scholarly journals Follow‐up of patients subjected to direct and indirect pulp capping of young permanent teeth. A retrospective study

2020 ◽  
Author(s):  
Carmen Llena ◽  
Miriam Hernández ◽  
Maria Melo ◽  
José Luis Sanz ◽  
Leopoldo Forner
Keyword(s):  
Retrospective Study ◽  
Permanent Teeth ◽  
Pulp Capping ◽  
Indirect Pulp Capping

scholarly journals Evaluation of clinical and radiological outcomes of mineral trioxide aggregate and calcium hydroxide as indirect pulp capping agents in the treatment of deep carious lesion of permanent teeth

2016 ◽  
Vol 9 (3) ◽  
pp. 140 ◽  
Author(s):  
Rafeza Sultana ◽  
Mozammal Hossain ◽  
Md. Shamsul Alam
Keyword(s):  
Calcium Hydroxide ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Capping Agents ◽  
Pulp Capping ◽  
Carious Lesions ◽  
Reparative Dentin ◽  
Deep Carious Lesions ◽  
Pulp Vitality ◽  
Indirect Pulp Capping

<p>The maintenance of pulp vitality and conduction of reparative dentin can be possible by indirect pulp capping with mineral trioxide aggregate (MTA) and calcium hydroxide as pulp capping agents. The objective of the study is to assess the clinical and radiological outcomes of MTA and calcium hydroxide as indirect pulp capping agents in deep carious lesions of permanent teeth. The present study included 50 permanent teeth having deep carious lesions with reversible pulp status were selected and then randomly divided into two groups of 25 teeth in a group. Standard indirect pulp capping procedures were followed. Patients were recalled at 3, 6 and 12 months interval to assess postoperative pain, the vitality of the pulp and formation of reparative dentin. In all observation periods, MTA showed more capable of reducing pain and maintain pulp vitality which was statistically significant than that of calcium hydroxide. At 12 months observation period, 24 teeth (96%) of MTA and 19 teeth (76%) of calcium hydroxide showed reparative dentin formation. It can be concluded that MTA is more effective than that of calcium hydroxide.</p><p> </p>

scholarly journals Schneiderian membrane thickness variation following endodontic procedures: a retrospective Cone Beam Computed Tomography study

2019 ◽  
Author(s):  
Thera Van Den Munckhof ◽  
Shanon Patel ◽  
Alix Davies ◽  
Erwin Berkhout ◽  
Federico Foschi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Linear Regression ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Thickness Variation ◽  
Membrane Thickness ◽  
Schneiderian Membrane ◽  
Pulp Capping

Abstract Background: To investigate the changes of Schneider membrane thickness by CBCT pre and post root canal treatment, retreatment and pulp capping procedures. Methods: This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness. Results: A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P<0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness. Conclusions: Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up. The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane. Trial registration: Ethical approval and registration were granted by the NRES London Bridge and Dulwich Research Ethics Committee. TRN NCT03055975

Indirect Pulp Capping in the Primary Dentition: a 4 Year Follow-up Study

2007 ◽  
Vol 31 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Juliana Marchi ◽  
Fernando de Araujo ◽  
Andréa Fröner ◽  
Lloyd Straffon ◽  
Jacques Nör
Keyword(s):  
Primary Teeth ◽  
Glass Ionomer Cement ◽  
Pulp Capping ◽  
Significant Difference ◽  
Group 2 ◽  
Indirect Pulp Capping ◽  
Radiographic Changes ◽  
Ionomer Cement ◽  
Group 1

Purpose :Evaluate clinical and radiographic changes in primary teeth submitted to indirect pulp capping (IPC) over a 48-month-period. Methods: Twenty seven primary molars with deep caries, but without preoperative signs of irreversible pulpits, were treated with IPC. The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex: (1) a calcium hydroxide liner(Dycal®) and (2) glass ionomer cement (Vitremer®). Results: After 48 months, Group-1 showed a success rate of 88.8% and Group-2 of 93%. No statistical significant difference between the groups was observed(P = 0.62). CLINICAL SIGNIFICANCE: The results of this study suggested that indirect pulp capping in primary teeth arrests the progression of the underlying caries, regardless of the material used as a liner.

scholarly journals Comparison of efficacy of Ledermix and Calcium hydroxide in the management of deep caries

2020 ◽  
Vol 10 (1) ◽  
pp. 6-12
Author(s):  
Fahd AA Karim ◽  
Asma Sultana ◽  
Hanann Shiekh ◽  
Md Ashif Iqbal ◽  
Puja Shrestha ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Permanent Teeth ◽  
Protective Agent ◽  
Pulp Capping ◽  
Conservative Dentistry ◽  
Group 2 ◽  
One Year ◽  
And Function ◽  
Indirect Pulp Capping

