Carisolv

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Carisolv

Cases and product info
Dental caries are
bacterial induced necrosis of tooth structure
Treatment should focus on the removal of
necrotic tissue with a bacteriocidal approach.
Carisolv® a product from
ORASOLV AB
“Since the invention and application of rotary instruments, the operative treatment
of carious lesions has often resulted in considerable removal of tooth structure.”
Banerjee A, Watson TF, Kidd EA. Br Dent J. 2000 May 13;188(9):476-82
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Minimally invasive dentistry focuses on preserving
healthy and sound tissue.
The art of intervention lies in NOT removing more than
necessary.
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“In modern dentistry the primary aim when excavating
carious dentin is to eradicate only the highly infected,
irreversibly demineralized and denatured biomass…”
Banerjee A, Watson TE, Kidd EA. Dent Update 2000 Jul-Aug;27(6):272-6
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In a study aimed to evaluate the efficiency (time taken) and
effectiveness (quantity of dentine removed) of carious dentine
excavation …
…bur excavation was quickest but overprepared cavities…
…Carisolv® excavation was slower but removed adequate
quantities of tissue…
Banerjee A, Kidd EA, Watson TF. Caries Res 2000 Mar-Apr;34(2):144-50
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Dec 2005:
62 abstract in PubMed responding
to search word “Carisolv” !
If search term “chemomechanical”
also included,
PubMed lists 91 abstracts !
The Carisolv method was
introduced on the market in 1997 !
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Carisolv® is the best studied
method for caries removal
The Carisolv® method was
introduced on the market in 1997 !
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Carisolv® removes necrotic, decayed, dentine and
leaves healthy tooth structure unaffected –
-a minimal invasive approach when biology is an
important issue.
Arvidson A., et al. Biomaterials 2002 Oct;23(19):3977-83
Banerjee A., et al. Caries Res 2000;34(2):144-150
Hanning M. Clin Oral Investig 1999;3(3):155-9
Sakoolnamarka R., et al. Aust Dent J 2002 Jun;47(2):116-22
Wennerberg A., et al. Eur J Oral Sci 1999;107(4):297-306
Yazici AR., et al. Oper Dent 2002 Jul-Aug;27(4):360-6
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Carisolv® has NO effect on sound and healthy
dentin.
Carisolv® leaves a rougher dentin surface suitable
for modern restauration techniques.
Haak R., et al. Eur J Oral Sci 2000;108(5):449-455
Hosoya Y., et al. J Dent 2001 May;29(3):163-171
Kubo S., et al. Oper Dent 2002 Jul-Aug;27(4):387-95
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Carisolv® does not elicit
adverse effect onto pulp
tissue.
Braun A., et al. Quintessenz 2000;51(5):4612000;51(5):461-469
Dammaschke T., et al. J Dent 2001;29(4):2832001;29(4):283-290
Dammaschke T., et al J Dent 2002 Jan;30(1):59Jan;30(1):59-65
Young C., et al. J Dent 2001;29(4):2752001;29(4):275-281
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Clinical and histological study on oral mucosa
after prolonged exposure to Carisolv® did not
show any inflammatory reactions.
Arvidsson A., et al. Gerodontology 2001 Dec;18(2):109Dec;18(2):109-13
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Carisolv® safely and selectively removes ALL
the decayed dentine – leaving a caries free
and clean surface.
Banerjee A., et al. J Dent 2000;28(3):1792000;28(3):179-186
Ericson D., et al. Caries Res 1999;33(3):1711999;33(3):171-77
Fure S., et al. Caries Res 2000;34(3):2752000;34(3):275-280
Maragakis GM., et al. Caries Res 2001;35(3):2052001;35(3):205-210
Munshi AK., et al. J Clin Pediatr Dent 2001;26(1):492001;26(1):49-54
Nadanovsky P., et al. Caries Res 2001;35(3):3842001;35(3):384-389
Splieth C., et al. Clin Oral Investig 2001 Dec;5(4):250Dec;5(4):250-253
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Carisolv® – the No 1 choice when biology is important !
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Methods for restorative dental treatments
Method
Sound
Sound
enamel dentine
Carious
enamel
Carious
dentine
Hand
excavators
Rotary burs
–
–
+
++
+++
+++
+++
+++
Air-abrasion
+++
+++
++
+
Carisolv®
–
–
–
+++
Lasers
+
+
+
+
Banerjee A., et al. British Dental Journal 2000;188(9):476-482.
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How does it work – mode of action ?
Denatured collagen
Intact collagen
DE 2001
Demineralized carious dentine
Mineralized dentine
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Carisolv® application
DE 2001
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Mechanical
removal of
decay.
Carisolv® has
“disconnected”
necrotic dentine
DE 2001
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After Carisolv® application
and after etching.
The surface is now ready
for restoration.
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Use instrument of your own choice…
1.
2.
3.
4.
5.
… just add Carisolv® for clean, safe
and appropriate caries removal
6.
