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Original Article The efficacy of chemo-mechanical removal of dentin carious lesion
Soon-Bin Lim1, Kyung-Kyu Choi1,2, Sang-Jin Park1,2
2005;30(3):-157.
DOI: https://doi.org/10.5395/JKACD.2005.30.3.149
Published online: May 31, 2005

1Department of Conservative Dentistry, Division of Dentistry, Graduate School, Kyunghee University, Korea.

2Oral Biology Research Institute, College of Dentistry, Kyunghee University, Korea.

Corresponding author: Sang-Jin Park. Department of Conservative Dentistry, Division of Dentistry, Graduate school of KyungHee University, 1, Hoegi Dong, Dongdaemoon Gu, Seoul, Korea, 130-702. Tel: 82-2-958-9335, psangjin@khu.ac.kr
• Received: July 1, 2004   • Revised: September 21, 2004   • Accepted: November 23, 2004

Copyright © 2005 Korean Academy of Conservative Dentistry

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  • 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.
  • Keywords: Chemo-mechanical method; Caries; remaining caries; Carisolv; Standard apical radiography; Mechanical removal
Figure 1
The mean time for Caries removal with two methods.
jkacd-30-149-g001.jpg
Figure 2
The mean time for Caries removal in Maxillary and Mandibular teeth (*Mx = Maxilla, *Mn = Mandible).
jkacd-30-149-g002.jpg
Figure 3
Chemo-mechanical method <100×>.
jkacd-30-149-g003.jpg
Figure 4
Chemo-mechanical method <400×>.
jkacd-30-149-g004.jpg
Figure 5
Mechanical method <100×>.
jkacd-30-149-g005.jpg
Figure 6
Mechanical method <400×>.
jkacd-30-149-g006.jpg
Figure 7
Carisolv gel, Special instruments (Medi-Team. Sweden), #23 Explorer, and Caries Detectors. (Kuraray co. Japan)
jkacd-30-149-g007.jpg
Table 1
Classification of caries teeth used by two different caris removal methods in three groups (N = 303)
jkacd-30-149-i001.jpg
Table 2
The mean time for caries removal with two methods (Unit: min, Mean ± S.D)
jkacd-30-149-i002.jpg
Table 3
The mean time for caries removal in Maxillary & Mandibular teeth(min) (Unit: min, Mean ± S.D)
jkacd-30-149-i003.jpg
  • 1. Banerjee A, Kidd E, Watson T. In vitro evaluation of five alternative methods of carious dentine excavation. Caries Res. 2000;34: 144-150.ArticlePubMedPDF
  • 2. Banerjee A, Kidd E, Watson T. Scanning electron microscopic observations of human dentine after mechanical caries excavation. J Dent. 2000;28: 179-186.ArticlePubMed
  • 3. Yamada Y, Hossain M, Kawanaka T, Kinoshita J, Matsumoto K. Removal effects of the Nd:YAG laser and Carisolv on carious dentin. J Clin Laser Med Surg. 2000;18: 241-245.ArticlePubMed
  • 4. Yamada Y, Hossain M, Suzuki N, Kinoshita JI, Nakamura Y, Matsumoto K. Removal of carious dentin by Er: YAG laser irradiation with and without carisolv. J Clin Laser Med Surg. 2001;19: 127-131.ArticlePubMed
  • 5. Beeley JA, Yip HK, Stevenson AG. Chemochemical caries removal a review of the techniques and latest developments. Br Dent J. 2000;188: 427-430.ArticlePubMed
  • 6. Ericson D, 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;33: 171-177.ArticlePubMedPDF
  • 7. Chaussain-Miller C, Decup F, Domejean-Orliaguet S, Gillet D, Guigand M, Kaleka R, Laboux O, Lafont J, Medioni E, Serfaty R, Toumelin-Chemla F, Tubiana J, Lasfargues J. Clinical evaluation of the Carisolv chemomechanical caries removal technique according to the site/stage concept, a revised caries classification system. Clin Oral Investig. 2003;7: 32-37.ArticlePubMedPDF
  • 8. Munshi AK, Hegde AM, Shetty PK. Clinical evaluation of Carisolv in the chemico-mechanical removal of carious dentin. J Clin Pediatr Dent. 2001;26: 49-54.ArticlePubMedPDF
  • 9. Hannig M. Effect of Carisolv™ solution on sound, demineralized and denatured dentin - an ultrastructural investigation. Clin Oral Investig. 1999;3: 155-159.ArticlePubMedPDF
  • 10. Kakaboura A, Masouras C, Staikou O, Vougiouklakis G. A comparative clinical study on the Carisolv caries removal method. Quintessence Int. 2003;34: 269-271.PubMed
  • 11. Splieth C, Rosin M, Gellissen B. Determination of residual dentine caries after conventional mechanical and chemomechanical caries removal with Carisolv. Clin Oral Investig. 2001;5: 250-253.ArticlePubMedPDF
  • 12. Maragakis GM, Hahn P, Hellwig E. Clinical evaluation of chemo-mechanical caries removal in primary molars and its acceptance by patients. Caries Res. 2001;35: 205-210.ArticlePubMedPDF
  • 13. Nadanovsky P, Cohen Carneiro F, Souza de Mello F. Removal of caries using only hand instruments: a comparison of mechanical and chemo-mechanical methods. Caries Res. 2001;35: 384-389.ArticlePubMedPDF
  • 14. Fure S, Lingstrom P, Birkhed D. Evaluation of Carisolv for the chemo-mechanical removal of primary root caries in vivo. Caries Res. 2000;34: 275-280.ArticlePubMedPDF
  • 15. Wennerberg A, Sawase T, Kultje C. The influence of Carisolv on enamel and dentine surface topography. Eur J Oral Sci. 1999;107: 297-306.PubMed
  • 16. Arvidsson A, Liedberg B, Möller K, Lyvén B, Sellén A, Wennerberg A. Chemical and topographical analyses of dentine surfaces after Carisolv™ treatment. J Dent. 2002;30: 67-75.ArticlePubMed
  • 17. Haak R, Witch MJ, Noack MJ. Does chemo-mechanical caries removal affect dentine adhesion? Eur J Oral Sci. 2000;108: 449-455.ArticlePubMedPDF
  • 18. Cederlund A, Lindskog S, Blomlof J. Effect of a chemomechanical caries removal system (Carisolv) on dentin topography of non-carious dentin. Acta Odontol Scand. 1999;57: 185-189.PubMed
  • 19. Cederlund A, Lindskog S, Blomlof J. Efficacy of Carisolv-Assisted caries excavation. Int J Periodontics Restorative Dent. 1999;19: 464-469.PubMed
  • 20. Dammaschk T, Stratmann U, Mokrys K, Kaup M, Ott K. Histocytological evaluation of the reaction of rat pulp tissue to Carisolv. J Dent. 2001;29: 283-290.ArticlePubMed

