Re-evaluating Pulp Protection: Calcium Hydroxide Liners vs. Cohesive Hybridization

1994 ◽  
Vol 125 (7) ◽  
pp. 823-831 ◽  
Author(s):  
Charles F. Cox ◽  
Shiro Suzuki
2020 ◽  
Vol 61 (1) ◽  
pp. 77-86
Author(s):  
Rafael Schultz de Azambuja ◽  
Andrea Da Fontoura Recchi ◽  
Marisa Maltz ◽  
Juliana Jobim Jardim

This randomized controlled clinical trial evaluated the effectiveness of using indirect pulp protection with calcium hydroxide liner or universal adhesive over a period of 6 months in deep caries on permanent teeth after selective removal to soft dentin. The sample consisted of 68 patients with 55 molars and 21 premolars with deep caries lesion (with radiographic involvement ≥50% dentin deep caries), (median age 27 [distribution 7-54 years]), with signs of pulp vitality (positive response to cold test, absence of spontaneous pain, negative sensitivity to percussion tests, absence of radiographic imaging suggestive of periapical lesion) and absence of cuspid loss. After selective removal to soft dentin, the test group received a universal adhesive (n=38), whereas the control group indirect pulp protection with Calcium hydroxide (n=38). All teeth were restored with composite resin. The successful outcome for pulp vitality was assessed after six months. The results were submitted to the Kaplan-Meier survival analysis and the Log Rank test. The baseline variables were analyzed for their distribution in the two treatment groups by ᵪ2 test and showed a similarly distributed between groups. Success rates to pulp maintenance vitality were 95.5% for the control group and 96.7% for the test group (P=0,986). Two cases of failure were recorded, one pulp necrosis (control group) and one pulpitis (test group). There is no difference between the use of calcium hydroxide or only universal adhesive in indirect pulp protection after selective removal to soft dentine followed by composite restoration at six months of follow-up, showing a high rate of success for both treatments.


Author(s):  
Nico Vogler ◽  
Philipp Drabetzki ◽  
Mathias Lindemann ◽  
Hans-Carsten Kühne

AbstractThe thermal gravimetric analysis (TG) is a common method for the examination of the carbonation progress of cement-based materials. Unfortunately, the thermal properties of some components complicate the evaluation of TG results. Various hydrate phases, such as ettringite (AFt), C–S–H and AFm, decompose almost simultaneously in the temperature range up to 200 °C. Additionally, physically bound water is released in the same temperature range. In the temperature range between 450 °C and 600 °C, the decomposition of calcium hydroxide and amorphous or weakly bound carbonates takes place simultaneously. Carbonates, like calcite, from limestone powder or other additives may be already contained in the noncarbonated sample material. For this research, an attempt was made to minimise the influence of these effects. Therefore, differential curves from DTG results of noncarbonated areas and areas with various states of carbonation of the same sample material were calculated and evaluated. Concretes based on three different types of cement were produced and stored under accelerated carbonation conditions (1% CO2 in air). The required sample material was obtained by cutting slices from various depths of previously CO2-treated specimen and subsequent grinding. During the sample preparation, a special attention was paid that no additional carbonation processes took place. As reference method for the determination of the carbonation depth, the sprayed application of phenolphthalein solution was carried out. Microscopic analysis was examined to confirm the assumptions made previously. Furthermore, the observed effect of encapsulation of calcium hydroxide by carbonates caused by the accelerated carbonation conditions was examined more closely.


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