Effect of Carisolv gel on sound, demineralized and carious dentin: In vitro study

Abstract

Pain and discomfort during dental interventions caused by high-speed dental burs are the most frequent reasons for avoiding dental visits. Numerous possibilities have been offered in the last decade aiming to replace burs for caries removal, one of them is chemo-mechanical method of caries elimination. The aim of this study was to analyze micromorphological changes caused by Carisolv on sound, demineralized and carious (softened) dentin using SEM. Material and Methods Study included 30 teeth (20 intact and 10 with carious lesions) extracted for orthodontic reasons. Carisolv™ system (MediTeam, Sweden) that contains Carisolv gel and specific nickel-titanium hand instruments was used for chemo-mechanical caries elimination. In our study only Carisolv gel was applied on sound, demineralized and carious dentin for 20 min. Dentin surface was analyzed using scanning electronic microscope (SEM). Results SEM showed that Carisolv gel affected soft carious dentin only with no changes on sound dentin regardless of demineralization status. Conclusion Carisolv did not affect sound and demineralized dentin while it selectively dissolved carious dentin.

Keywords

• Carisolv
• sound dentin
• carious dentin
• demineralization
• SEM