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Medical Forum / General / Dentistry / December 2004

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Limitations of Carisolv?

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Lets Connect - 05 Dec 2004 13:52 GMT
Can anyone explain what the limitations of Carisolv are? I've gone
through the PubMed literature (which all sounds very positive), but
can't find any information regarding its drawbacks/limitations (apart
from factors such as time and cost). I know that StovePipe uses it
sometimes - can anyone help me out?
Krzysztof Polanowski - 05 Dec 2004 15:33 GMT
n o liomitaion but Its possible to make it in drug store to cut expencess
> Can anyone explain what the limitations of Carisolv are? I've gone
> through the PubMed literature (which all sounds very positive), but
> can't find any information regarding its drawbacks/limitations (apart
> from factors such as time and cost). I know that StovePipe uses it
> sometimes - can anyone help me out?
StovePipe - 05 Dec 2004 17:05 GMT
> Can anyone explain what the limitations of Carisolv are? I've gone
> through the PubMed literature (which all sounds very positive), but
> can't find any information regarding its drawbacks/limitations (apart
> from factors such as time and cost). I know that StovePipe uses it
> sometimes - can anyone help me out?
[clown mode]
Speaking as a Pipe of Stove that occasionally Carisolv'es, but will use
Krzysztof's formula when my present stock runs out, and report back as
to how it goes, and thus use the saved money for bagles and cream cheese
with lots of ketchup on it (E.D. Smith's, of course...), and an
occasional sortie with the kids to McDonald's, and perhaps buy my
parents' house for them, and invest the rest into GSK and retire a
millinaire,...

but I digress....
[/clown]

The only drawback that I can see is that is based on amino acids and
bleach (NaOCl). If near the pulp, the aa component might conceivably
provoke allergic reactions in susceptible individuals. I have never seen
this; in fact I don't think I've ever seen any reaction to Carisolv at
all, but the sample size of one dentist is not statistically valid.

As long as the stuff is well rinsed (this is sometimes a problem, as
where it is useful is often right up against a gum tissue margin that
you don't want to disturb and therby provoke bleeding..) the allergy
component should not really be a problem.

Do remember, however, that if one is resorting to such potions, the
health of the tooth is already in doubt, as you are doing this to
hopefully prevent a pulp exposure (W_B would say that if you're doing
these acrobatics, it's time for ENDO) or to contol bleeding at an
unhealthy gum margin, in which case you should be looking at crown,
CEREC or other indirect options anyways. Most in my practice cannot
afford those options.

[clown]
So there, you have one Pipe's opinion. You should get at least the
opinion of a full-fledged dishwasher.... :-)
[/clown]

Hope this helps. Perhaps the best is to phone your dentist and ask
his/her/it's experience.
SP
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W_B - 05 Dec 2004 18:42 GMT
>Do remember, however, that if one is resorting to such potions, the
>health of the tooth is already in doubt, as you are doing this to
>hopefully prevent a pulp exposure (W_B would say that if you're doing
>these acrobatics, it's time for ENDO)

You have learned the lesson well.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
letsconnect - 06 Dec 2004 10:31 GMT
> The only drawback that I can see is that is based on amino acids and
> bleach (NaOCl). If near the pulp, the aa component might conceivably
[quoted text clipped - 23 lines]
> his/her/it's experience.
> SP

Thanks for your answer! The question was more of a general nature, and
I doubt my dentist offers it. I was trying to find out if this stuff
would be any use for patients with a fear of "the drill" (should've
mentioned that to make myself clearer), but have since learnt that it
only works for open decay, so you'd nearly always have to use a
handpiece on the enamel which sort of defeats the point - and that it's
no use for secondary decay around existing fillings. It would appear
from previous posts that you use it in combination with conventional
methods of caries removal?
(hope this new Google Groups beta works...)
Steven Fawks - 06 Dec 2004 14:30 GMT
A laser or air abrasion machine might be usable instead of a 'drill'.

Fawks

 but have since learnt that it
> only works for open decay, so you'd nearly always have to use a
> handpiece on the enamel which sort of defeats the point
StovePipe - 11 Dec 2004 22:48 GMT
> ......fear of "the drill" (should've
> mentioned that to make myself clearer), but have since learnt that it
[quoted text clipped - 3 lines]
> from previous posts that you use it in combination with conventional
> methods of caries removal?

I have found that the Laser can be used to produce a level of analgesia
in a tooth for long enough to use the drill to take an amalgam off/out
of it. This is not a sure thing: in my hands it worked about 70 percent
of the time. My Laser is now dead and those who came to see me
specifically for the Laser have been told in no uncertain terms why it
it that me Laser is dead. I have given oral sedatives to some very
anxious patients and done a few appointments like that, and I have
generally found that one can quickly dispense with the anxiolytics once
a rapport of confidence is established. This may be the best solution
for your case.

If you find a dentist that uses a WaterLase or other dental hard-tissue
laser, be prepared to pay more for the treatments, as the machine is not
free, nor should it be expected to be.
Hope this is not too late
SP

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