Background:Pulp capping is a treatment that enables pulp to recover and maintain its vitality and function by applying a protective agent to an exposed pulp. Ca (OH)2 has been considered the gold standard for this procedure. Despite its wide use, Ca (OH)2 is not ideally suited for pulp capping. Recently ledermix cement used for indirect pulp capping material in the outer world broadly. Objective: To assess the clinical and radiological evidence of the formation of secondary dentin and compare the degree of short time post operating pain after indirect pulp treatment. Methods: A Randomized control trial in vivo study was directed in the Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University for one year (January 2012-January 2013). We took the patients with 40 deep carious permanent teeth as a sample. The selected teeth were divided into two test groups. All odd number teeth (20) were included in group-1(where pulp capping was done with ledermix cement). All even number teeth (20) were included in group-2(where pulp capping was done with Ca(OH)2). We assessed all the patients clinically and radiographically at the interval of 3, 6, and 12 months simultaneously for the assessment of dentinal bridge formation and also collected data was analyzed using statistical package for social science (SPSS) version 17. Results: Among the full scale 40 models, ledermix (20) and Ca(OH)2(20), minor to direct irritaion of the teeth was experienced premium to treatment and found comparable in the two gatherings. Regardless, after 24 hrs of treatment, this value was shockingly higher in the Ca(OH)2 (p<0.01)group than in the Ledermix gathering (p < 0.001, t-test). Following 7 days, there was no basic differentiation between them. Follow up evaluation revealed, failure of 3 teeth treated with Ca(OH)2 and 2 teeth treated with ledermix due to pain and swelling. The remaining 35 teeth radiated an impression of being clinically and radiologically successful a year postoperatively. Conclusion: No post-operative pain was experienced in both groups in the long term. However, within the first hours after cementation, there was a sensation of pain significantly higher in the Ca(OH)2 group than in the Ledermix group. Ledermix can be considered a predictable treatment and may be an alternative to calcium hydroxide in indirect pulp capping. Update Dent. Coll. j: 2020; 10 (1): 6-12

scholarly journals Effect of Photobiomodulation Therapy Following Direct Pulp Capping on Postoperative Sensitivity by Thermal Stimulus: A Retrospective Study

2021 ◽  
Author(s):  
Adem Günaydın ◽  
Elif Bahar Çakıcı
Keyword(s):  
Retrospective Study ◽  
Therapy Group ◽  
Photobiomodulation Therapy ◽  
Permanent Teeth ◽  
Control Group ◽  
Thermal Stimulus ◽  
Direct Pulp Capping ◽  
Cold Stimulus ◽  
Pulp Capping ◽  
Significant Difference

Objective: The aim of this retrospective study was to investigate the effect of photobiomodulation therapy on postoperative pain provoked by thermal stimulation in direct pulp capping. Subject and methods: A retrospective study was performed using the records of patients who received direct pulp capping using mineral trioxide aggregate. Teeth irradiated with a laser were assigned as the photobiomodulation therapy group and non-irradiated teeth were considered as the control group. Before treatment and 6 hours, 1 day and 7 days after treatment, tooth sensitivity to a cold stimulus was recorded using a visual analog scale. Results: From a total of 123 documented direct pulp capping procedures, only 72 directly capped permanent teeth met the inclusion criteria. Age, gender, and tooth location were comparable between the groups. A statistically significant difference was found in sensitivity to cold stimulus between groups on day 7 (p=.007), but no difference was found at the preoperative, 6 hour, and day 1 time points (p=.055, p=.132, p=.100, respectively). In the intragroup evaluation, a significantly greater decrease was detected in the photobiomodulation therapy group compared to the control group, although both groups showed a reduction in discomfort throughout the follow-up period (p=.000). Conclusion: Photobiomodulation therapy is an effective method for enhancing patient comfort by reducing thermal sensitivity following direct pulp capping procedures.

scholarly journals Microbiological Findings in Deep Caries Lesions

2016 ◽  
Vol 63 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Irena Kuzmanović Radman ◽  
Aleksandra Djeri ◽  
Adriana Arbutina ◽  
Jelena Milašin
Keyword(s):  
Calcium Hydroxide ◽  
Bacterial Species ◽  
Permanent Teeth ◽  
Microbiological Analysis ◽  
Oral Diseases ◽  
Pulp Capping ◽  
Carious Lesions ◽  
Deep Carious Lesions ◽  
Caries Lesions ◽  
Indirect Pulp Capping

SUMMARY Introduction Caries is one of the most significant and widespread oral diseases. It has been confirmed that dental plaque, i.e. microorganisms in it, are the most important factor in the development of dental caries. Caries profunda represents deep carious lesion from where bacterial toxins may affect pulp through dentinal tubules. The aim of this study is to assess the efficacy of indirect pulp capping based on microbiological findings of bacteria present in deep carious lesions before and after the treatment. Material and Methods The clinical study included 29 patients of both genders, aged 16 to 40 and 45 permanent teeth with deep caries lesions. The first microbiological sample was taken after cavity preparation and removal of soft dentin from the bottom of the cavity. The second sample was taken after the removal of temporary filling and calcium hydroxide paste 60 days after the indirect pulp capping treatment. The collected samples were stored in special sterile micro tubes (Eppendorf) and kept at the temperature of −80°C until microbiological analysis was performed. Samples were tested for the presence of the following microorganisms: Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans and Enterococcus faecalis using the multiplex polymerase chain reaction (PCR) method. Results The results showed that prior to the treatment of deep carious lesions the most common species was E. faecalis (80% of samples), followed by A. actinomycetemcomitans (32% of samples), while the least common was P. gingivalis (16% of samples). After the treatment with products based on calcium hydroxide, E. faecalis was registered in 18% of samples, A. actinomycetemcomitans in 16% of samples and P. gingivalis was not registered in any sample. Conclusion The most common bacterial species in teeth with deep caries lesions was E. faecalis, whereas A. actinomycetemcomitans and P. gingivalis were found in lower number of samples.

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