Clinical and radiological evaluation of calcium sulfate as direct pulp capping material in primary teeth (original) (raw)
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Iranian Endodontic Journal, 2010
Introduction: The aim of this trial was to compare clinical and radiographic success rates of direct pulp capping (DPC) using a novel biomaterial called Calcium Enriched Mixture (CEM) cement versus Mineral Trioxide Aggregate (MTA) in primary molar teeth. Materials and methods: In this randomized clinical trial 42 deciduous molars in 21 patients who had at least two teeth requiring DPC, were treated. The enrolled patients were between 5-8 years. The molar teeth were randomly divided into two experimental groups. Patients and operators were blinded. The teeth were anaesthetized, caries were removed and after pinpoint exposure of dental pulp, haemostasis was achieved. The exposure points were capped with MTA or CEM cement. All teeth were restored with amalgam. Patients were recalled for the 6-month follow up. Statistical analysis was carried out using McNemar test. Results: Thirty-eight teeth were available for follow up (19 in each group). The radiographic evaluations did not show failure in experimental groups; however, in clinical examinations one sinus tract was found in CEM cement group. Clinical success rates in CEM cement and MTA groups were 94.8% and 100%, respectively. Dentinal bridge formation was not observed in the two experimental groups. Conclusion: There is no significant difference between treatment outcomes of direct pulp capping with either CEM cement or MTA; therefore, both biomaterials can be used successfully for DPC in primary molar teeth.
The journal of contemporary dental practice, 2024
Aim: This investigation aimed to observe the effects of Dycal, mineral trioxide aggregate (MTA), and TheraCal LC, as indirect pulp-capping materials in primary molars. Materials and methods: About 75 children with lower primary molars aged between 4 and 7 years suggested for IPC were selected and randomly allocated into: Group I-Dycal, group II-MTA, and group III-TheraCal LC. An immediate postoperative radiograph was taken after the procedure. Recall examination was done after 3 and 6 months for clinical and radiographic assessment. The radiographs were digitized, and the amount of thickness of dentin was assessed using Corel Draw software. The values were tabulated and subjected to paired t-tests and independent t-tests for intra and intergroup analysis, respectively. The p-value < 0.05 was considered statistically significant. Results: There was a statistically significant increase in dentin thickness in the first 3 months compared to the 6-month follow-up. At the end of the research phase, TheraCal LC had more tertiary dentin deposited than MTA, followed by Dycal. Conclusion: TheraCal LC can be a reliable indirect pulp-capping agent in primary teeth. Clinical significance: Indirect pulp capping (IPC) is a very extensively employed treatment regimen to manage extensive caries. For many decades, calcium hydroxide has been regarded as the benchmark of pulp capping materials. With several advancements in materials for restoration, TheraCal LC a resin-modified, light-cured calcium silicate-filled liner serves as a pulp-capping agent and dentin protector, promoting pulp healing and preserving vitality as an obstacle cum protector of the dental pulp complex.
Journal of endodontics, 2017
The purpose of this study was to compare Biodentine and mineral trioxide aggregate (MTA) for direct pulp capping in young permanent molars by clinical and radiographic evaluation in 7- to 9-year-old children. In 50 patients, 29 patients with bilateral asymptomatic first permanent molars with carious involvement were selected. According to split mouth design, these patients were then divided into 2 groups, Biodentine group (right side) and MTA group (left side). The pulp-capping procedure was performed by using Biodentine and MTA in 58 asymptomatic bilateral permanent molars with pulp exposure. At each recall (baseline, 6 and 12 months), treatment outcome was assessed clinically through pulpal sensitivity tests as well as radiographically to evaluate dentin bridge formation. The study reported 100% success rate with both Biodentine and MTA at baseline and 6- and 12-month follow-up on the basis of clinical and radiographic parameters. These findings were statistically non-significant ...
Biomaterial Investigations in Dentistry
Objective: Novel fast-setting calcium silicate cement with fluoride (Protooth) has been developed for potential applications in tooth crowns. The aim of this study was to evaluate the success rate of direct pulp capping in primary molars using two-layer mineral trioxide aggregate (MTA) and overlying glass ionomer cement versus one-layer novel calcium silicate cement with 4 to 10 minutes setting time. Materials and methods: Ninety bilaterally symmetrical primary molars in the same jaw in 45 patients aged 5 to 7 years were included. Exposed pulps following caries removal were randomly capped with one-layer novel calcium silicate cement or two-layer MTA and glass ionomer cement. All cavities were filled with amalgam. Clinical and radiographic evaluations were performed after six and twelve months. 41 patients were available for the evaluations at the end of the 12-month follow-up. Results: The overall success rate of direct pulp capping, in a split-mouth design, using MTA covered with glass ionomer cement or one-layer novel calcium silicate cement after 12 months were 90% (37 out of 41 cases) and 85% (35 out of 41 cases), respectively, without statistically significant differences after 6 and 12 months. Conclusion: Within the limitations of this study, clinical and radiographic evaluations suggested one-layer novel calcium silicate cement would be successfully used in direct pulp capping of primary molars as a practical alternative to two-layer MTA and overlying glass ionomer cement.
