Comparative Assessment of Success Rate of Indirect Pulp Treatment With 2% Chlorhexidine Gluconate Disinfecting Solution, Calcium Hydroxide And Resin Modified Glass Ionomer Liner In Primary Teeth -A Prospective Study (original) (raw)
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Evaluation of Different Indirect Pulp Treatment Materials Used in Deep Carious Primary Molars
Al-Azhar Journal of Dentistry
Purpose: To evaluate the clinical and the radiographic outcomes of indirect pulp treatment (IPT) in primary molars using Calcium Hydroxide, Resin Modified Glass Ionomer and TheraCal LC. Subjects and Methods: Sample of 45 children aged from 4-8 years with deep carious one or more primary molars allocated randomly into 3 groups according to the capping material. Group I: Calcium Hydroxide (Dycal). Group II: Resin Modified Glass Ionomer (Vitrebond) and Group III: TheraCal LC. Teeth were treated then restored with EQUIA Forte HT in one visit and evaluated clinically and radiographically after three and six months. Results: The overall clinical and radiographic success rates were (88.2%) for Dycal group, (94.1%) for Vitrebond group and (100%) for TheraCal LC group. Results showed no statistically significant difference between groups in the overall clinical and radiographic success at 3 and 6 months. Conclusions: The indirect pulp treatment may be considered an appropriate procedure when applied on deeply carious primary teeth without irreversible pulpitis to achieve acceptable therapeutic results.
Indirect pulp treatment in primary teeth: 4-year results
American journal of dentistry, 2010
To evaluate clinical and radiographic outcomes of indirect pulp treatment (IPT) in primary molars after long-term function (up to 60 months). Teeth with deep carious lesions without signs and symptoms of irreversible pulpitis were divided by random allocation into two groups, according to the capping material utilized over demineralized dentin: experimental group (1): self-etching adhesive system (Clearfil SE Bond); and control group (2): calcium hydroxide liner (Dycal). Both groups were filled with resin composite (Z250) and submitted to a clinical and radiographic monitoring period until exfoliation. After the follow-up period (up to 60 months), no statistical difference was found between groups (P= 0.514). The overall success rate reached 78%. The failures occurred after the first year period recall.
Clinical dentistry reviewed, 2020
Maintaining arch length and integrity by preserving the pulpally involved tooth, as a natural space maintainer is the main aim of primary tooth pulp therapy. Pulpotomy and pulpectomy, the two major procedures used to perform pulp therapy in primary teeth, have evolved over the years. This paper will discuss contemporary pediatric endodontic concepts and definitive indications and contraindications for primary tooth pulp therapy. It will include a step-by-step description of both the mineral trioxide aggregate pulpotomy and a single-visit pulpectomy using rotary files in primary posterior teeth. The high-resolution clinical pictures and the clinical tips will help the reader achieve predictable prognosis when carrying out these valuable procedures.
International Endodontic Journal, 2014
Chailertvanitkul P, Paphangkorakit J, Sooksantisakoonchai N, Pumas N, Pairojamornyoot W, Leelaapiradee N, Abbott PV. Randomized control trial comparing calcium hydroxide and mineral trioxide aggregate for partial pulpotomies in cariously exposed pulps of permanent molars. International Endodontic Journal, 47, 835-842, 2014. Aim To compare the treatment outcomes when calcium hydroxide and mineral trioxide aggregate are used for partial pulpotomy in cariously exposed young permanent molars in a randomized control trial. Methodology Eighty-four teeth in 80 volunteers (aged 7-10 years) with reversible pulpitis and carious pulp exposures were randomly divided into two groups. Exposed pulps were severed using high-speed round burs until fresh pulp was seen. Cavities were irrigated with 2.5% sodium hypochlorite, and the pulp exposures were photographed and measured. Dycal or ProRoot MTA was placed on the pulp. Vitremer was placed over the material until the remaining cavity was 2 mm deep; amalgam was then placed. Teeth were evaluated for clinical symptoms and radiographic periapical changes after 24 h, 3 months, 6 months, 1 year and 2 years. Mean survival times and incidence of extraction were calculated using exact binomial confidence intervals. Results The median survival time for both ProRoot MTA and Dycal groups was 24 months. Three teeth had unfavourable outcomes with the incidence rate of 0.20/100 tooth-months with ProRoot MTA (95% CI: 0.02-0.71) and 0.11/100 tooth-months with Dycal (95% CI: 0.001-0.60). The incidence of unfavourable outcomes was 0.05/100 (95% CI: 0.001-0.30) and 2.38/100 (95% CI: 0.29-8.34) tooth-months in teeth with small (<5 mm 2 ) and large (>5 mm 2 ) pulp exposure areas, respectively. Conclusions Partial pulpotomy in teeth of young patients with reversible pulpitis, either using ProRoot MTA or Dycal, resulted in favourable treatment outcomes for up to 2 years. The incidence of unfavourable outcomes tended to be higher in teeth with pulp exposure areas larger than 5 mm 2 .
