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Chemochemical caries removal: a review of the techniques and latest developments

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. ISSN 0007-0610

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Publisher's URL: http://www.nature.com/bdj/journal/v188/n8/full/4800501a.html

Abstract

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.

Item Type:Article
Status:Published
Refereed:Yes
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
ISSN:0007-0610
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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