Comparison of the efficacy of chemomechanical caries removal (Carisolv‘) with that of conventional excavation in reducing the cariogenic flora

Azrak, Birgül; Callaway, Angelika S.; Grundheber, A.; Stender, E.; Willershausen, B

doi:10.1111/j.1365-263x.2004.00535.x

Cited by 45 publications

(56 citation statements)

References 22 publications

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“…Although the remaining dentine hardness is considered a subjective criterion to indicate adequate caries removal, this is the most commonly used method in similar clinical trials. 10,13,14,22,24 Moreover, it must be borne in mind that, regardless of the method used to excavate caries, there is little evidence to support the concept of complete caries removal. Actually, it is not even possible to remove all the infected dentine.…”

Section: Discussionmentioning

confidence: 99%

“…16 Differences in selection criteria, sampling procedures and bacterial culture techniques could explain the controversial results in studies assessing antimicrobial efficacy of the chemomechanical methods. 13,14,15,16 Some studies used a specific size of sterile bur to collect the dentine samples, 12,13,16 whereas others used a manual sterile excavator 14,15 or the specific Carisolv ™ excavator. 16 In the present study, dentine samples were collected with a sterile excavator (11 1/2 Duflex ™ ).…”

Section: Discussionmentioning

confidence: 99%

“…in dentine caries, compared with manual excavation, 14,15 or drilling. 13,15 Conversely, in a clinical study, the reduction of cariogenic flora after caries removal was attributed to the antibacterial properties of Carisolv ™ , which has amino acids and sodium hypochlorite in its composition.…”

Section: Discussionmentioning

confidence: 99%

“…9,11 A certain number of residual microorganisms, 10 1 to 10 3 of colony forming units (CFU), in the dentine after cavity preparation is considered acceptable and not harmful to teeth. 12,13,14 Clinical research comparing the conventional method (drilling) with the Carisolv ™ chemomechanical method has concluded that both methods are similar in terms of CFU reduction in residual dentine. 13,14,15,16 The purpose of the present study was to compare the efficacy of the chemochemical methods (Carisolv™ and Papacárie ® ) versus the manual method (excavators) in reducing the cariogenic microbiota in dentine caries of primary teeth.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of chemomechanical caries removal in reducing cariogenic microbiota: a randomized clinical trial

et al. 2014

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The aim of this study was to compare the efficacy of chemochemical methods (Carisolv™ and Papacárie®) versus the manual method (excavators) in reducing the cariogenic microbiota in dentine caries of primary teeth. Forty-six healthy children (5 to 9 years old) having at least one primary tooth with a cavitated dentine carious lesion were included in the study. The teeth presented no clinical or radiographic signs of pulpal involvement. The sample of 74 teeth was randomly divided into three different groups: Papacárie® (n = 25), Carisolv™ (n = 27) and Manual (n = 22). Samples of carious and sound dentine were collected with sterile excavators before and after caries removal in the three groups. The dentine samples were transferred to glass tubes containing a 1mL thioglycollate medium used as a carrier and enriched for microbiological detection of mutans streptococci and Lactobacillus spp, after incubation for 6h at room temperature. The minimum detection value for colony forming units (CFU) was 3.3 x 102 CFU/ml, and the results were converted into scores from 0 to 4. A significant difference was observed in relation to the microbiological scores before and after caries removal for all methods (Wilcoxon test; p < 0.001). The use of chemomechanical methods for caries removal did not improve the reduction of cariogenic microorganisms in dentine caries lesions, in comparison with manual excavation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of chemomechanical caries removal in reducing cariogenic microbiota: a randomized clinical trial

et al. 2014

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“…Chemomechanical excavation (CME) of carious dentine has become an alternative to CE, particularly in paediatric dentistry 7 and for anxious or medically compromised patients. 8 This method disrupts the altered collagen fibres in carious dentine and allows a higher selectivity of removal.…”

Section: Introductionmentioning

confidence: 99%

Micro-computerized tomography assessment of fluorescence aided caries excavation (FACE) technology: comparison with three other caries removal techniques

Zhang

Yin

et al. 2013

Aust Dent J

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Background: The aim of this study was to determine the caries removal effectiveness (CRE) and minimal invasiveness potential (MIP) of four dentine caries removal methods. Methods: After carious molars were scanned using micro-computerized tomography (micro-CT), dentine caries were removed by fluorescence aided caries excavation (FACE) technology, laser induced fluorescence (LIF), chemomechanical excavation (CME), and conventional excavation (CE). Micro-CT was then repeated. CRE was determined based on the volume of residual caries/initial caries (RC/IC) and the mean mineral density (MD) at the cavity floor. MIP was determined by measuring the volume of the prepared cavity/initial cavity (PC/IC). Results: Among the four groups, the LIF group had the smallest RC/IC (0.08), the highest mean MD at the cavity floor (1.32 g/cm

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Operative caries management in adults and children

Ricketts

Lamont

Innes

et al. 2013

Cochrane Database of Systematic Reviews

250

211

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Stepwise and partial excavation reduced the incidence of pulp exposure in symptomless, vital, carious primary as well as permanent teeth. Therefore these techniques show clinical advantage over complete caries removal in the management of dentinal caries. There was no evidence of a difference in signs or symptoms of pulpal disease between stepwise excavation, and complete caries removal, and insufficient evidence to determine whether or not there was a difference in signs and symptoms of pulp disease between partial caries removal and complete caries removal. When partial caries removal was carried out there was also insufficient evidence to determine whether or not there is a difference in risk of restoration failure. The no dentinal caries removal studies investigating permanent teeth had a similar result with no difference in restoration failure. The other no dentinal caries removal study, which investigated primary teeth, showed a statistically significant difference in restoration failure favouring the intervention.Due to the short term follow-up in most of the included studies and the high risk of bias, further high quality, long term clinical trials are still required to assess the most effective intervention. However, it should be noted that in studies of this nature, complete elimination of risk of bias may not necessarily be possible. Future research should also investigate patient centred outcomes.

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Comparison of the efficacy of chemomechanical caries removal (Carisolv‘) with that of conventional excavation in reducing the cariogenic flora

Abstract: These results indicate that the efficacy of chemomechanical removal of carious dentine in children by means of Carisolv' is comparable to the results obtained by conventional methods, and thus might serve as a suitable alternative.

Cited by 45 publications

References 22 publications

Efficacy of chemomechanical caries removal in reducing cariogenic microbiota: a randomized clinical trial

Efficacy of chemomechanical caries removal in reducing cariogenic microbiota: a randomized clinical trial

Micro-computerized tomography assessment of fluorescence aided caries excavation (FACE) technology: comparison with three other caries removal techniques

Operative caries management in adults and children

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