Fillings without drilling or needles – Pipe dream or a reality?

   

The introduction of air abrasion dentistry and the development of “Carisolv” – a decay dissolving gel – means that it is now possible to do SOME fillings without having to remove decay with the dental drill. The combined techniques are accurate and gentle and in many cases can be undertaken without the need for an injection.

How does air abrasion work?
In simple terms air abrasion works in a similar way to a micro sand blasting machine. Our machine, the Abradent DV-1, can accurately remove hard tooth substance without the noise, heat and smell of conventional dental drills. It is most effective and beneficial when used to detect and treat the small areas of hidden decay which are becoming more common with the widespread use of fluoride in toothpastes and mouthwashes.

The great benefit of the DV-1 machine is that the air pressure and powder concentration of the air stream can be accurately adjusted so that many treatments can be completed without the need for an injection.

Once the hard outer shell of the tooth has been removed and the softer, more rubbery decay exposed the machine becomes less effective as the small particles tend to bounce off the rubbery decay rather than abrade it away. This is why the machine is used alongside the Carisolv technique.

Will air abrasion replace the drill altogether?
Unfortunately not; the technique cannot be used to remove old amalgam (silver) fillings and it cannot be used to prepare teeth for crowns or bridges. It is, however, highly effective for the removal of old composite (tooth coloured) filling.

How will I know if it can be used on me?
You will need to arrange an initial consultation appointment when all your current dental needs and wants can be discovered and discussed.

What is Carisolv?
Carisolv is a gel which softens and dissolves decayed tooth substance making it easier to scoop out of the tooth. Small hand instruments do need to be used as a part of this technique to remove the decay which has been softened but not dissolved.

Is the treatment rapid?
Both these treatments do take somewhat longer than conventional drilling and this will vary from tooth to tooth. However, as often no time is required for an injection and the time necessary for the injection to work, the total visit time is generally comparable to the conventional treatment approach.