Romanian Journal of Medical and Dental Education, 2019
Keeping the pulp's vitality must be the dentist's first priority. The purpose of this study is to compare two types of dental materials frequently used in the dental office for non exposed pulp healing (indirect capping): calcium hydroxide and MTA. We compared radiological and clinical findings of the dentine bridge formed after six months of indirect capping. Material and Method: 13 patients were treated in the Department of Caryology and Restorative Odontology of the Dental Faculty, University of Medicine and Pharmacy "Gr. T. Popa" Iasi for the conservative treatment of multiple decays. They had pulp dressing by indirect pulp capping technique.Results: MTA dressing (indirect pulp capping technique) is associated with 55% of the success meanwhile the use of calcium hydroxide is associated with 60% succes rate. Conclusions: Choosing indirect pulp capping techique was based on a careful pulp diagnosis, which was supported by the history of pain and clinical and radiographic findings. This study showed the efficacy of the mineral trioxide aggregate (MTA) and calcium hydroxide for maintaining the pulp vitality, compying with a good technique and with good cooperation of the patient.
Indirect pulp capping using different calcium hydroxide products: A clinical study
Stomatoloski glasnik Srbije, 2014
Introduction. Indirect pulp capping is a therapeutic intervention in the treatment of deep carious lesion in order to stimulate odontoblasts to produce tertiary dentin using different biomaterials based mainly on calcium hydroxide. The aim of this study was to assess the effect of hard-setting (Dycal) and a suspension of calcium hydroxide (Calcipulp) in the treatment of deep carious lesion (caries profunda). Materials and Methods. Clinical study included 29 patients of both genders, age 16 to 40, and 45 teeth of different morphological groups with verified caries profunda using clinical and radiographic examination. After the cavity preparation, calcium hydroxide materials (Dycal or Calcipulp) were applied on the pulpal wall and cavities temporarily restored (phosphate cement) for the period of two months. After this period cavities were restored with composite materials and clinically observed during twelve months, with mandatory check-ups after three and six months. Results. Obtai...
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2009
Objective. The aim was to compare the clinical and radiographic efficacy of enamel matrix derivative and selfhardening calcium hydroxide as direct pulp capping materials on decayed primary molars, with observation periods of 1, 6, and 12 months. Study design. A clinical, randomized, controlled trial was performed, following the "split-mouth" design. A total of 90 primary molars were treated. Assignation of materials and operative initial side were selected in a randomized manner. Five outcome variables were considered: internal dentin resorption, pain, gingival sinus tract, root external resorption, and pathologic mobility. The appearance of any of these signs or symptoms was considered to be a failure of treatment. Results. Significant statistical or clinical differences were not found between the study groups. Two treatments were judged as failures, 1 per study group; both occurred during the first postoperative month. Conclusions. The technique used for direct pulp capping on primary molars in this study is recommended on the basis of the obtained clinical and radiographic results.
A retrospective study of direct pulp capping with calcium hydroxide compounds
Dental Traumatology, 1985
Direct pulp capping with calcium hydroxide compounds was performed on 510 human teeth. Pulp had been exposed as a result of cavity preparation in 70% of cases, and by removal of carious dentine in 15%. For the remaining 15% of the cases no information on the cause of exposure was available. The teeth were clinically and radiographically controlled 1, 3, 6 and 12 months after treatment and at the stopping date. 245 cases were available for clinical examination. Information on the remaining cases was obtained from the records. Using tlie life table method, the trial time was calculated for each case as the time from date of treatment to the date of failure, the date of last contact or the stopping date. The data were analyzed according to cause of perforation, age of patient and type of tooth. Five-year survival was 82%. No significant difference in survival was observed between non-carious and small carious exposures. Young teeth and molars showed a higher survival rate when the longer observation periods were considered.
Journal of …, 2008
This study evaluated the histomorphologic response of human dental pulps capped with mineral trioxide aggregate (MTA) and Ca(OH) 2 cement (CH). Pulp exposures were performed on the occlusal floor of 40 human permanent premolars. After that, the pulp was capped either with CH or MTA and restored with composite resin. After 30 and 60 days, teeth were extracted and processed for histologic exam and categorized in a histologic score system. The data were subjected to Kruskal-Wallis and Conover tests (␣ ϭ .05). All groups performed well in terms of hard tissue bridge formation, inflammatory response, and other pulpal findings. However, a lower response of CH30 was observed for the dentin bridge formation, when compared with MTA30 and MTA60 groups. Although the pulp healing with calcium hydroxide was slower than that of MTA, both materials were successful for pulp capping in human teeth. (J Endod 2008;34:1-6)