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Chemo-mechanical dentine caries removal with Carisolv using a rotating brush
C Meller1, A W Nourallah, C Heyduck
1Department of Preventive and Pediatric Dentistry, Centre of Oral Health, Ernst-Moritz-Arndt University, Greifswald, Germany.
European Journal of Paediatric Dentistry
|July 18, 2006
Summary
Carisolv with rotating brushes was less effective at removing dentine caries than hand instruments or carbide burs. This new method left significantly more residual caries, even in accessible areas.
Area of Science:
- Dentistry
- Cariology
- Restorative Dentistry
Background:
- Dentine caries removal is crucial for effective restorative treatment.
- Minimally invasive techniques aim to preserve tooth structure.
- Evaluating new methods for caries excavation is essential.
Purpose of the Study:
- To compare the efficacy of dentine caries removal using carbide burs, Carisolv with hand instruments, and Carisolv with a novel rotating brush method.
Main Methods:
- 36 extracted teeth with dentine caries were divided into three groups.
- Caries removal was assessed using a dental explorer and caries detector.
- Residual caries depth was quantified via microscopy and computer analysis.
Main Results:
- The Carisolv with rotating brush method required more applications (4-8) and time (10.9 min).
- This method resulted in significantly higher residual caries depth (226 µm) compared to hand instruments (57 µm) or carbide burs (32 µm).
- Unacceptable levels of residual caries were observed even in accessible lesions.
Conclusions:
- Carisolv used with rotating brushes is less effective in caries removal than Carisolv with hand instruments or conventional carbide burs.
- The new mechanical excavation method does not achieve the same degree of caries removal as traditional methods.
