dental caries are bacterial induced necrosis of tooth ... · dental caries are bacterial induced...
TRANSCRIPT
Dental caries areDental caries arebacterial induced necrosis of tooth structurebacterial induced necrosis of tooth structure
Treatment should focus on the removal of necrotic tissue with a bacteriocidal approach.
Carisolv® a product from ORASOLV AB
Cases and product info
“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
Carisolv® a product from ORASOLV AB
Cases and product info
Minimally invasive dentistry focuses on preserving Minimally invasive dentistry focuses on preserving
healthy and sound tissue.healthy and sound tissue.
The art of intervention lies in NOT removing more than The art of intervention lies in NOT removing more than
necessary.necessary.
Carisolv® a product from ORASOLV AB
Cases and product info
““In modern dentistry the primary aim when excavating In modern dentistry the primary aim when excavating
carious dentin is to eradicate only the highly infected, carious dentin is to eradicate only the highly infected,
irreversibly irreversibly demineralizeddemineralized and denatured biomassand denatured biomass…”…”
Banerjee A, Watson TE, Kidd EA. Dent Update 2000 Jul-Aug;27(6):272-6
Carisolv® a product from ORASOLV AB
Cases and product info
In a study aimed to evaluate the efficiency (time taken) and In a study aimed to evaluate the efficiency (time taken) and
effectiveness (quantity of dentine removed) of carious dentine effectiveness (quantity of dentine removed) of carious dentine
excavation excavation ……
……bur excavation was quickest but bur excavation was quickest but overpreparedoverprepared cavitiescavities……
……CarisolvCarisolv®® excavation was slower but excavation was slower but removed adequate removed adequate
quantities of tissuequantities of tissue……
Banerjee A, Kidd EA, Watson TF. Caries Res 2000 Mar-Apr;34(2):144-50
Carisolv® a product from ORASOLV AB
Cases and product info
Dec 2005:Dec 2005:
62 abstract in 62 abstract in PubMedPubMed responding responding
to search word to search word ““CarisolvCarisolv”” !!
If search term If search term ““chemomechanicalchemomechanical””
also included,also included,
PubMedPubMed lists 91 abstracts !lists 91 abstracts !
The The CarisolvCarisolv method was method was
introduced on the market in 1997 !introduced on the market in 1997 !
Carisolv® a product from ORASOLV AB
Cases and product info
The The CarisolvCarisolv®® method was method was
introduced on the market in 1997 !introduced on the market in 1997 !
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® is the best studied
method for caries removal
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):3977-83Banerjee A., et al. Caries Res 2000;34(2):144-150Hanning M. Clin Oral Investig 1999;3(3):155-9Sakoolnamarka R., et al. Aust Dent J 2002 Jun;47(2):116-22Wennerberg A., et al. Eur J Oral Sci 1999;107(4):297-306Yazici AR., et al. Oper Dent 2002 Jul-Aug;27(4):360-6
Carisolv® a product from ORASOLV AB
Cases and product info
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):387-95Carisolv® a product from ORASOLV AB
Cases and product info
CarisolvCarisolv®® does not elicit does not elicit
adverse effect onto pulp adverse effect onto pulp
tissue.tissue.
Braun A., et al.Braun A., et al. QuintessenzQuintessenz 2000;51(5):4612000;51(5):461--469469
DammaschkeDammaschke T., et al.T., et al. J Dent 2001;29(4):283J Dent 2001;29(4):283--290290
DammaschkeDammaschke T., et alT., et al J Dent 2002 Jan;30(1):59J Dent 2002 Jan;30(1):59--6565
Young C., et al.Young C., et al. J Dent 2001;29(4):275J Dent 2001;29(4):275--281281
Carisolv® a product from ORASOLV AB
Cases and product info
Clinical and histological study on oral mucosa Clinical and histological study on oral mucosa
after prolonged exposure to after prolonged exposure to CarisolvCarisolv®® did not did not
show any inflammatory reactions.show any inflammatory reactions.