Tables & Figures

Figure 1
The mean time for Caries removal with two methods.
jkacd-30-149-g001.jpg
Figure 2
The mean time for Caries removal in Maxillary and Mandibular teeth (*Mx = Maxilla, *Mn = Mandible).
jkacd-30-149-g002.jpg
Figure 3
Chemo-mechanical method <100×>.
jkacd-30-149-g003.jpg
Figure 4
Chemo-mechanical method <400×>.
jkacd-30-149-g004.jpg
Figure 5
Mechanical method <100×>.
jkacd-30-149-g005.jpg
Figure 6
Mechanical method <400×>.
jkacd-30-149-g006.jpg
Figure 7
Carisolv gel, Special instruments (Medi-Team. Sweden), #23 Explorer, and Caries Detectors. (Kuraray co. Japan)
jkacd-30-149-g007.jpg
Table 1
Classification of caries teeth used by two different caris removal methods in three groups (N = 303)
jkacd-30-149-i001.jpg
Table 2
The mean time for caries removal with two methods (Unit: min, Mean ± S.D)
jkacd-30-149-i002.jpg
Table 3
The mean time for caries removal in Maxillary & Mandibular teeth(min) (Unit: min, Mean ± S.D)
jkacd-30-149-i003.jpg

REFERENCES

  • 1. Banerjee A, Kidd E, Watson T. In vitro evaluation of five alternative methods of carious dentine excavation. Caries Res. 2000;34: 144-150.ArticlePubMedPDF
  • 2. Banerjee A, Kidd E, Watson T. Scanning electron microscopic observations of human dentine after mechanical caries excavation. J Dent. 2000;28: 179-186.ArticlePubMed
  • 3. Yamada Y, Hossain M, Kawanaka T, Kinoshita J, Matsumoto K. Removal effects of the Nd:YAG laser and Carisolv on carious dentin. J Clin Laser Med Surg. 2000;18: 241-245.ArticlePubMed
  • 4. Yamada Y, Hossain M, Suzuki N, Kinoshita JI, Nakamura Y, Matsumoto K. Removal of carious dentin by Er: YAG laser irradiation with and without carisolv. J Clin Laser Med Surg. 2001;19: 127-131.ArticlePubMed
  • 5. Beeley JA, Yip HK, Stevenson AG. Chemochemical caries removal a review of the techniques and latest developments. Br Dent J. 2000;188: 427-430.ArticlePubMed
  • 6. Ericson D, 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;33: 171-177.ArticlePubMedPDF
  • 7. Chaussain-Miller C, Decup F, Domejean-Orliaguet S, Gillet D, Guigand M, Kaleka R, Laboux O, Lafont J, Medioni E, Serfaty R, Toumelin-Chemla F, Tubiana J, Lasfargues J. Clinical evaluation of the Carisolv chemomechanical caries removal technique according to the site/stage concept, a revised caries classification system. Clin Oral Investig. 2003;7: 32-37.ArticlePubMedPDF
  • 8. Munshi AK, Hegde AM, Shetty PK. Clinical evaluation of Carisolv in the chemico-mechanical removal of carious dentin. J Clin Pediatr Dent. 2001;26: 49-54.ArticlePubMedPDF
  • 9. Hannig M. Effect of Carisolv™ solution on sound, demineralized and denatured dentin - an ultrastructural investigation. Clin Oral Investig. 1999;3: 155-159.ArticlePubMedPDF
  • 10. Kakaboura A, Masouras C, Staikou O, Vougiouklakis G. A comparative clinical study on the Carisolv caries removal method. Quintessence Int. 2003;34: 269-271.PubMed
  • 11. Splieth C, Rosin M, Gellissen B. Determination of residual dentine caries after conventional mechanical and chemomechanical caries removal with Carisolv. Clin Oral Investig. 2001;5: 250-253.ArticlePubMedPDF
  • 12. Maragakis GM, Hahn P, Hellwig E. Clinical evaluation of chemo-mechanical caries removal in primary molars and its acceptance by patients. Caries Res. 2001;35: 205-210.ArticlePubMedPDF
