Comparision of effectiveness of calcium hyroxide and MTA when used as an indirect pulp therapy (IPT) material- A clinical and radiological assessment

: The present study assessed and compared the success of an IPT procedure both clinically and radiographically when Dycal and MTA were used as an IPT material on primary molars.Children aged 4-9 years were screened and those who fulfilled the inclusion criteria were selected. Accordingly fiftychildren were divided into 2 groups with 25 patient in each group. Cavity preparation was done and the two test materials (Dycal and MTA) were placed at the base in their respective groups and restored with RMGIC. Post-operative radiograph was taken for baseline data. Patients were assessed at Subsequent at 1 and 6 months both clinically and radiographically. Both the test materials had formed a good biological seal, arrested further caries progression and did not cause any adverse pulpal reaction. However the amount of reparative dentin formed was highest in the Dycal group followed by MTA group. Both the experimental materials Dycal and MTA showed reparative dentin formation at the end of 1 and 6 months and also formed a good biological seal and maintained vitality of the pulp which indicates both are good IPT material.

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Dentin Regeneration in Vital Pulp Therapy: Design Principales

Advances in Dental Research ◽

10.1177/08959374010150012501 ◽

2001 ◽

Vol 15 (1) ◽

pp. 96-100 ◽

Cited By ~ 42

Author(s):

D. Tziafas ◽

G. Belibasakis ◽

A. Veis ◽

S. Papadimitriou

Keyword(s):

Artificial Substrates ◽

Tissue Architecture ◽

Pulp Capping ◽

Pulp Therapy ◽

Vital Pulp Therapy ◽

Reparative Dentin ◽

Dentin Formation ◽

Direct Induction ◽

Reparative Dentin Formation ◽

Dentin Regeneration

The nature and specificity of the mechanisms by which the amputated dentin-pulp interface is therapeutically healed determine the properties of the barrier at this site and play a critical role in the outcome of vital pulp therapy. Healing of the dentin-pulp complex proceeds either by natural repair-which results in defensive hard-tissue formation, or therapeutically regulated dentin regeneration, which aims to reconstitute the normal tissue architecture at the pulp periphery. Progress in biomedical research opens new directions for the design of biologically effective pulp therapies. Application of biocompatible and biodegradable carrier vehicles for local delivery of signaling molecules in pulp-capping situations showed induction of fibrodentin/reparative dentin formation, but often at the expense of underlying pulp tissue. An alternative pre-clinical model aiming to reconstitute normal tissue architecture directly at the dentin-pulp interface should be designed on the basis of the direct induction of odontoblast-like cell differentiation and reparative dentin formation at the pulp-capping material interface. Experimental data clearly showed that pulpal cells can differentiate directly into odontoblast-like cells in association with specific extracellular matrices (dentinal or fibrodentinal matrix) or TGFβ1-containing artificial substrates. Dentin-induced dentinogenesis can be used as a master plan for the achievement of new therapeutic opportunities. In the present study, several short-term experimental studies on dog teeth for potential direct induction of odontoblast-like cell differentiation at the surface of rhTGFβ1-containing artificial substrates (Millipore filters, hydroxyapatite granules, calcium hydroxide, pure titanium) failed to induce any specific reparative dentinogenic effects.

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Bortezomib Facilitates Reparative Dentin Formation after Pulp Access Cavity Preparation in Mouse Molar

Journal of Endodontics ◽

10.1016/j.joen.2017.07.018 ◽

2017 ◽

Vol 43 (12) ◽

pp. 2041-2047 ◽

Cited By ~ 6

Author(s):

Jae-Kwang Jung ◽

Gi-Jeong Gwon ◽

Sanjiv Neupane ◽

Wern-Joo Sohn ◽

Ki-Rim Kim ◽

...

Keyword(s):

Cavity Preparation ◽

Reparative Dentin ◽

Dentin Formation ◽

Reparative Dentin Formation

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Reparative dentin formation resulting from cavity preparation

Journal of Prosthetic Dentistry ◽

10.1016/0022-3913(66)90180-6 ◽

1966 ◽

Vol 16 (6) ◽

pp. 1127-1134 ◽

Cited By ~ 24

Author(s):

Richard D. Diamon ◽

Harold R. Stanley ◽

Herbert Swerdlow

Keyword(s):

Cavity Preparation ◽

Reparative Dentin ◽

Dentin Formation ◽

Reparative Dentin Formation

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Lithium Chloride Exerts Differential Effects on Dentinogenesis and Osteogenesis in Primary Pulp Cultures

Frontiers in Dental Medicine ◽

10.3389/fdmed.2021.649500 ◽

2021 ◽

Vol 2 ◽

Author(s):

Anushree Vijaykumar ◽

Mina Mina

Keyword(s):

