Comparative Evaluation of the Efficacy of Stepwise Caries Excavation vs Indirect Pulp Capping in Preserving the Vitality of Deep Carious Lesions in Permanent Teeth of Pediatric Patients: An In Vivo Study

<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>

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COMPARATIVE EVALUATION OF CLINICAL SUCCESS BETWEEN TWO DIFFERENT PULP CAPPING MATERIALS USED FOR INDIRECT PULP CAPPING IN PERMANENT MOLARS- AN IN VIVO STUDY

International Journal of Biology Pharmacy and Allied Sciences ◽

10.31032/ijbpas/2021/10.12.1033 ◽

2021 ◽

Vol 10 (12 (SPECIAL ISSUE)) ◽

Keyword(s):

Comparative Evaluation ◽

Clinical Success ◽

In Vivo Study ◽

Pulp Capping ◽

Permanent Molars ◽

Materials Used ◽

Indirect Pulp Capping

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Comparative evaluation of biodentine, 2% chlorhexidine with RMGIC and calcium hydroxide as indirect pulp capping materials in primary molars: An in vivo study

Journal of Indian Society of Pedodontics and Preventive Dentistry ◽

10.4103/jisppd.jisppd_213_17 ◽

2019 ◽

Vol 37 (1) ◽

pp. 60

Author(s):

KondalaRao Boddeda ◽

Ch.Radha Rani ◽

NarsimhaRao V Vanga ◽

SrinivasKumar Chandrabhatla

Keyword(s):

Calcium Hydroxide ◽

Comparative Evaluation ◽

In Vivo Study ◽

Primary Molars ◽

Pulp Capping ◽

Indirect Pulp Capping

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Microbiological Findings in Deep Caries Lesions

Stomatoloski glasnik Srbije ◽

10.1515/sdj-2016-0001 ◽

2016 ◽

Vol 63 (1) ◽

pp. 7-14 ◽

Cited By ~ 1

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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Clinical Evaluation of Ozone on Dentinal Lesions in Young Permanent Molars using the Stepwise Excavation

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-41.6.3 ◽

2017 ◽

Vol 41 (6) ◽

pp. 429-441 ◽

Cited By ~ 4

Author(s):

Osama Safwat ◽

Mona Elkateb ◽

Karin Dowidar ◽

Omar El Meligy

Keyword(s):

Ozone Treatment ◽

Group I ◽

Carious Lesions ◽

Deep Carious Lesions ◽

Stepwise Excavation ◽

Permanent Molars ◽

Clinical Changes ◽

And Control ◽

Caries Excavation ◽

Indirect Pulp Capping

Aim: To evaluate the clinical changes in dentin of deep carious lesions in young permanent molars, following ozone application with and without the use of a remineralizing solution, using the stepwise excavation. Study design: The sample included 162 first permanent immature molars, showing deep occlusal carious cavities that were indicated for indirect pulp capping. Teeth were divided into 2 main groups according to the method of ozone treatment. Each group was further subdivided equally into test and control subgroups. Following caries excavation, color, consistency and DIAGNOdent assessments of dentin were evaluated after 6 and 12 months. Results: Regarding dentin color and consistency, no significant differences were observed following ozone application, with and without a remineralizing solution. There were no significant differences between ozone treatment, and calcium hydroxide during the different evaluation periods, except in group I cases after 6 months, concerning the dentin color. The DIAGNOdent values were significantly reduced following ozone application, with or without a remineralizing solution, as well as between test and control cases in group I after 6 months. Conclusions: Ozone application through the stepwise excavation had no significant effect on dentin color and consistency in young permanent molars. DIAGNOdent was unreliable in monitoring caries activity.

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

Update Dental College Journal ◽

10.3329/updcj.v10i1.46685 ◽

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

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