Efficacy of Carisolv as an adjunctive therapy to scaling and root planing on subgingival calculus removal (original) (raw)
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Brazilian Dental Journal, 2006
The purpose of this study was to evaluate the effectiveness of subgingival application of Carisolv™ gel as an adjunctive therapy to scaling and root planing (SRP) on calculus removal compared to conventional instrumentation. Forty-five teeth requiring extraction due to severe periodontal disease were randomized to the following treatments: 1) SRP alone; 2) placebo gel + SRP; 3) Carisolv™ gel + SRP. Either test or placebo gel was applied subgingivally for 1 min and then the root were instrumented until a smooth and calculus-free surface was achieved. Instrumentation time and the number of strokes required were recorded. After extraction, the efficacy of root surface instrumentation was measured by percentage of remaining calculus. There was no statistically significant difference (p>0.05) between the treatment groups regarding either time required for instrumentation or the percentage of residual calculus. The subgingival application of Carisolv™ gel prior to SRP did not provide a...
Histologic Evaluation of Three Methods of Periodontal Root Surface Treatment in Humans
Journal of Periodontology, 2005
R emoving subgingival plaque and calculus is a major goal of periodontal treatment since local bacteria have been shown to be primary etiologic factors in the development of disease. 1-3 Comparisons between studies of manual and power-driven scalers for calculus removal are difficult since there is inconsistency among study designs and methodologies. Studies 4,5 have demonstrated the efficacy of curets in complete cementum removal but also the loss of tooth substance by these hand instruments. However, other authors 6,7 have not obtained plaque and cementum-free root surfaces with traditional hand instrumentation. Thornton and Garnic 8 reported no significant difference between hand and ultrasonic instruments in their ability to remove subgingival plaque, since both methods left surfaces covered with plaque in 33% of the examined cases. This shortfall has led to conflicting evidence with regard to the superiority of hand versus sonic or ultrasonic instruments for calculus removal. 9-16 Although a number of studies have investigated the effect of laser irradiation on dental hard tissues, there have been relatively few attempts to evaluate the use of lasers, particularly for root surface debridement. In an in vitro study on human teeth root surfaces Yamaguchi et al. 17 reported that Er:YAG laser irradiation might be useful for root conditioning in periodontal therapy. Israel et al. 18 compared the morphologic changes in root surfaces treated in vitro by scaling and root planing followed by irradiation
Brazilian Dental Journal
The aim of this study was to analyze, under scanning electron microscopy (SEM), the morphologic characteristics of root surfaces after application of Carisolv gel in association with scaling and root planing (SRP). Sixty periodontally compromised extracted human teeth were randomly assigned to 6 groups: 1) SRP alone; 2) passive topical application of Carisolv + SRP; 3) active topical application of Carisolv + SRP; 4) multiple applications of Carisolv + SRP; 5) SRP + 24% EDTA; 6) topical application of Carisolv + SRP + 24% EDTA. Carisolv gel was applied to root surfaces for 30 s, followed by scaling and root planing, consisting of 50 strokes with Gracey curettes in an apical-coronal direction, parallel to the long axis of the tooth. The only exception was group 4, in which the roots were instrumented until a smooth, hard and glass-like surface was achieved. All specimens were further analyzed by SEM. The results showed that the treatment with Carisolv caused significant changes in ro...
Clinical and Experimental Dental Research, 2019
Objectives: The aim of this study was to evaluate by light microscopy analysis the effect of the use of miniaturised piezoelectric tips versus mini-five area specific curets on calculus removal and postoperative root surface alterations. Methods: A total of 20 extracted teeth were used. Two square surfaces (5×5 mm) were marked on each root surface with a diamond bur mounted on a high-speed handpiece. Before and after instrumentation, a series of magnified images (4.2×) of each experimental surface were taken with a standardized approach. According to a randomization list, the two surfaces on each sample were instrumented in a standardised fashion either with a mine-five curet or a slim piezoelectric tip. The images were processed using an imaging software. Data were summarised as means and standard deviations for the two outcomes (calculus and alterations.) at each time (pre and post) for both of the groups (manual and mechanical). Results: Both manual and mechanical instrumentation significantly reduced the calculus deposits (p < .001) without significant differences between the two groups. Both manual and mechanical treatments significantly increased alterations (p < .01). There was a statistically significant evidence of a greater increase in alterations from mechanical treatment. Conclusions: Slim mechanical piezoelectric tips and manual mini-five area-specific curets have similar effects on calculus removal. Manual instrumentation results in a more homogeneous postoperative root surface with less root alterations. K E Y W O R D S calculus, nonsurgical periodontal therapy, periodontitis, scaling and root planing 1 | INTRODUCTION Periodontitis is an infective disease provoked by an array of periodontal pathogens inducing dysregulation of immune and inflammatory responses in host periodontal tissues, causing periodontal attachment loss (Kornman,
Current Strategies for Removal of Dental Calculus: A Review
Periodontal therapy comprises of treatment modalities aimed at arresting the infection, restoring lost structures and maintaining a healthy periodontium. The mechanical removal of bacterial plaque and dental calculus, proves to be an effective means of altering the inflammatory component of the periodontium, thereby halting periodontal disease progression. According to the cause-related concept of periodontal therapy, thorough removal of subgingival deposits from the root surface without altering the adjacent periodontal tissues is necessary in order to improvise healing at diseased sites. Therefore, a multitude of calculus removal systems have been developed till date, for effective removal of dental calculus which further help in minimizing loss of tooth structure during removal of dental calculus and thus, increasing patient compliance towards further dental treatment.
