Abstract
The effectiveness of a 10% stannous fluoride solution was compared with that of a calcium hydroxide preparation for indirect pulp capping of deciduous and permanent teeth. A new procedure of indirect pulp capping with use of a five-minute application of a 10% stannous fluoride solution to the carious dentin was compared with a more conventional method with use of a calcium hydroxide preparation. Twenty-five deciduous and 39 permanent teeth were used. Indirect pulp capping can be successfully performed for carefully selected teeth with use of either method. The use of the stannous fluoride has two advantages; teeth treated with stannous fluoride showed harder remineralized dentin and greater radiodensity than teeth treated with calcium hydroxide. Other factors that contributed to the success of indirect pulp capping treatment include the adequacy of the seal of the temporary-intermediate restoration, the thoroughness and care of caries excavation, and sufficient time to permit secondary dentin formation and remineralization after the initial appointment.
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