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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2003 January-February;52(1-2):9-18
Evaluation of a new method of caries removal: in vivo study
Lumbau A., Lai Bachisio S., Lai C., Lai V.
Background. The aim of this study was to test Carisolv gel, a chemo-mechanical caries removal system, which is able to remove selectively dental caries.
Methods. Actual restorative procedures comprise drilling to remove caries as well as to make the cavity suitable for filling materials and the treatment is often associated with pain. In this way tooth structure removal is bigger, irritation of dental pulp may occur, and the tissue we eliminate is more than the real infected tissue. In order to exceed these disadvantages we carried out pulp capping (direct and indirect), followed in time by X-ray controls, using the traditional technique and with the new Carisolv system. Patients were selected in the Paedodontic Dept. of the Dental Institute in Sassari University with the following characteristics: age between 8-18 years-old and with permanent teeth showing deep carious lesions and without pulpitis.
Results. Our data show hopeful results for indirect pulp capping, with a thick dentin layer reconstituted over the pulp chamber, above all for the new Carisolv technique.
Conclusions. Carisolv is a valid alternative to the traditional techniques, saving precious dental tissue only for indirect capping.