scholarly journals Knowledge, attitude and practise of usage of MTA and bio dentine as direct pulp capping agents - A questionnaire study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 744-756
Author(s):  
Sudarsan R ◽  
Balaji Ganesh S ◽  
Anjaneyulu K
Keyword(s):  
Calcium Hydroxide ◽  
Undergraduate Students ◽  
Direct Pulp Capping ◽  
Online Questionnaire ◽  
Capping Agents ◽  
Pulp Capping ◽  
Reparative Dentin ◽  
Study Population ◽  
Spss Software ◽  
Dentin Formation

Direct pulp-capping is a procedure in which exposed vital pulp is treated by placing a dental material over dental pulp to maintain vitality and to facilitate reparative dentin formation. The most commonly used pulp-capping material for decades is calcium hydroxide. But due to a number of disadvantages, there is a need for an alternate ideal pulp capping material. Recently MTA and Biodentine have been suggested as promising candidates for use in direct pulp capping procedures. The aim of the present study is to evaluate the knowledge, attitude and practise of usage of MTA and biodentine as direct pulp capping agents. An online questionnaire consisting of 15 questions which included demographic details, and questions regarding their knowledge and awareness of direct pulp therapy and the properties of MTA and biodentine. The study was conducted among undergraduate students of a private dental institute. Data was collected from filled questionnaires and analysed using SPSS software. Majority of the respondents (40.1%) chose calcium hydroxide as the material of choice for direct pulp capping and only 30% of the study population chose both MTA and biodentine as a direct pulp capping agent, which was statistically significant (p=0.000). 52% of the respondents were not aware of the major drawbacks of MTA. Knowledge regarding properties of biodentine in comparison to MTA was higher. Within the limits of the study, it shows that the knowledge in regard to the use of MTA and biodentine as direct pulp capping was poor despite recent studies showing a growing number of advantages over calcium hydroxide.

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

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.

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 Histological evaluation of human pulp capped with light-cured calcium based cements: a randomized controlled clinical trial

2017 ◽  
Vol 3 (5) ◽  
pp. 120 ◽  
Author(s):  
G. Jeya Gopika ◽  
Sathyanarayanan Ramarao ◽  
Carounanidy Usha ◽  
Bindu Meera John ◽  
N. Vezhavendhan
Keyword(s):  
Inflammatory Response ◽  
Calcium Hydroxide ◽  
Calcium Silicate ◽  
Permanent Teeth ◽  
Histological Evaluation ◽  
Controlled Clinical Trial ◽  
Direct Pulp Capping ◽  
Hard Tissue ◽  
Pulp Capping ◽  
Reparative Dentin

<p><strong>Background: </strong>Calcium hydroxide has traditionally been used as the pulp capping material for pulpal exposures in permanent teeth. The tunnel defects in the barrier and the tendency for dissolution, however, fails to provide permanent protection to the pulp. Light curable resin based cements have been introduced to enable a better marginal seal and lesser dissolution. The purpose of this study was to compare and evaluate the response of human pulp following direct pulp capping with the new resin based Calcium silicate (TheraCal LC) and Calcium hydroxide with hydroxyapatite (Septocal LC) cements compared with calcium hydroxide (Dycal). <strong></strong></p><p><strong>Methods: </strong>72 intact human premolars scheduled for orthodontic extractions were exposed to direct pulp capping procedures using three different pulp capping agents. Teeth were randomly divided into 3 groups, Group A: Dycal, Group B: TheraCal LC, Group C: Septocal LC. The teeth were extracted at the end of 15 and 40 days’ and were evaluated histologically. They were scored for reparative dentin formation and inflammatory response. Inferential statistics was done using Chi square test<strong>. </strong><strong></strong></p><p><strong>Results: </strong>Majority of the specimens in all three groups at the end of 15 days’ showed partial to lateral deposition of hard tissue. There was continuous deposition of hard tissue and severe inflammatory response at the end of 40 days’ in Dycal. There was partial deposition of hard tissue and reduced inflammatory response at the end of 40 days’ in TheraCal LC and Septocal LC. However, the results were not statistically significant between the three groups at two different time periods. <strong></strong></p><p><strong>Conclusions: </strong>Light cured,<strong> </strong>Calcium silicate (TheraCal LC) and Calcium hydroxide with hydroxyapatite (Septocal LC) cements were as effective as calcium hydroxide (Dycal) in inducing the formation of reparative dentin and evoking inflammatory response.</p>

scholarly journals Reparative Dentin Formation Using Stem Cell Therapy versus Calcium Hydroxide in Direct Pulp Capping: An Animal Study

2019 ◽  
Vol 30 (6) ◽  
pp. 542-549 ◽  
Author(s):  
Possy Abdelaz ◽  
Amira ElZoghbi ◽  
Mohamed Shokry ◽  
Abo-Zeid Ahmed ◽  
Hassan Rasha
Keyword(s):  
Stem Cells ◽  
Calcium Hydroxide ◽  
Elemental Analysis ◽  
Treated Group ◽  
Direct Pulp Capping ◽  
Isolated Cells ◽  
Electron Microscopic ◽  
Pulp Capping ◽  
Group I ◽  
Reparative Dentin

