Chemical-mechanical caries removal

Authors

  • Oscar Cao Fernández Doctor en Odontología, odonto-pedíatra. Odontólogo de Adolescentes.

DOI:

https://doi.org/10.35954/SM2015.34.1.8

Keywords:

Dental Caries; Dental Filtration; Products with Antimicrobial Action

Abstract

The results of the reduction in the prevalence of caries reflect the effectiveness of a more preventive than curative dentistry.

The development of preventive techniques for dental caries disease and the improvement of restorative materials, mainly those related to adhesive techniques, have made it possible to carry out more conservative cavity preparations. This led to the emergence of new techniques for the preparation of cavity preparations and treatment of carious tissue, appearing as an additional option the chemical-mechanical removal of carious dentin, which preserves healthy dental tissue and uses techniques that are more comfortable for the patient.

The aim of this work was to review the literature on the methods of chemical-mechanical removal of dental caries, their biological bases and their respective materials, with special emphasis on their antimicrobial effects and how they affect the adhesion and filtration strength of the adhesive restorations placed in the future.

Received for review: May 2015
Accepted for publication: June 2015
Correspondence: Benito Blanco 837/102 C.P. 11300 Montevideo, Uruguay. Tel. 099099032.
Contact e-mail: ocao_1972@hotmail.com

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

(1) Bussadori S, Guedes C, Martins M, Fernandes K, Santos E. Gel a base de papaína: una nueva alternativa para la remoción química y mecánica de la caries. Actas odontológicas 2006; 3(2):35-39.

(2) Mizuno D, Guedes C, Hermida L, Motta L, Santos, E, Bussadori S. Análisis clínico y radiográfico de las técnicas ART y remoción químico-mecánica de caries estudio piloto. Odontoestomatología 2011; 13(18):29-35.

(3) Villanueva V, Espinoza L, Robles D, Montes P, Vivas S, Albrizzio J, et. al. Efectividad antimicrobiana in vitro del Papacárie® en muestras de tejido cariado en escolares de educación primaria. Odontología Sanmarquina 2010; 13(1):20-2.

(4) Lima G, Ferreira S, Cardoso A, Kalil S, Faria F, Augusto do Rego M. Ac;ao antimicrobiana in vitro de dois sistemas de remocao química da cárie sobre Strepto­coccus mutans e Lactobacíllus acidophilus. IX Encontro Latino Americano de lniciacao Científica e V Encontro Latino Americano de Pós-Graduacao Universidade do Vale do Paraíba. p. 1485-88.

(5) Jordi L, Amaral R, Bussadori S. Proteolisis enzimática del colágeno dentinario. Odontoestomatología 2010; 12(14):35-44.

(6) Sotelo E, Juárez M, Murrieta F. Evaluación química de un método de remoción química de caries en Odontopediatria. Rev ADM 2009; 65(4):24-9.

(7) Lopes M, Mascarini R, da Silva B, Florio F, Basting R. Effect of a papain-based gel for chemomechanical caries removal on dentin shear bond strength. J Dent Child 2007; 74(2):93-7.

(8) Mollica F, Rocha C, Goncalves S, Mancíni M. Dentina microhardness after different methods for detection and removal of carious dentina tissue. J Appl Oral Sci 2012; 20(4):449-54.

(9) Correa F, Rocha R, Rodrigues L, Muench A, Rodrigues C. Chemical versus conventional caries removal techniques in primary teeth: a microhardness study. J Clin Pediatr Dent 2007; 31 (3):187-192.

(10) Granville-García A, de Menezes V, da Silva M, Cavalcanti, A. Remocao químico-mecánica de tecido cariado: bases biológicas e materiais utilizados. Stomatos 2009; 15(28):67-76.

(11) Mejia M, Moneada D, Alva E, de la Peña S, Zeballos W. Influencia del uso de Papacárie® en el sellado marginal de obturaciones directas. Odontología Sanmarquina 2008; 11(2):51-5.

(12) Ericson D, Zimmerman M, Raber H, Gotrick B, Bornstein R, Thorell J. Clinical evaluation of efficacy and safety of a new method for chemomechanical removal of caries. Caries Res 1999; 33(3):171-7.

(13) Ericson D. In vitro efficacy of a new gel for chemomechanical caries removal. J Dent Res 1998; 77(5):1252.

(14) Tonami K, Araki K, Mataki S, Kurosaki N. Effects of chloramines and sodium hypochlorite on carious dentin. J Med Dent Sci 2003; 50(2):139-146.

