Chemo-mechanical caries removal efficiency in primary dentition

Abstract

As a non-invasive method for caries removal, Carisolv™ system (chemo-mechanical method) is highly recommended in paediatric dentistry. The aim of the study was to evaluate the efficiency of Carisolv™ system, the time used for caries removal and patients’ (children) perception and attitude to a new method. 66 patients (38 males, 28 females) aged 7-11 years were included. All of them experienced caries therapy and 84.85% had an experience with local anesthesia. They were divided into 2 groups. The first one consisted of 46 patients whose 60 deciduous teeth (34 canines, 26 molars) were treated with Carisolv™ system. There were 20 patients in the second group, having 30 primary teeth (30 primary molars) with carious lesions spreading under the enamel, so rotary instruments were used to access the cavity. Before the treatment, patients were asked about their fears and disliking in dental office and their opinion about drilling and local anesthesia. After the procedure had been finished, children of both groups reported the intensity of pain during the treatment, their impressions of Carisolv™ system and compared the new method with drilling. Complete caries removal using Carisolv™ system has been achieved in 74 (82.22%) cases. In the first group the mean time for caries removal was 11.1 ± 3.7 minutes. In the second group caries was removed faster, since the mean time was 8.7 ± 2.9 min. Chemo-mechanical caries removal method using Carisolv™ system proved to be an effective, non-invasive and easy acceptable technique. It could become a part of modern concept of caries therapy, and of great interest for pediatric dentistry.