Dental Pulp ◽

Osteoblast Differentiation ◽

Prolonged Treatment ◽

Odontoblast Differentiation ◽

Positive Effects ◽

Reparative Dentin ◽

Dentin Formation ◽

Reparative Dentin Formation

Wnt/β-catenin signaling is known to play essential roles in odontoblast differentiation and reparative dentin formation. Various Wnt activators including LiCl have been increasingly studied for their effectiveness to induce repair of the dentin-pulp complex. LiCl is a simple salt thought to activate Wnt/β-catenin signaling by inhibiting GSK3β. Previous in vitro and in vivo studies showed that LiCl increased odontoblast differentiation and enhanced reparative dentin formation. However, the underlying molecular and cellular mechanisms by which LiCl regulates odontoblast and osteoblast differentiation during reparative dentinogenesis are not well-understood. Our in vitro studies show that exposure of early dental pulp progenitors to LiCl increased the survival and the pool of αSMA+ progenitors, leading to enhanced odontoblast and osteoblast differentiation. The positive effects of LiCl in the differentiation of osteoblasts and odontoblasts from αSMA+ progenitors are mediated by Wnt/β-catenin signaling. Our results also showed that continuous and late exposure of dental pulp cells to LiCl increased the expression of odontoblast markers through Wnt/β-catenin signaling, and the number of odontoblasts expressing DMP1-Cherry and DSPP-Cerulean transgenes. However, unlike the early treatment, both continuous and late treatments decreased the expression of Bsp and the expression of BSP-GFPtpz transgene. These observations suggest that prolonged treatment with LiCl in more mature cells of the dental pulp has an inhibitory effect on osteoblast differentiation. The inhibitory effects of LiCl on osteogenesis and Bsp were not mediated through Wnt/β-catenin signaling. These observations suggest that the effects of LiCl, and GSK3β antagonists on reparative dentinogenesis involve multiple pathways and are not specific to Wnt/β-catenin signaling.

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Induction of reparative dentin by calcium silicate-based material as direct pulp capping agent

Bangabandhu Sheikh Mujib Medical University Journal ◽

10.3329/bsmmuj.v12i4.43857 ◽

2019 ◽

Vol 12 (4) ◽

pp. 182-186

Author(s):

Mozammal Hossain ◽

Mahmood Sajedeen ◽

Yukio Nakamura

Keyword(s):

Calcium Hydroxide ◽

Calcium Silicate ◽

Normal Function ◽

Direct Pulp Capping ◽

Pulp Tissue ◽

Pulp Capping ◽

Exposure Site ◽

Reparative Dentin ◽

Dentin Formation ◽

Reparative Dentin Formation

This study was performed to examine whether calcium silicate could induce reparative dentin formation without eliciting any adverse effect in direct pulp capping of premolar teeth. Twenty participants who need extraction of their 4 healthy permanent premolar teeth for orthodontic reasons were included in this study. Following the surgical procedure, the exposed pulp tissue was treated either with calcium silicate or covered with calcium hydroxide paste. On day 3, 7, 14 and 28, the experimental teeth was extracted and examined using light microscopy and histometric analysis to observe the inflammatory changes and the amount of reparative dentin formation. The results showed that in the calcium silicate treated teeth, substantial amounts of dentine-like tissue was formed on day 14 and mostly located on the exposure site. It was also observed in the calcium hydroxide treated teeth but dentin-like tissue located at a distance from the exposure site. The total amount of reparative dentine formed in the calcium silicate-treated teeth was significantly higher (p<0.005) than in the calcium hydroxide-treated specimens. In conclusion that the calcium silicate indices pulpal wound healing and reparative formation in the exposed teeth without affecting the normal function of the remaining pulp.

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Dentonin, a MEPE Fragment, Initiates Pulp-healing Response to Injury

Journal of Dental Research ◽

10.1177/154405910708600818 ◽

2007 ◽

Vol 86 (8) ◽

pp. 780-785 ◽

Cited By ~ 33

Author(s):

N. Six ◽

D. Septier ◽

C. Chaussain-Miller ◽

R. Blacher ◽

P. DenBesten ◽

...

Keyword(s):

Synthetic Peptide ◽

Matrix Proteins ◽

Dental Tissues ◽

Agarose Beads ◽

Reparative Dentin ◽

Pulp Cells ◽

Dentin Sialoprotein ◽

Dentin Formation ◽

Rat Molars ◽

Reparative Dentin Formation

Phosphorylated extracellular matrix proteins, including matrix extracellular phosphoprotein (MEPE), are involved in the formation and mineralization of dental tissues. In this study, we evaluated the potential of Dentonin, a synthetic peptide derived from MEPE, to promote the formation of reparative dentin. Agarose beads, either soaked with Dentonin or unloaded, were implanted into the pulps of rat molars, and examined 8, 15, and 30 days after treatment. At day 8, Dentonin promoted the proliferation of pulp cells, as visualized by PCNA-labeling. RP59-positive osteoblast progenitors were located around the Dentonin-soaked beads. PCNA- and RP59-labeling were decreased at day 15, while osteopontin, weakly labeled at day 8, was increased at 15 days, but dentin sialoprotein was undetectable at any time. At 8 days, precocious reparative dentin formation occurred in pulps containing Dentonin-soaked beads, with formation slowing after 15 days. These results suggest that Dentonin affects primarily the initial cascade of events leading to pulp healing.

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