2016
The aim of this study was to analyze, under scanning electron microscopy (SEM), the morphologic characteristics of root surfaces after application of CarisolvTM gel in association with scaling and root planing (SRP). Sixty periodontally compromised extracted human teeth were randomly assigned to 6 groups: 1) SRP alone; 2) passive topical application of CarisolvTM + SRP; 3) active topical application of CarisolvTM + SRP; 4) multiple applications of CarisolvTM + SRP; 5) SRP + 24 % EDTA; 6) topical application of CarisolvTM + SRP + 24 % EDTA. CarisolvTM gel was applied to root surfaces for 30 s, followed by scaling and root planing, consisting of 50 strokes with Gracey curettes in an apical-coronal direction, parallel to the long axis of the tooth. The only exception was group 4, in which the roots were instrumented until a smooth, hard and glass-like surface was achieved. All specimens were further analyzed by SEM. The results showed that the treatment with CarisolvTM caused significa...
Journal of Clinical Periodontology, 1993
Abstract. The purpose of this study was to evaluate the effect of furcation entrance width on the efficacy of calculus removal from furcation areas as weil as to compare this efficacy between external and furcation surfaces after closed root planing, open root planing and use ofa rotary diamond for the furcation area. 30 first and second lower moiars scheduled for extraction with a calculus index ^2 and a degree II or III furcation involvement were divided into 3 groups: 10 molars were scaled and root planed using a closed approach; 10 moiars were scaled and root planed using an open approach; 10 molars were scaled and root planed with an open approach and rotary diamond was used for removal of deposits in the furcation area. After extraction, the width of the furcation entrance was measured buccally and hngually 2 mm apical from the bifurcation and furcations were categorized as wide (width >2.4 mm) or narrow (width <2.4 mm). The teeth were assessed in a stereomicroscope and the % of residual calculus on external and furcation surfaces was calculated. The width of the furcation entrance influenced the efficacy in root planing in the open group (p=^ 0.0015). The use of rotary diamond was the most effective method for removing calculus both for narrow and wide furcations. The effectiveness of open root planing in the mesial root was related to the width of the furcation entrance where the % of residual calculus was significantly higher for narrow furcations (/i^ 0.008). Comparison between external and furcation surfaces showed that the mean values of residual calculus in the closed and open groups were lower for the external than for the furcation surfaces, but the difference was statistically significant only for the closed group (/) = 0.013). When open root planing was combined with the use of rotary diamond in the furcation areas, a smaller amount of residual calculus was observed for the furcation than for the external surfaces.
Brazilian Dental Journal, 2006
The aim of this study was to analyze, under scanning electron microscopy (SEM), the morphologic characteristics of root surfaces after application of Carisolv TM gel in association with scaling and root planing (SRP). Sixty periodontally compromised extracted human teeth were randomly assigned to 6 groups: 1) SRP alone; 2) passive topical application of Carisolv TM + SRP; 3) active topical application of Carisolv TM + SRP; 4) multiple applications of Carisolv TM + SRP; 5) SRP + 24% EDTA; 6) topical application of Carisolv TM + SRP + 24% EDTA. Carisolv TM gel was applied to root surfaces for 30 s, followed by scaling and root planing, consisting of 50 strokes with Gracey curettes in an apical-coronal direction, parallel to the long axis of the tooth. The only exception was group 4, in which the roots were instrumented until a smooth, hard and glass-like surface was achieved. All specimens were further analyzed by SEM. The results showed that the treatment with Carisolv TM caused significant changes in root surface morphology of periodontally compromised teeth only when the chemical agent was actively applied (burnishing technique). Carisolv TM failed to remove the smear layer completely, especially with a single application, independently of the method of application. Multiple applications of Carisolv TM were necessary to achieve a smear layer reduction comparable to that obtained with 24% EDTA conditioning.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2019
Introduction: Periodontal disease results in recession and bone loss which causes morphological changes in the root surface. Traditional treatment like scaling and root planing successfully remove plaque and calculus and necrosed cementum but leaves smear layer which may interfere with normal healing. In an effort to overcome this, root conditioning agents were applied on the root surface to remove the smear layer. However, there were certain drawbacks with respect to the conventional root conditioning agents such as the acidic pH which can damage the root surface. Hence, there has been a search for more efficient biocompatible root conditioning agents. The newer insight in the area of root conditioning agents was introduction of Carisolv. However, the evidence with respect to Carisolv as an effective root conditioning agent is scarce. Aim: To evaluate the effectiveness of Carisolv, EDTA-S and EDTA on periodontally diseased root surface and ability to remove smear layer. Materials and Methods: The study constituted of sixty single rooted teeth which were extracted due to periodontal disease. These teeth were randomly allocated into 4 groups (n=15)-Group I: Scaling and Root Planing (SRP) alone, Group II: Carisolv+SRP, Group III: SRP+15% EDTA gel, Group IV: SRP+EDTA-S (EDTA+Texapon/Soft soap mixed in 1:1 ratio) gel. These teeth were treated with the root conditioning agents and evaluated with scanning electronic microscope. The teeth were evaluated for surface morphology, presence of smear layer, Patency of dentinal tubules, Roughness loss of tooth substance index and Sampaio's Index for root surface modification. These values were statistically analysed using Mann-Whitney U Test. Results: The results demonstrated a highly statistical significance (p<0.01) for removal of smear layer and patency of dentinal tubules in favour of Group II (Carisolv) at both 1000X and 1500X as compared to Group I, III and IV. Conclusion: Carisolv showed better root biomodification properties as compared to Ethylene Diamine Tetra-acetic Acid (EDTA) and Ethylene Diamine Tetra-acetic acidS (EDTA-S). It was also concluded that EDTA and EDTA-S did not show any significant differences when compared to scaling and root planing alone as a root biomodification agents. The use of Carisolv as a root biomodification agent showed promising results and hence it can be recommended for in-vivo use.