ Caries Res 2000 May-Jun;34(3):275-280.
  22. Munshi AK (Department of Pedodontics and Preventive Dentistry, A.B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India), Hegde AM, Shetty PK. Clinical evaluation of Carisolv in the chemo-mechanical removal of carious dentin. J Clin Pediatr Dent 2001 Fall;26(1):49-54.
  23. Fluckiger L (Department of Operative, Preventive and Paediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland), Waltimo T, Stich H, Lussi A. Comparison of chemomechanical caries removal using Carisolv TM or conventional hand excavation in deciduous teeth in vitro. J Dent 2005 Feb;33(2):87-90.
  24. Nadanovsky P (Institute of Social Medicine, Dental School, State University of Rio de Janeiro, Brazil. nadanovs@uerj. br), Carneiro F, Mello SF. Removal of caries using only hand instruments: A comparison of mechanical and chemo-mechanical methods. Caries Res 2001 Sep-Oct;35(5):384-389.
  25. Dennison JB, Hamilton JC. Treatment decision and conservation of tooth structure. Dent Clin North Am 2005 Oct;49(4):825-845, vii.
  26. Bergmann J (Ryslinge-Orbaek Community Dental Clinic, Orbaek Fyn, Denmark. tandpl@post7.tele.dk), Lietao J, Kultje C, Bergmann D, Clode MJ. Removing dentine caries in deciduous teeth with Carisolv: A randomized, controlled, prospective Study with 6 months follow-up, comparing chemomechanical treatment with drilling. Oral Health Prev Dent 2005;3(2):105-11.
  27. Hosoya Y (Nagasaki University School of Dentistry, Department of Pediatric Dentistry, 1-7-1, Sakamoto, Nagasaki, 852-8588, Japan), Marshall SJ, Watanabe LG, Marshall GW. Microhardness of the carious deciduous dentin. Oper Dent 2000 Mar- Apr;25(2):81-89.
  28. Magalhães CS(Departament of Restorative Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. silamics@yahoo.com), Moreira AN, Campos WR, Rossi FM, Castilho GA, Ferreira RC. Effectiveness and efficiency of chemomechanical carious dentine removal. Braz Dent J 2006;17(1):63-7. Epub 2006 May 2.
  29. Allen KL(Department of General Dentistry and Management Science, New York University, New York, NY 10010, USA. kenneth.allen@nyu.edu), Salgado TL, Janal MN, Thompson VP. Removing carious dentin using a polymer instrument without anesthesia versus a carbide bur with anesthesia. J Am Dent Assoc 2005 May;136(5):643-651.
  30. Pashley DH (Department of Oral Biology and Maxillofacial Pathology, School of Dentistry, Medical College of Georgia, Augusta, GA 30912-1129, USA. dpashley@mail.mcg.edu), Pashley EL, Carvalho RM, Tay FR. The effects of dentin permeability on restorative dentistry. Dent Clin North Am 2002 Apr;46(2):211-45, v-vi.
  31. Ericson, D.; Bornstein, R. Development of a tissue-preserving agent for caries removal. In: Albrektsson, TO.; Bratthall, D.; Glantz, PJ.; Lindhe, JT., editors. Tissue preservation in caries treatment. Quintessence Publishing Co. Ltd; 2001. p. 153-166.
  32. Hossain M (Department of Endodontics, School of Dentistry, Showa University, Tokyo, Japan), Nakamura Y, Tamaki Y, Yamada Y, Jayawardena JA, Matsumoto K. Dentinal composition and Knoop hardness measurements of cavity floor following carious dentin removal with Carisolv. Oper Dent 2003 Jul-Aug;28(4):346-351.
  33. Correa FN (Pediatric Dentistry-University of São Paulo, Doctorate Student in Pediatric Dentistry-University of São Paulo, Brazil. fenahas@usp.br), Rocha RO, Rodrigues Filho LE, Muench A, Rod-rigues CR. Chemical versis conventional caries removal techniques in primary teeth: A microhardness study. J Clin Pediatr Dent 2007 Spring;31(3):187-192.
  34. Kakaboura A (Department of Operative Dentistry, Faculty of Dentistry, University of Athens, Athens, Greece. afrodite1@ otenet.gr), Masouras C, Staikou O, Vougiouklakis G. A comparative clinical study on the Carisolv caries removal method. Quintessence Int 2003 Apr;34(4):269-271.
  35. Rafique S (Wandsworth Primary Care Trust, Guy's, King's and St. Thomas’ Dental Institute, KCL, London, UK), Fiske J, Banerjee A. Clinical trial of an air-abrasion/chemomechanical operative procedure for the restorative treatment of dental patients. Caries Res 2003 Sep-Oct;37(5):360-364.
  36. Yazici AR (Department of Conservative Dentistry, Hacettepe University, Ankara, Turkey. ruyay@hacettepe.edu.tr), Atilla P, Ozgunaltay G, Muftuoglu S. In vitro comparison of the efficacy of Carisolv and conventional rotary instrument in caries removal. J Oral Rehabil 2003 Dec;30(12):1177-1182.
  37. Fure S (Department of Cariology, Faculty of Odontology, Sahlgrenska Academy at Gothenburg University, Box 450, 40530 Gothenburg, Sweden. fure@odontologi.gu.se), Lingstrom P. Evaluation of the chemomechanical removal of dentin caries in vivo with a new modified Carisolv gel. Clin Oral Investig 2004 Sep;8(3):139-144. Epub 2004 Jul 10.
  38. Splieth C (Department of Operative Dentistry, Periodontology, and Pediatric Dentistry, Ernst Moritz Arndt University, Greifswald, Germany. Splieth@uni-greifswald.de), Rosin M, Gellissen B. Determination of residual dentin caries after conventional mechanical and chemomechanical caries removal with Carisolv. Clin Oral Investig 2001 Dec;5(4):250-3.
  39. Cederlund A (Department of Basic Oral Sciences, School of Dentistry, Karolinska Institutet, Huddinge, Sweden. andreas. cederlund@ofa.ki.se), Lindskog S, Blomlof J. Efficacy of Carisolv-assisted caries excavation. Int J Periodontics Restorative Dent 1999 Oct;19(5):464-469.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.