ArvidssonArvidsson A., et al. A., et al. GerodontologyGerodontology 2001 Dec;18(2):1092001 Dec;18(2):109--1313
Carisolv® a product from ORASOLV AB
Cases and product info
CarisolvCarisolv®® safely and selectively removes ALL safely and selectively removes ALL
the decayed dentine the decayed dentine –– leaving a caries free leaving a caries free
and clean surface.and clean surface.
BanerjeeBanerjee A., et al. A., et al. J Dent 2000;28(3):179J Dent 2000;28(3):179--186186
Ericson D., et al. Ericson D., et al. Caries Res 1999;33(3):171Caries Res 1999;33(3):171--7777
FureFure S., et al. S., et al. Caries Res 2000;34(3):275Caries Res 2000;34(3):275--280280
MaragakisMaragakis GM., et al. GM., et al. Caries Res 2001;35(3):205Caries Res 2001;35(3):205--210210
MunshiMunshi AK., et al. AK., et al. J J ClinClin PediatrPediatr Dent 2001;26(1):49Dent 2001;26(1):49--5454
NadanovskyNadanovsky P., et al. P., et al. Caries Res 2001;35(3):384Caries Res 2001;35(3):384--389389
SpliethSplieth C., et al. C., et al. ClinClin Oral Oral InvestigInvestig 2001 Dec;5(4):2502001 Dec;5(4):250--253253
Carisolv® a product from ORASOLV AB
Cases and product info
CarisolvCarisolv®® –– the Nthe Noo 1 choice when biology is important !1 choice when biology is important !
Carisolv® a product from ORASOLV AB
Cases and product info
Method Sound enamel
Sound dentine
Carious enamel
Carious dentine
Handexcavators
– – + ++
Rotary burs +++ +++ +++ +++
Air-abrasion +++ +++ ++ +
CarisolvCarisolv®® –– –– –– ++++++Lasers + + + +
Banerjee A., et al. British Dental Journal 2000;188(9):476-482.
Methods for restorative dental treatments
Carisolv® a product from ORASOLV AB
Cases and product info
Intact collagenIntact collagen
Mineralized dentineMineralized dentineDemineralizedDemineralized carious dentinecarious dentine
Denatured collagenDenatured collagen
How does it work – mode of action ?
DE 2001DE 2001
Carisolv® a product from ORASOLV AB
Cases and product info
CarisolvCarisolv®® applicationapplication
How does it work – mode of action ?
DE 2001DE 2001
Carisolv® a product from ORASOLV AB
Cases and product info
Mechanical Mechanical
removal ofremoval of
decay.decay.
CarisolvCarisolv®® has has
““disconnecteddisconnected””
necrotic dentinenecrotic dentine
How does it work – mode of action ?Cases and product info
DE 2001DE 2001
Carisolv® a product from ORASOLV AB
After After CarisolvCarisolv®® applicationapplication
and after etching.and after etching.
The surface is now ready The surface is now ready
for restoration.for restoration.
How does it work – mode of action ?
Carisolv® a product from ORASOLV AB
Cases and product info
Use instrument of your own choiceUse instrument of your own choice……
… just add Carisolv® for clean, safeand appropriate caries removal
Carisolv® a product from ORASOLV AB
Cases and product info
1.1. 2.2. 3.3. 4.4. 5.5.
6.6.
Carisolv®
• When healthy tooth structures are precious…
• When biology is important…
• When quality counts…
• When you care about your patients…
Carisolv® a product from ORASOLV AB
Cases and product info
Contact info:Contact info:
www.orasolv.sewww.orasolv.se
[email protected]@orasolv.se
+46 (0)31 74 11 780+46 (0)31 74 11 780
+46 (0)31 74 11 781+46 (0)31 74 11 781
Carisolv® a product from ORASOLV AB
Cases and product info
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
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.