(15) Araujo N, de Oliveira A, Rodrigues V, Andrade P. Avaliacao do selamento marginal de restauracoes adesivas apos o uso do gel de papaia. Pesq Bras Odontoped Clin lntegr 2007; 7(1 ):67-73.

(16) Maragakis G, Hann P, Hellwing E. Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients. Caries Res 2001; 35(3):205-10.

(17) da Silva L, Hartley J, Santos E, Guedes-Pinto A; Kalil S. Utilización del gel de papaya para la remoción de la caries. Reporte de un caso con seguimiento clínico de un año. Acta Odontol Venezolana 2005; 43(2). Disponible en: http://www.actaodontologica.com/ediciones/2005/2/utilizacion_gel_papaya_remocion_caries.asp [Consulta 15/09/2014]

(18) Pithon M, Ferraz S, de Oliveira C, Pereira T, Oliveira D, de Souza R, et. al. Effect of 10% papain gel on enamel deproteinization before bonding procedure. Angla Orthod 2012; 82(3):541-5.

(19) Banerjee A, Kidd E, Watson T. In vítro evaluation of five alternativa methods of carious dentina excavation. Caries Res 2000; 34(2):144-150.

(20) Miyagi S, Mello 1, Bussadori S, Marques M. Resposta de fibroblastos pulpares humanos em cultura ao gel de papacarie. Rev Odontol Univ Cid. Sao Paulo 2006; 18(3):245-9.

(21) Baysan A, Whiley R, Lynch E. Antimicrobial assessment of CarisolvTM on primary rooth caries ex­vívo. J Dent Res 2000; 79(5):1296.

(22) Motta L, Bussadorí S, Guedes C, Reda S, Santos E. Avaliacao in vitro do potencial antimicrobíano de doís sistemas para remocao químico mecánica de dentina cariada: CarisolvTM e Papacáríe®. Arq Odontol 2005; 41(4):296-305.

(23) Bortoletto C, Ferrari J, Motisuki C, Spolidorio D, dos Santos-Pinto L. Atividade antimicrobiana de um novo biomaterial utilizado na remocao químico-mecánica da cárie. Rev Odontol UNESP 2005; 34(4):199-201.

(24) Ucar E, Ramirez R, Orellana N, Setíen V. Influencia del método de remoción de caries en la fuerza de adhesión a dentina afectada. Acta Odontol Venezolana 2013; 51 (1). Disponible en: http://www.actaodontologica.com/ediciones/2013/1/art5.asp [Consulta 15/09/2014]

(25) Bussadori S, Martins M, Fernandes K, Guedes C, Motta L, Redá S, et.al. Avaliacao da biocompatibilidade. Pesqui Bras Odontopediatria Clin lntegr 2005; 5(3):253-259.

(26) Silva L, Tonolli G, Santos E, Bussadori S. Avalia.;ao da compatibilidade in vitre de um novo material para remo.;ao química-mecánica da cárie. Pesqui Odontol Bras 2003; 17(supl. 2). Disponible en: http://www.scielo.br/scielophp?pid=1517-749120030005&script=sci_issuetoc [Consulta 26/08/2014]

(27) Faustino-Silva D, Leitune V, Collares F, Figueiredo M, Samuel S. Resisténcia de uniao do adesivo a dentina de dentes decíduos submetidos a deis métodos de remocao químico-mecánica da cárie. RFO UPF 2009; 14(3):234-238.

(28) Araujo N, OliveiraA, Rodrigues V,Andrade P.Análise da microinfiltracao marginal em restauracoes de cimentos ionoméricos após a utilizacao de Papacárie®. Rev Odonto Cienc 2008; 23(2): 161-5.

(29) Piva E, Ogliari F, Moraes R, Corá F, Henn S, Correr L Papain basad gel for biochemical caries removal: influence on microtensile bond strength to dentin. Braz Oral Res 2008; 22(4):364-70.

(30) Cecchin D, Farina A, Orlando F, Brusco E, Carlini B. Effect of Carisolv and papacarie on Theresin-dentin bond strenshgth in sound and caries affected primary molars. Braz J Oral Sci 201 O; 9(1):25-9.

Published

2015-06-30

How to Cite

1.
Cao Fernández O. Chemical-mechanical caries removal. Salud Mil [Internet]. 2015 Jun. 30 [cited 2025 Dec. 26];34(1):58-71. Available from: https://revistasaludmilitar.uy/ojs/index.php/Rsm/article/view/195

Issue

Section

Reviews

        PlumX Metrics