• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.47-53
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• 2003

This study evaluated the influence of chemomechanical caries removal agent $Carisolv^{TM}$(MediTeam, Sweden) for composite resin adhesion to sound human permanent and primary dentin. The buccal/labial surfaces of 80 permanent molars and 80 primary incisors were used. Four types of adhesives and one composite resin were used; AQ Bond(Sun Medical, Japan), Clearfil SE Bond(Kuraray, Japan), Single Bond(3M, USA), Scotchbond Multi-Purpose(3M, USA) and Z100(3M, USA). One drop of $Carisolv^{TM}$(MediTeam, Sweden) was pretreated on the dentin for 0 second(control) and 60 seconds. The specimens were thermocycled for 1,000 times in baths kept 5 degrees C and 55 degrees C with a 30 seconds dwell time. Shear bond strengths were tested and the data was statistically analyzed using one-way ANOVA with subsequent post hoc Scheffe test at p<0.05. $Carisolv^{TM}$ treatment significantly decreased the shear bond strength. Shear bond strength of permanent dentin was significantly higher than that of primary dentin. Clearfil SE Bond treatment groups showed the highest shear bond strength and AQ Bond treatment groups showed the lowest shear bond strength.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.3
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• pp.389-396
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• 2002

The purpose of this study was to compare the microtensile bonding strength of chemomechanically excavated dentin($Carisolv^{TM}$) to conventional caries removal(bur). The following adhesive systems were used; AB: All-Bond 2(3M, USA), PB: Prime & Bond 2.1(Dentsply, DE), AQ: AQ Bond(sun medical, Japan). 42 human molars with occlusal caries were assigned to 6 groups. Sequential caries removal was controlled with laser fluorescence. Each group was devided as follows; group A, B, C were $Carisolv^{TM}$ applied, group D,E,F were bur used. In group A and D, AB was used as a dentin adhesive. group B,E and group C,F was AQ and AQ was used each. The cavity was filled with composite resin(Z-100). The specimens were sectioned vertically into multiple serial 0.7 mm thick slabs. And then those slabs were sectioned into rectangular parts under 0.7 mm width. Finally 0.7-1.0 mm a right hexahedron shape stick become. Microtensile bonding test was carried out with testing apparatus at cross-head speed of $0.5\;mm/min^{-1}$ and fractured surfaces were observed with scanning electron microscope(JSM-6400, Jeol, Japan). The obtained results were summarized as follows ; 1. In the group of caries removal with $Carisolv^{TM}$, micro-tensile bonding strength decreased to $75.8{\sim}80$ percent of bur used group. 2. In the group of caries removal with $Carisolv^{TM}$, decreased degree of micro-tensile bonding strength is not so different in 3 kinds of dentin adhesives(p<0.05). 3. In the group of caries removal with $Carisolv^{TM}$, microtensile bonding strength of AB, PB, AQ was 32.6MPa(2.4), 30.1Mpa (1.8), 21.2Mpa(1.9). 4. In the group of caries removal with Bur and $Carisolv^{TM}$, microtensile bonding strength of AQ was significantly lower than that of AB and PB(p<0.01).

• Journal of the korean academy of Pediatric Dentistry
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• v.31 no.2
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• pp.299-303
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• 2004

The conventional drilling method of caries removal makes vibration and thermal stimuli, so that children are afraid of dental treatment. Recently, various non-invasive caries removal techniques of alternatives to traditional methods are introduced and chemo-mechanical caries removal is one of them. $Carisolv^{TM}$ comprises a gel that is composed of three different amino acids and a low concentration of sodium hypochlorite and specially-designed hand instruments. This report describes two cases of dental caries treatment with $Carisolv^{TM}$. The carious dentin was eliminated with $Carisolv^{TM}$ gel with instruments and then composite resin restoration was conducted.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.54-60
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• 2003

