Who hates a trip to the Dentist office?

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jimmy m

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Joined: 30 Jun 2018
Age: 71
Gender: Male
Posts: 2,869
Location: Indiana

01 May 2019, 3:02 pm

Who hates a trip to the dentist office when they have a cavity and need it drilled?

Interesting because there is a new dental procedure on the way!

What if your dentist could apply a gel to your cavities that would soften necrotic tissue but leave your healthy dentin alone, allowing the affected tooth tissue to simply be scooped out?

So-called chemomechanical methods of removing cavities are not new. They were initially marketed in the 1970s, but their original designs had some serious problems. Caridex was one of the first, but it required heat, specialized equipment, large volumes of product (200-500 mL) and tasted bad.

Luckily the creators of Carisolv were able to address many of these issues. Carisolv contains three different amino acids that can interact with the collagen that makes up dentin. Degraded collagen allows these amino acids to enter its structure and bind to it, softening it, while healthy collagen is unaffected. Only a few drops need to be applied to a tooth, and after a minute or so the softened dentin can be scraped away using a special tool.

Another product, Papacarie uses a slightly different approach to dissolve diseased dentin. Papacarie contains papain, an enzyme that can break down collagen. However, healthy tooth tissue contains an enzyme that will render papain useless, ensuring that only carious tissue is dissolved. Papacarie is applied to an affected tooth and left for about 30 seconds, after which the cavity can be scraped out using a normal dental spoon.

Both of these methods have the benefit of indicating when there is no more diseased dentin via a colour change. However, their major downfall is the time it takes to use them. Studies have shown that the traditional manual method of cavity removal is much faster (3-4 minutes) than chemomechanical methods (8-9 minutes for Carisolv, 6-7 minutes for Papacarie). However, studies have also shown that chemomechanical methods are more effective than traditional methods at preserving healthy dentin.

[This] could be fantastic for use in patients with teeth resistant to anesthesia, children, or those with anxiety surrounding dental drills.

Source: Dentists Can Treat Cavities Without Using A Drill


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Joined: 26 May 2016
Age: 34
Gender: Male
Posts: 297
Location: Tennessee

01 May 2019, 4:47 pm

Sounds interesting.

I wish I had dental insurance.

I need to go to a dentist pretty bad. I've got two cavities and an extra tooth coming in.

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