Calcium Hydroxide-based Therapeutic Pads as the Main Material in the Treatment of Deep Caries

Amina Ahmedova Kurueva,Edita Garnikovna Margaryan,Evgeniya Nikolaevna Semkina,Konstantin Anatolevich Zenin,Kristina Timurovna Tamoeva,Madina Kazbekovna Slanova,Sergey Nikolaevich Povetkin,Tamara Georgievna Tsagaraeva,Tamiris Aslanovna Aldatova

doi:10.9734/jpri/2021/v33i35b31917

Abstract

The article is devoted to increasing the efficiency of treatment of deep caries, which is an urgent problem of modern dentistry. The aim of this study was to evaluate the results of the treatment of deep caries using the KERR "Life" calcium hydroxide treatment liner, which is a radiopaque, durable material based on calcium hydroxide and salicylate ester, recommended for direct or indirect pulp capping and as a cementitious base for all restorative filling materials. The study involved 26 patients. The studies carried out have confirmed the efficiency of the treatment of deep caries with the Life pad and confirmed the possibility of its widespread use in practice.

Highlights

1.1 ObjectiveDirect and indirect pulp capping, employing various materials and clinical protocols, has been used for many years to preserve the health and vitality of the pulp complex and induce pulp cells to form hard tis-sue
In cases where pathological changes in the pulp are reversible and its preservation is possible, it is necessary to have a healing pharmacological effect on the pulp, which stops the inflammatory process, prevents its further spread and stimulates reparative processes [2]. These are the properties of the medicinal pads, which are indicated in the following clinical situations: treatment of deep caries, in which the thickness of dentin between the filling and the pulp chamber is less than 1 mm; biological treatment of acute focal pulpitis; conservative treatment for accidental opening of the tooth cavity [3-5]
KERR's “Life” medical pad is a radiopaque, durable material based on calcium hydroxide and salicylate ester, recommended for direct or indirect pulp capping and as a cementing base for all restorative filling materials, including amalgams

Summary

Introduction

1.1 ObjectiveDirect and indirect pulp capping, employing various materials and clinical protocols, has been used for many years to preserve the health and vitality of the pulp complex and induce pulp cells to form hard tis-sue (reparative/tertiary dentin). In cases where pathological changes in the pulp are reversible and its preservation is possible, it is necessary to have a healing pharmacological effect on the pulp, which stops the inflammatory process, prevents its further spread and stimulates reparative processes [2]. These are the properties of the medicinal pads, which are indicated in the following clinical situations: treatment of deep caries, in which the thickness of dentin between the filling and the pulp chamber is less than 1 mm; biological treatment of acute focal pulpitis; conservative treatment for accidental opening of the tooth cavity [3-5]. Modern medical pads are made mainly on the basis of calcium hydroxide (Ca (OH) 2), which, due to their high pH (up to 12), exhibit a long-term, intense antiseptic effect and create a barrier to acids - the state of acidosis is neutralized [14-19]

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Conclusion