title: First-choice treatment alternatives for caries removal using the chemomechanical method.
abstract: Modern dentistry aims to preserve tooth structure using minimally invasive procedures. Chemomechanical removal of caries is a new method with the advantage of selective removal of severely demineralized dentin. In addition, the method enhances the clinician's ability to diagnose caries. Ensuring chairside caries diagnosis and removal, based on biologic principle, helps to preserve as much healthy tissue as possible. However, while this method is most comfortable for the patient, treatment time is prolonged. In most cases, the method has to be used in combination with a conventional bur. Also, caries lesions in which removal of enamel or a restoration is needed cannot be treated exclusively using the chemomechanical method. This article describes the mechanism of action of the chemomechanical method (CarisolvTM) for caries removal. Indications for use of the chemomechanical method as a first-choice treatment are presented. Clinical cases in which this new approach provides a significant clinical advantage are also described.
authors.affiliation: Department of Prosthetic Dentistry, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel. daniel@cc.huji.ac.il
authors.forename: Daniel
authors.initials: D
authors.lastname: Ziskind
authors.forename: Ari
authors.initials: A
authors.lastname: Kupietzky
authors.forename: Nurit
authors.initials: N
authors.lastname: Beyth
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003731:Dental Caries / Q000628:therapy*; D003737:Dental Cavity Preparation / Q000295:instrumentation / Q000379:methods; D003743:Dental Enamel / Q000473:pathology; D003793:Dental Restoration, Permanent / Q000379:methods*; D003804:Dentin / Q000473:pathology; D004867:Equipment Design; D018698:Glutamic Acid / Q000627:therapeutic use; D006801:Humans; D007930:Leucine / Q000627:therapeutic use; D008239:Lysine / Q000627:therapeutic use; D017001:Tooth Demineralization / Q000628:therapy
chemical_list: C119934:Carisolv; D018698:Glutamic Acid; D007930:Leucine; D008239:Lysine