Nigerian Journal of Clinical Practice, 2021
Background and Aims: This study aimed to assess the outcomes of partial pulpotomy treatments using different biocompatible materials which were Biodentine®, mineral trioxide aggregate (MTA), and calcium hydroxide (CH) in cariously exposed pulp tissue in immature permanent molars. Materials and Methods: Fifty-four teeth of 50 patients, which had cariously pulp exposures were randomly divided into Biodentine®, MTA, and CH groups for partial pulpotomy treatments and finally restored with stainless steel crowns at the same appointment. Clinical and radiographical success was evaluated by the absence of any clinical and radiographical signs and symptoms for 12 months. Also, Image J was used for the quantitative assessment of length developments for mesial and distal roots. P value of less than 0.05 was considered statistically significant. Results: Partial pulpotomy treatments showed high overall success rate (87%). On the other hand, Biodentine and MTA showed higher success rates compared to CH without any statistical significance (P = 0.09). Besides, mesial and distal root lengths displayed a continuous and significant increase in each group at sixth month follow-up (P = 0.01; P = 0.03). Conclusions: Favorable results demonstrated that Biodentine, MTA, and CH might be recommended as suitable agents for partial pulpotomy treatment in cariously exposed immature molars with clinical diagnosis of normal pulp or reversible pulpitis.
https://ijshr.com/IJSHR\_Vol.6\_Issue.2\_April2021/IJSHR-Abstract.027.html, 2021
Background: Indirect pulp treatment (IPT) has been a minimally invasive procedure for deep dentinal caries with considerable success. IPT is a procedure which involves excavation of infected dentin and keeping affected dentin intact, followed by application of IPT agent and restoration. The aim of the study was to evaluate and compare clinical and radiographic outcomes of IPT with silver diamine fluoride (SDF) and calcium hydroxide in primary teeth. Materials and Methods: The present study is a prospective, parallel, randomized controlled trial. The study was conducted with a sample size of 50 primary molars in 4 to 7 year old children. In Group A, 25 teeth each were considered for SDF whereas, 25 teeth for calcium hydroxide IPT (Group B). Clinical and radiographic outcomes were evaluated at baseline, three and six months and were compared for both the groups. Data obtained was analyzed using Fisher's exact test. Level of significance was set at p<0.05. Results: On statistical analysis of clinical and radiographic outcomes between both the groups IPT using SDF showed 96% success rate at six month follow up whereas IPT using calcium hydroxide showed 88% success. However, there was no statistically significant difference found between the groups. Conclusions: SDF can be used as an effective alternative of calcium hydroxide for IPT in primary molars.
Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review
International Journal of Clinical Pediatric Dentistry, 2021
For many years, calcium hydroxide had been proposed to be the best material for IPT. 6 This is due to its high ability to form tertiary dentine and consequently sealing the pulp with newly formed hard tissues. 7 Nevertheless, calcium hydroxide has poor bonding ability to dentine and thus it is mechanically unstable. 8 Moreover, calcium hydroxide may dissolve, therefore it is unable to avoid microleakage in the longer term. 8 Furthermore, porosities might develop in the set material allowing leakage of microorganisms. 8 Consequently, secondary infection will develop 1,
Indirect pulp treatment in a permanent molar: case reort of 4-year follow-up
Journal of Applied Oral Science, 2009
his case report describes the indirect pulp treatment (IPT) of deep caries lesion in a permanent molar. A 16-year-old male patient reported discomfort associated with thermal stimulation on the permanent mandibular left first molar. The radiographs revealed a deep distal caries lesion, very close to the pulp, absence of radiolucencies in the periapical region, and absence of periodontal space thickening. Pulp sensitivity was confirmed by thermal pulp vitality tests. Based on the main complaint and the clinical and radiographic examinations, the treatment plan was established to preserve pulp vitality. Clinical procedures consisted of removing the infected dentin and lining the caries-affected dentin with calcium hydroxide paste. The tooth was provisionally sealed for approximately 60 days. After this period, tooth vitality was confirmed, the remaining carious dentin was removed, and the tooth was restored. At 4year follow-up, no clinical or radiographic pathological findings were found.