Using a manage of isotonic remedy. In deciduous teeth, even so, addition of PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20035231 urea to the resolution significantly19-20.REVIEW ARTICLEfibrin ,mantle formed by the carious process, without damaging interaction intact of collagen fibrils. with This the selective affected the enzymeimprovedcariousdentinecomponents of the carious dentin has been suggested to be due to the lack of an antiprotease of 1-antitrypsin, which inhibits protein digestion in sound collagen based tissues22-24. This paper introduces a new papain based chemomechanical caries removal agent Carie Care. Carie Care In Chemo mechanical method partially degraded collagen in carious dentine will be chlorinated by chemomechanical caries removal solutions. This chlorination affected the secondary and/or quaternary structure of collagen, by disrupting hydrogen bonding. Carious material removal was thus facilitated. The main advantage of this method is that it does not require complete patient cooperation. Carie care – a product that has been locally introduced has as its main active ingredient from papaya extract – an endoprotein, chloramines and dye. In addition the preparation contains specific percentages of essential oils from plant sources, which has anti-inflammatory and mild anesthetic effect. The preparation also contains explicit gelling agent in accurate percentage to give exact consistency to the gel so that when applied there is no spill over. The main agents in all these existing gels used in chemo mechanical caries removal consists of a mixture of sodium hypochlorite and three amino acids (NAMI-A lysine, leucine and glutamic acid) in a gel preparation. It softens the carious dentine which is then hand excavated and claims that it will not affect the underneath healthy affected dentine. The liquids are mixed just before the treatment and then applied on carious cavity. The mixture cannot be stored and reused. Nevertheless present gel preparation does not contain sodium hypochlorite or any other strong chlorinating agent instead has most of the ingredients from natural sources. None of earlier preparations including Papacarie contain essential oils which we have incorporated in our preparation for the first time and which act as anti-inflammatory agent. Carie Care not only softens infected dentine but gives additional advantage of anti-inflammatory activity and aroma.excavation compared with the some control resolution without ureaA gel based system was then developed and the carisolv gel was introduced to be used with specially designed non-cutting hand instruments to abrade the carious dentine surface. This gel consists of two carboxymethycellulose based gels: a red gel containing 0.1M amino acids (glutamic acid, leucine and lysine), NaCl, NaOH, erythrosine (added in order to make the gel visible during use); and a second containing sodium hypochlorite (NaCl 0.5 w/v). The two are thoroughly mixed in equal parts at room temperature before use and then applied, working with hand instrument onto the exposed carious dentine to leave a hard, caries free cavity. The answer has a pH of around 11 it is postulated that positively and negatively charged groups on the amino acids become chlorinated and further disrupt the collagen cross linkage in the matrix of carious dentine. The gel consistency will allow the active molecules access to dentine for a longer period that the equivalent irrigating remedy in the caridex system. It is also highly probable that the gel has a mechanical lubricat.