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Carisolv®
• When healthy tooth structures are precious…
• When biology is important…
• When quality counts…
• When you care about your patients…
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Contact info:
www.orasolv.se
info@orasolv.se
+46 (0)31 74 11 780
+46 (0)31 74 11 781
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1) Drilling, when the cavity needs to be opened up, for adjustment
of cavity periphery and when there are large amounts of caries
and the risk to affect healthy tissue is minimal.
2) Cover the cavity with gel and wait for 30 seconds until the
carious tissue has been softened.
3) Softened caries can then be scraped away
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4) Repeat without waiting 30 seconds, until the cavity is free of
caries.
5) When repeating make sure cavity always well moisten with
Carisolv®
3) When cariesfree – inspection and filling as usual
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Take advantage of the chemistry:
• Check if cavity caries free !
– before filling
– before crown cementation
– when close to the pulp
•
•
•
Less
Less
Less
bleeding !
pain !
noise !
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Root surfaces
Time for excavation:
Carisolv® and rotating
instruments – equal
Carisolv® less traumatic
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Before cementation of permanent crown- and bridgework…
…use Carisolv® to check if surface caries free !
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Carisolv® – in difficult caries situations…
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Carisolv® – in
difficult caries
situations…
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Carisolv® – in difficult caries situations…
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Normal dentine
Necrotic dentine
Translucent dentine
Reparative dentine
Dental pulp chamber
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Amino acids
H
CH3
CH
CH2
C
CH3
COO
-
Leucine
NH3
+
H
H3 N
+
-
OC
O
CH2
CH2
CH2
CH2
C
NH3
+
C
NH3
+
H
CH2
CH2
COO
COO
-
Lysine
-
Glutamic acid
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Carisolv™ gel
Singlemix
Multimix
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Selection of instruments.
Start with Multi-Star if possible.
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Carisolv® instruments
are non-invasive…
Drills and excavators are
intended to be invasive…
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In vitro research
Caries removal
Ericson et al 1998
Banerjee et al 2000
Cederlund et al 1999
Splieth et al 1999
Dammaschke et al 2000
Haffner et al 2000
No adverse effects dentine
Banerjee et al 2000
Dentine bonding
Haak et al 2000
Cederlund et al 1999
Hannig et al 1999
Frankenberger et al 2000
Harada et al 2000
Wennerberg et al 1999
Pawlowska et al 2000
Suda et al 2000
Cehreli et al 2003
Burrow et al 2003
Moran et al 2000
Neutschil et al 2000
Sonoda et al 2005
Tonami et al 1999
Fluckiger et al 2005
Hybrid layer effects
Mason et al 1999
Perdigao et al 1999
Suda et al 1999
Collagen effects
Hannig et al 1999
Jepsen et al 1999
Tonami et al 1999
Dammaschke et al 1999b
Surface structure
Banerjee et al 2000
Haffner et al 2000
Pulp effects
Young et al 2001
Tonami et al 1999
Arvidsson et al2002,2004
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Clinical research
Caries removal
Ericson et al 1999
Restoration survival
Fure et al 2000, 2004
Fure et al 2000,2004
Berakdar et al 2000
Nevrin et al 1999
Zimmerman et al 2000
Burke et al 1999
Carneiro et al 2000
Haffner et al 1999
Masouras et al 1999
Maragakis et al 2000
No adverse effects
Fure et al 2000
Songpaisan et al 2002
Kakaboura et al 2003
Nevrin, Carlen 1999
Zimmerman et al 2000
Kavvadia et al 2004
Bergmann, Leitao 2005
Antibacterial effects
Kneist et al 1999
Baysan et al 1999
Lager et al 2003
Azrak et al 2004
Wennerberg et al 2001
Pulp effects
Lumbau et al 2000
Braun et al 2000
Bulut et al 2004
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Review articles
Reviews
Banerjee et al 2000
Beeley et al 2000
Maragakis et al 2001
Morrow et al 2000
Ziskind et al 2005
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Read more…
2001 Quintessence Publishing Co. Ltd.
ISBN 1-85097-046-7
Number of pages: 367
ORASOLV AB
OraSolv AB – Att: Kenneth Sternberg
Medicinaregatan 8B
S-413 46 Göteborg
Sweden
www.orasolv.se
info@orasolv.se
+46 (0)31 74 11 780
+46 (0)31 74 11 781
ORASOLV AB
ORASOLV AB
Clinical cases – cavities:
Product information:
Step-by-step and clinical tips
Amino acids
Case 1 – Deep distal molar
Distribution systems
Case 2 – Multiple cervical
Start package
Case 3 – Deep cervical
Instruments
Case 4 – Small cervical
Manufacturer
Case 5 – Wide cervical
Distributors
Case 6 – Deciduous molar
Case 7 – Deep occlusal molar
Case 8 – Lingual-cervical
Case 9 – Deep mesial molar
Function of instruments
Read more:
Published articles
Text book
Schematic view of caries
Back to start
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Carisolv

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