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Clinical evaluation of chemo-mechanical method (Carisolv) for removal of carious dentine

Background: This is an in vivo study that evaluated the efficacy and efficiency of Carisolv gel on dentinal caries removal as well as evaluated the need of anesthesia and pain perception ability by pediatric patients. Materials and Methods: The proposed sample size consisted of 42 children from 7 to 10 years of age. The chemo-mechanical method was used for excavation of caries. The caries removal time, pain during caries removal, anesthesia required and patient behavior was evaluated. Results: Complete caries removal was achieved in 30 patients (71.4%) with chemo-mechanical method. For complete removal of caries the average time taken was 8.0855 ± 1.1024 (SD). There was no statistical difference between the time taken for score 0, 1 and 2. 23.8% of the children experienced little pain during caries removal using Carisolv. None of the patients showed negative behavior during the procedure, favoring that the Carisolv method as mostly accepted treatment. Conclusions: Carisolv is effective alternative treatment for removal of carious dentine and appeared to be more comfortable for pediatric patients although the clinical time spent is longer.