  • 13. Nadanovsky P, Cohen Carneiro F, Souza de Mello F. Removal of caries using only hand instruments: a comparison of mechanical and chemo-mechanical methods. Caries Res. 2001;35: 384-389.ArticlePubMedPDF
  • 14. Fure S, Lingstrom P, Birkhed D. Evaluation of Carisolv for the chemo-mechanical removal of primary root caries in vivo. Caries Res. 2000;34: 275-280.ArticlePubMedPDF
  • 15. Wennerberg A, Sawase T, Kultje C. The influence of Carisolv on enamel and dentine surface topography. Eur J Oral Sci. 1999;107: 297-306.PubMed
  • 16. Arvidsson A, Liedberg B, Möller K, Lyvén B, Sellén A, Wennerberg A. Chemical and topographical analyses of dentine surfaces after Carisolv™ treatment. J Dent. 2002;30: 67-75.ArticlePubMed
  • 17. Haak R, Witch MJ, Noack MJ. Does chemo-mechanical caries removal affect dentine adhesion? Eur J Oral Sci. 2000;108: 449-455.ArticlePubMedPDF
  • 18. Cederlund A, Lindskog S, Blomlof J. Effect of a chemomechanical caries removal system (Carisolv) on dentin topography of non-carious dentin. Acta Odontol Scand. 1999;57: 185-189.PubMed
  • 19. Cederlund A, Lindskog S, Blomlof J. Efficacy of Carisolv-Assisted caries excavation. Int J Periodontics Restorative Dent. 1999;19: 464-469.PubMed
  • 20. Dammaschk T, Stratmann U, Mokrys K, Kaup M, Ott K. Histocytological evaluation of the reaction of rat pulp tissue to Carisolv. J Dent. 2001;29: 283-290.ArticlePubMed

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      The efficacy of chemo-mechanical removal of dentin carious lesion
      J Korean Acad Conserv Dent. 2005;30(3):149-157.   Published online May 31, 2005
      DOI: https://doi.org/10.5395/JKACD.2005.30.3.149
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    The efficacy of chemo-mechanical removal of dentin carious lesion
    Image Image Image Image Image Image Image
    Figure 1 The mean time for Caries removal with two methods.
    Figure 2 The mean time for Caries removal in Maxillary and Mandibular teeth (*Mx = Maxilla, *Mn = Mandible).
    Figure 3 Chemo-mechanical method <100×>.
    Figure 4 Chemo-mechanical method <400×>.
    Figure 5 Mechanical method <100×>.
    Figure 6 Mechanical method <400×>.
    Figure 7 Carisolv gel, Special instruments (Medi-Team. Sweden), #23 Explorer, and Caries Detectors. (Kuraray co. Japan)

    Figure 1

    Figure 2

    Figure 3

    Figure 4

    Figure 5

    Figure 6

    Figure 7

    The efficacy of chemo-mechanical removal of dentin carious lesion

    Classification of caries teeth used by two different caris removal methods in three groups (N = 303)

    The mean time for caries removal with two methods (Unit: min, Mean ± S.D)

    The mean time for caries removal in Maxillary & Mandibular teeth(min) (Unit: min, Mean ± S.D)
    Table 1 Classification of caries teeth used by two different caris removal methods in three groups (N = 303)

    Table 2 The mean time for caries removal with two methods (Unit: min, Mean ± S.D)

    Table 3 The mean time for caries removal in Maxillary & Mandibular teeth(min) (Unit: min, Mean ± S.D)

    Table 1

    Table 2

    Table 3

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