|0485 Clinical Evaluation of Carisolv in Caries Removal of Primary Canines|
F. HAMIDINIA, Nova Southeastern University, college of dental medicine, fort lauderdale, FL, USA, and A. SOLTANI, Medical College of Georgia, school of dentistry, augusta, USA|
Objectives: Pain-free dentistry for children is important for two reasons: (1) it provides the practitioner with an ideal situation for dental work. (2) It provides children with a positive attitude toward dentistry. Carisolv, a new product for chemo-mechanical caries removal, was introduced to the market in 1998 by Mediteam, Sweden. According to manufacturer Carisolv-gel chemically denaturizes infected dentin without pain. The aim of this study was to evaluate clinical efficacy of Carisolv-gel in caries removal of primary canines and compare it to conventional rotary method.
Methods: After HIPPA and IRB Approval 30 children with a pair of decayed primary canines (average age=7.4) enrolled in the study. Conventional rotary method used for one canine and Carisolv-gel for the other one (all procedures completed by the same operator). Factors including complete caries removal (using visual-tactile and caries-detector die methods performed by an independent clinician), pain, need for anesthesia, smell of Carisolv-gel, instrumentation time and the amount of used gel were evaluated.
Results: Carisolv caused less pain and discomfort (90% pain-free) than rotary method (56.7 % pain-free) but the need for anesthesia was similar in both groups (Carisolv=3.3%, Rotary=8%). Carisolv-gel completely removed caries only in 26.7% of lesions, versus 73.3% with the rotary method and also it was more time-consuming than rotary method (11.7 versus 3.36 minutes). None of the children had an aversion to the Carisolv-gel smell.
Conclusions: Carisolv-gel is less effective than rotary method, notably in achieving complete caries removal and increased working time. However, 90% pain-free caries removal is a sizable advantage for pediatric dentistry. If the efficacy of caries removal and time requirement are improved by the manufacturer, Carisolv-gel could be very beneficial to pediatric dentistry.
|Seq #70 - Caries Prevalence/Removal/Prevention|
2:00 PM-3:00 PM, Thursday, 9 March 2006 Dolphin Hotel Pacific Hall