Cases and product info
Carisolv® a product from ORASOLV AB
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
Cases and product info
Carisolv® a product from ORASOLV AB
Take advantage of the chemistry:Take advantage of the chemistry:
•• Check if cavity caries free !Check if cavity caries free !
–– before fillingbefore filling
–– before crown cementationbefore crown cementation
–– when close to the pulpwhen close to the pulp
•• Less bleeding !Less bleeding !
•• Less pain !Less pain !
•• Less noise !Less noise !
Cases and product info
Carisolv® a product from ORASOLV AB
Root surfaces
Time for excavation:Carisolv® and rotating
instruments – equal
Carisolv® less traumatic
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Before cementation of permanent crownBefore cementation of permanent crown-- and bridgeworkand bridgework……
……use use CarisolvCarisolv®® to check if surface caries free !to check if surface caries free !
Cases and product info
Carisolv® a product from ORASOLV AB
CarisolvCarisolv®® –– in difficult caries situationsin difficult caries situations……
CarisolvCarisolv®® –– in in
difficult caries difficult caries
situationssituations……
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
CarisolvCarisolv®® –– in difficult caries situationsin difficult caries situations……
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Normal dentineNormal dentine
Necrotic dentineNecrotic dentine
Translucent dentineTranslucent dentine
Reparative dentineReparative dentine
Dental pulp chamberDental pulp chamber
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Amino acidsAmino acids
CHCH22 CHCH22 CHCH22 CHCH22HH3 3 NN++
CC
HH
NHNH33
COOCOO--
++
HH
CHCH3 3
CHCH
CHCH3 3
CC
NHNH33
COOCOO--CHCH22
++
LeucineLeucine
LysineLysineHH
CC
NHNH33
COOCOO--
++
CHCH22 CHCH22
OO
O O --
CCGlutamicGlutamic acidacid
Cases and product info
Carisolv® a product from ORASOLV AB
Carisolv™ gel
Singlemix
Multimix
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Selection of instruments.Selection of instruments.
Start with MultiStart with Multi--Star if possible.Star if possible.
Carisolv® a product from ORASOLV AB
Cases and product info
CarisolvCarisolv®® instruments instruments
are nare nonon--invasiveinvasive……
Drills and Drills and excavatorsexcavators are are
intendedintended to be to be invasiveinvasive……
Caries removalCaries removal
Ericson et al 1998Ericson et al 1998
BanerjeeBanerjee et al 2000et al 2000
CederlundCederlund et al 1999et al 1999
SpliethSplieth et al 1999et al 1999
DammaschkeDammaschke et al 2000et al 2000
HaffnerHaffner et al 2000et al 2000
Moran et al 2000Moran et al 2000
NeutschilNeutschil et al 2000et al 2000
Tonami et al 1999Tonami et al 1999
FluckigerFluckiger et al 2005et al 2005
Dentine bondingDentine bonding
HaakHaak et al 2000et al 2000
FrankenbergerFrankenberger et al 2000et al 2000
Harada et al 2000Harada et al 2000
PawlowskaPawlowska et al 2000et al 2000
SudaSuda et al 2000et al 2000
CehreliCehreli et al 2003et al 2003
Burrow et al 2003Burrow et al 2003
SonodaSonoda et al 2005et al 2005
No adverse effects dentineNo adverse effects dentine
BanerjeeBanerjee et al 2000et al 2000
CederlundCederlund et al 1999et al 1999
HannigHannig et al 1999et al 1999
WennerbergWennerberg et al 1999et al 1999
Pulp effectsPulp effects
