Dentin Bridge Formation After Indirect Pulp Capping With Bioactive Glass Incorporated in Resin Composite and Its Adhesive in Comparison With Light Cured Calcium Hydroxide

2020 ◽  
Author(s):  
Keyword(s):  
Bioactive Glass ◽  
Calcium Hydroxide ◽  
Resin Composite ◽  
Bridge Formation ◽  
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 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 A Retrospective Analysis of The Correlation Between the Type of Pulp Exposure and The Choice of Pulp Capping Agents

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 901-906
Author(s):  
Vignesh S ◽  
Iffat Nasim ◽  
Arvina Rajasekar
Keyword(s):  
Dental Caries ◽  
Calcium Hydroxide ◽  
Total Sample ◽  
Direct Pulp Capping ◽  
Chi Square ◽  
Pulp Capping ◽  
Conservative Dentistry ◽  
Chi Square Test ◽  
Pulp Exposure ◽  
Indirect Pulp Capping

The aim was mainly to determine the correlation between the type of pulp capping method and the material of choice in this study. Pulp capping in the carious teeth has been considered as unpredictable and they mainly have a lesser success rate. The pulp capping can be mainly done in two methods; they are direct and indirect pulp capping which can be mainly done with the help of different materials of choice like calcium hydroxide,MTA etc. The study was conducted in Saveetha Dental College . The data collection has been done from the department of Conservative dentistry and Endodontics for patients undergoing pulp capping treatment. A total sample data of 140 patients were obtained for a period of nine months ( June 2019 – April 2020.). Statistical analysis was done by using chi-square test with SPSS software version 23. The results were obtained and tabulated, the type of pulp capping method were 67% of indirect pulp capping and 33% of direct pulp capping method in which 81% of calcium hydroxide, 8% of MTA and 11% of RMGIC was used as the materials of choice. Among which indirect pulp capping method was most commonly used than the direct pulp capping method with calcium hydroxide as the material of choice for the treatment (p < 0.05 which is statistically significant).   The pulpal exposure was mainly due to the dental caries and mechanical preparation of the tooth. Within the limits of the present study, the most common type of the pulp exposure was due to the dental caries and mechanical exposure during the cavity preparation of the tooth and the most common method of pulp capping was the indirect method with calcium hydroxide (CaOH) as the most common material of choice.

scholarly journals Comparison of Four Dental Pulp-Capping Agents by Cone-Beam Computed Tomography and Histological Techniques—A Split-Mouth Design Ex Vivo Study

2021 ◽  
Vol 11 (7) ◽  
pp. 3045
Author(s):  
Jayanandan Muruganandhan ◽  
Govindarajan Sujatha ◽  
Saravanan Poorni ◽  
Manali Ramakrishnan Srinivasan ◽  
Nezar Boreak ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Calcium Hydroxide ◽  
Cone Beam Computed Tomography ◽  
Dental Pulp ◽  
Cone Beam ◽  
Capping Agents ◽  
Bridge Formation ◽  
Pulp Capping ◽  
Dental Pulp Capping ◽  
Post Hoc

Dental pulp-capping is done to preserve vital teeth when the pulp is exposed due to caries, trauma or instrumentation. Various materials are used as pulp-capping agents. The introduction of newer materials requires scientific studies to assess their clinical efficacy. The study was designed as a split-mouth randomized analysis of four pulp-capping agents (calcium hydroxide, mineral trioxide aggregate (MTA), Biodentine and EndoSequence root repair material (ERRM)). Based on selection criteria, 15 orthodontic patients requiring the extraction of four premolars (60 teeth total) were included in the study. After pulp-capping, the teeth were extracted after 8 weeks. We analyzed the extracted teeth using cone-beam computed tomography (CBCT) and histological sections to determine the quality of the dentinal bridge and the pulpal response. Ordinal scores were given based on the completeness of the dentinal bridge, the type of bridge and the degree of pulpal inflammation. Results were analyzed using a Kruskal–Wallis test (p < 0.05) with post hoc Conover values being used when applicable. All four pulp-capping materials elicited dentinal bridge formation (60/60). MTA had the highest scores (10/15) in dentinal bridge formation followed by ERRM (8/15). Both materials showed more samples with complete dentinal bridges (9/15 each) and a favorable pulpal response (15/15). Teeth capped with calcium hydroxide showed more cases of incomplete bridge formation (9/15) and pulpal inflammation. These differences in dentinal bridge formation and pulpal inflammation were statistically significant (p 0.001 and p 0.00005, respectively), with post hoc tests revealing no significant differences between MTA and ERRM (p 0.49 and p 0.71, respectively). MTA and ERRM performed better than the other pulp-capping materials but did not differ significantly from each other. The individual preference for a pulp-capping material may be based on clinical efficacy and handling characteristics.

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