Abstract Direct pulp capping process is a therapeutic method aimed at maintenance of pulp vitality and health by using a biocompatible material placed directly over the exposed pulp. The aim of this study was to evaluate and compare the effect of direct pulp capping procedures by dental pulp stem cells (DPSCs) or calcium hydroxide on dentin tissue formation. Three mongrel dogs were used as experimental model. Two access cavities were prepared in the right and left mandibular fourth premolars in all dogs to expose and extirpate the pulp tissues which were processed in the lab to obtain a single-cell suspensions. The isolated cells were cultures in odontogenic medium for subsequent differentiation. The maxillary teeth (3 incisors and one canine) of the corresponding dog number were subjected to class V cavities to expose their pulps which were assigned into 2 groups of 12 teeth each ( group I - pulp capping with calcium hydroxide) and (group II - pulp capping with dental stem cells DPSCs). The operated teeth were collected after 3 months and processed for histological and electron microscopic examinations. Specimens were subjected to elemental analysis of calcium and phosphorus. EDX elemental analysis revealed significant differences in the calcium and phosphorous wt, % in the reparative dentin of calcium hydroxide treated group which confirmed histologically. Direct pulp capping by DPSCs has shown promising generative potential for regaining normal dentin.

Endodontic Treatment of a Traumatic Tusk Fracture With Exposed Pulp in an Asian Elephant (Elephas maximus)

2021 ◽  
Vol 38 (3) ◽  
pp. 139-151
Author(s):  
Matthias Seewald ◽  
Christine Gohl ◽  
Monika Egerbacher ◽  
Stephan Handschuh ◽  
Kirsti Witter
Keyword(s):  
Photodynamic Therapy ◽  
Treatment Options ◽  
Asian Elephant ◽  
Elephas Maximus ◽  
Filling Material ◽  
Direct Pulp Capping ◽  
Pulp Capping ◽  
Reparative Dentin ◽  
Infection And Inflammation ◽  
Dentin Formation

Tusk fracture in elephants is a common incident often resulting in pulp exposure and pulpitis. Extensive lavage, endodontic therapy, direct pulp capping, or extraction are treatment options. In this report, the successful management of a broken tusk of a juvenile male Asian elephant (Elephas maximus) including morphological analysis of the tusk tip 2 years after surgery are presented. Treatment was carried out under barn conditions and included antimicrobial photodynamic therapy and partial pulpotomy with direct pulp capping. Immediate pain relief was reached. The fractured tusk was preserved and continued to grow. The therapeutic filling material remained intact for over 1 year but was absent 2 years after treatment. The former pulp cavity of the tusk tip was filled with reparative dentin, osteodentin, and bone, but the seal between these hard tissues and pulp chamber dentin was incomplete. Radiographs obtained 3 years after treatment showed no differences in pulp shape, pulp width, and secondary dentin formation between the treated right and the healthy left tusk. It can be concluded that in case of an emergency, the endodontic therapy of a broken elephant tusk can be attempted under improvised conditions with adequate success. Photodynamic therapy might contribute to prevent infection and inflammation of the pulp. The decision tree published by Steenkamp (2019) provides a valuable tool to make quick decisions regarding a suitable therapy of broken tusks.

scholarly journals THE INFLAMMATORY REACTION OF PULP TISSUE WITH CALCIUM HYDROXIDE, MTA AND PORTLAND CEMENT (In Vivo)

2017 ◽  
Vol 4 (2) ◽  
pp. 114
Author(s):  
Jos Erry Hesti Witasari ◽  
Usman Munyati ◽  
Anggraini Dewi
Keyword(s):  
Portland Cement ◽  
Calcium Hydroxide ◽  
Inflammatory Reaction ◽  
Mineral Trioxide Aggregate ◽  
Direct Pulp Capping ◽  
Pulp Tissue ◽  
Posterior Teeth ◽  
Capping Agents ◽  
Pulp Capping

Background : Perforation in normal pulp could be happened anytime. In sterile condition, direct pulp capping was the right therapy to maintain the vitality and pulp function. Direct pulp capping agent must contact with the pulp tissue. Generally, body had an immunologic respond with foreign body that contact with tissue. The respond could be inflammatory reaction. The used direct pulp capping agents were calcium hydroxide, and Mineral Trioxide Aggregate (MTA) which known as better agent but relatively expensive and difficult to obtain. So that, the alternative of MTA, Portland cement which was the same essential of MTA, was being developed. The aim of this study, to analized inflammatory reaction of the pulp tissue with direct pulpcapping agents calcium hydroxide, MTA, and Portland cement.Methods: Free caries M. Nemestrina’s posterior teeth were prepared to formpin point perforations on buccal surface of the crowns. The teeth were appliedwith one of the three capping agents. Teeth were filled and extracted. Theextracted teeth were proceed into histopatological preparation slides to evaluatethe inflammatic reaction.Results: The result showed no statistically significant differences of pulp inflammatory reaction between calcium hydroxide, MTA and Portland cement in7, 14, 42, and 90 days.Conclusion: The inflammatory reaction of pulp tissue of the three pulp cappingagent (calcium hydroxide, MTA, and PC) were insignificant different.

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