DammaschkeDammaschke et al 2001et al 2001
Young et al 2001Young et al 2001
Hybrid layer effectsHybrid layer effects
Mason et al 1999Mason et al 1999
PerdigaoPerdigao et al 1999et al 1999
SudaSuda et al 1999et al 1999Collagen effectsCollagen effects
HannigHannig et al 1999et al 1999
JepsenJepsen et al 1999et al 1999
Tonami et al 1999Tonami et al 1999
DammaschkeDammaschke et al 1999bet al 1999b
Surface structureBanerjee et al 2000Haffner et al 2000Tonami et al 1999Arvidsson et al2002,2004
In vitro researchIn vitro research
Carisolv® a product from ORASOLV AB
Cases and product info
Clinical researchClinical research
Caries removalCaries removal
Ericson et al 1999Ericson et al 1999
FureFure et al 2000,2004et al 2000,2004
BerakdarBerakdar et al 2000et al 2000
Burke et al 1999Burke et al 1999
CarneiroCarneiro et al 2000et al 2000
HaffnerHaffner et al 1999et al 1999
MasourasMasouras et al 1999et al 1999
MaragakisMaragakis et al 2000et al 2000
SongpaisanSongpaisan et al 2002et al 2002
KakabouraKakaboura et al 2003 et al 2003
KavvadiaKavvadia et al 2004et al 2004
Bergmann, Bergmann, LeitaoLeitao 20052005
Restoration survivalRestoration survival
FureFure et al 2000, 2004et al 2000, 2004
NevrinNevrin et al 1999et al 1999
Zimmerman et al 2000Zimmerman et al 2000
No adverse effectsNo adverse effects
FureFure et al 2000et al 2000
NevrinNevrin, Carlen 1999, Carlen 1999
Zimmerman et al 2000Zimmerman et al 2000
WennerbergWennerberg et al 2001et al 2001
Pulp effectsPulp effects
LumbauLumbau et al 2000et al 2000
Braun et al 2000Braun et al 2000
DammaschkeDammaschke et al 2001et al 2001
BulutBulut et al 2004et al 2004
Antibacterial effectsAntibacterial effects
KneistKneist et al 1999et al 1999
BaysanBaysan et al 1999et al 1999
Lager et al 2003Lager et al 2003
AzrakAzrak et al 2004et al 2004
Carisolv® a product from ORASOLV AB
Cases and product info
ReviewsReviews
BanerjeeBanerjee et al 2000et al 2000
BeeleyBeeley et al 2000et al 2000
MaragakisMaragakis et al 2001et al 2001
Morrow et al 2000Morrow et al 2000
ZiskindZiskind et al 2005et al 2005
Review articlesReview articles
Carisolv® a product from ORASOLV AB
Cases and product info
Read moreRead more……
2001 Quintessence Publishing Co. Ltd.2001 Quintessence Publishing Co. Ltd.
ISBN 1ISBN 1--8509785097--046046--77
Number of pages: 367Number of pages: 367
Cases and product info
Carisolv® a product from ORASOLV AB
OraSolv AB OraSolv AB –– AttAtt: Kenneth Sternberg: Kenneth Sternberg
MedicinaregatanMedicinaregatan 8B8B
SS--413 46 413 46 GGööteborgteborg
SwedenSweden
www.orasolv.sewww.orasolv.se
[email protected]@orasolv.se
+46 (0)31 74 11 780+46 (0)31 74 11 780
+46 (0)31 74 11 781+46 (0)31 74 11 781
Cases and product info
Carisolv® a product from ORASOLV AB
Cases and product info
Carisolv® a product from ORASOLV AB
Clinical cases – cavities:
Step-by-step and clinical tips
Case 1 – Deep distal molar
Case 2 – Multiple cervical
Case 3 – Deep cervical
Case 4 – Small cervical
Case 5 – Wide cervical
Case 6 – Deciduous molar
Case 7 – Deep occlusal molar
Case 8 – Lingual-cervical
Case 9 – Deep mesial molar
Function of instruments
Schematic view of caries
Product information:Amino acids
Distribution systems
Start package
Instruments
Manufacturer
Distributors
Carisolv® a product from ORASOLV AB
Read more:Published articlesText book
Back to start