This study evaluated the influence of chemomechanical caries removal agent $Carisolv^{TM}$(MediTeam, Sweden) for composite resin adhesion to sound human permanent and primary dentin. The buccal/labial surfaces of 80 permanent molars and 80 primary incisors were used. Four types of adhesives and one composite resin were used; AQ Bond(Sun Medical, Japan), Clearfil SE Bond(Kuraray, Japan), Single Bond(3M, USA), Scotchbond Multi-Purpose(3M, USA) and Z100(3M, USA). One drop of $Carisolv^{TM}$(MediTeam, Sweden) was pretreated on the dentin for 0 second(control) and 60 seconds. The specimens were thermocycled for 1,000 times in baths kept 5 degrees C and 55 degrees C with a 30 seconds dwell time. Shear bond strengths were tested and the data was statistically analyzed using one-way ANOVA with subsequent post hoc Scheffe test at p<0.05. $Carisolv^{TM}$ treatment significantly decreased the shear bond strength. Shear bond strength of permanent dentin was significantly higher than that of primary dentin. Clearfil SE Bond treatment groups showed the highest shear bond strength and AQ Bond treatment groups showed the lowest shear bond strength.

• Proceedings of the KACD Conference
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• 2001.11a
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• pp.568.2-568
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• 2001

$Carisolv^{TM}$ system was developed for removal of carious dentin with chemo-mechanical method by Swedish researcher. $Carisolv^{TM}$ is composed of 0.5% NaClO and three kinds of amino acid, i.e. glutamic acid, leucine and lysin. After these agents are mixed together, the gel mixed is applied to carious dentin and the carious dentin is removed with hand instrument without using burs. The mechanism of softening the dentin is postulated that the degenerated collagen by caries is chlorinated and the decomposed. But the details of the mechanism are not clarified yet.(omitted)

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.4
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• pp.581-592
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• 2003

The aim of this study was to evaluate the effect of chemo-mechanical caries removal system($Carisolv^{TM}$, Medi Team, Sweden) for resin adhesion to carious primary and permanent dentin compared with conventional drilling method. The buccal surface of 92 primary molars and 92 permanent molars were used. Exposed dentins were occurred artificial caries. 32 tooth of primary molars and 32 tooth of permanent molars were prepared to observe treated dentin surface with $Carisolv^{TM}$ and conventional drilling method by SEM. Other tooth were prepared to measure resin-dentin shear bonding strength according to caries removal methods and dentin adhesive system. Two adhesive systems and a composite resin were used; single bonding agent(Scotchbond Multi-Purpose Plus, 3M) and self-etching bonding system(Prompt L-pop, 3M ESPE), and a composite resin (Z-250, 3M). The results were as follows : 1. The removal effect of carious dentin on $Carisolv^{TM}$ was stronger on the primary dentin than that to permanent dentin, and dentin surface became rougher with treated $Carisolv^{TM}$ than drilling method. 2. Acid-etched dentin surfaces were showed smoothening without smear layer. 3. In specimen applied single bonding system hybrid layer and adhesive layer were $2-4{\mu}m$ and $10-15{\mu}m$ in thickness, whereas self-etching bonding system were showed only thin hybrid layer($1-2{\mu}m$). 4. The shear bonding strength of group applied single bonding agent was higher than that applied self-etching priming system(P<0.05). 5. The shear bonding strength of group applied $Carisolv^{TM}$ and self-etching priming system were slightly higher than that applied conventional drilling method and self-etching priming system(P>0.05).

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.3
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• pp.406-414
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• 2003

Chemomechanical approach to caries removal was introduced in order to preserve the maximum amount of sound tooth structure. The efficacy of chemomechanical caries removal was assessed using microcomputed tomography which offers 3 dimensional data without destroying the tooth, and the V works program. In group 1, the density values of the sound dentin, carious dentin, and remaining dentin after chemomechanical treatment were analyzed. In group 2, the density values of the sound dentin, cavity wall prepared using high speed bur, and the remaining dentin after additional $Carisolv^{TM}$ gel application on the same cavity were analyzed. The results were as follows; 1. The density value of the remaining dentin after the $Carisolv^{TM}$ treatment was 81.8% of the sound dentin(p < 0.001). 2. The density value of the remaining dentin after the conventional rotary instrument showed no statistically significant difference from that of the sound dentin(p = 0.234).