Beeley, J.A., Yip, H.K., and Stevenson, A. (2000) Chemochemical caries removal: a review of the techniques and latest developments. British Dental Journal, 188(8), pp. 427-430.
Publisher's URL: http://www.nature.com/bdj/journal/v188/n8/full/4800501a.html
Chemomechanical caries removal involves the chemical softening of carious dentine followed by its removal by gentle excavation. The reagent involved is generated by mixing amino acids with sodium hypochlorite; N-monochloroamino acids are formed which selectively degrade demineralised collagen in carious dentine. The procedure requires 5-15 minutes but avoids the painful removal of sound dentine thereby reducing the need for local anaesthesia. It is well suited to the treatment of deciduous teeth, dental phobics and medically compromised patients. The dentine surface formed is highly irregular and well suited to bonding with composite resin or glass ionomer. When complete caries removal is achieved, the dentine remaining is sound and properly mineralised. The system was originally marketed in the USA in the 1980's as Caridex. Large volumes of solution and a special applicator system were required. A new system, Carisolv, has recently been launched on to the market. This comes as a gel, requires volumes of 0.2-1.0 ml and is accompanied by specially designed instruments.
|Glasgow Author(s) Enlighten ID:||UNSPECIFIED|
|Authors:||Beeley, J.A., Yip, H.K., and Stevenson, A.|
|Subjects:||R Medicine > RK Dentistry|
|College/School:||College of Medical Veterinary and Life Sciences|
|Journal Name:||British Dental Journal|
|Publisher:||Nature Publishing Group for the British Dental Association|
|Copyright Holders:||© Copyright British Dental Journal|
|First Published:||First published in the British Dental Journal 188(8):427-430|
|Publisher Policy:||Reproduced in accordance with the copyright policy of the publisher|
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