Pulp Capping In Primary Teeth Research Articles

Direct pulp capping (DPC) in primary molars using (3Mix-MP) and the characteristics of the carious lesion as predictor factors for its success: a randomized controlled trial.

This study aimed at the following: (a) To evaluate the effectiveness of direct pulp capping (DPC) in children's primary molars using a combination of three antibiotics (3Mix-MP) as direct pulp capping materials compared with Calcium Hydroxide and (b) to assess the impact of pulp exposure diameter, its location and restoration extent on the success rate of the technique. This was a randomized double-blind, parallel, two-arm controlled trial. Forty-four primary molars with deep active caries, whose removal resulted in pulp exposures, were treated with direct pulp capping and were allocated randomly into two groups: Group A, DPC with 3Mix-MP; and group B, DPC with Calcium Hydroxide (CH). All teeth were restored with composite resin restorations. The exposures were classified according to their diameter, location and number of the filling surfaces. Clinical follow-ups were performed at intervals of 3months for 1year, and radiographical follow-ups were done after 6-12months. Data were assessed using Chi-squared test (χ2) at a 0.05 level of significance and binary logistic regression was performed to determine the effect of the characteristics of the carious lesion on success rates. The success rate of the technique was 54.5% in group A and 77.3% in group B, but the difference was not statistically significant. The pulp exposure diameter, its location and the number of the filling surfaces did not affect the success rate significantly. (a) Direct pulp capping in primary teeth achieved comparable success rates with no significant difference between 3Mix-MP and Calcium hydroxide. (b) The exposure location, its diameter and the extent of the restoration had no significant impact on the success rates of direct pulp capping in primary teeth. ISRCTN, ISRCTN13525994. Registered 31 October 2018 - Retrospectively registered, ( http:// www.isrctn.com/ISRCTN13525994 ).

Clinical and radiographic evaluation of chitosan-zinc oxide eugenol mix in pulp capping of primary teeth

Clinical and radiographic evaluation of chitosan-zinc oxide eugenol mix in pulp capping of primary teeth

Clinical and radiographic evaluation of chitosan-zinc oxide eugenol mix in pulp capping of primary teeth

Objective of this study was to evaluate clinically and radiographically the chitosan-zinc oxide eugenol mix as pulp capping material in primary teeth. Materials & Methods: The study was performed on 36 primary molars of patients aged from 4-8 years that indicated for pulpotomy. The teeth were divided randomly into 2 main equal groups. Each group formed of 18 primary molars. Group A: 18 children teeth in which zinc oxide and eugenol (ZO/E) was used as pulp capping material after formocresol (FC) application. Group B: 18 children teeth in which Chitosan-ZO/E mix was used as pulp capping material. The teeth were assessed clinically and radiographically at 4 different intervals (preoperative, 24 hours, 6 weeks and 3 months postoperative), using standard clinical and radiographic criteria. Results: It was found that chitosan-ZO/E mix offers good clinical and radiographical results when compared with ZO/E after application of FC but with no statistically significant differences. ZO/E after application of FC (group A) showed (83.33%) success rate, while the Chitosan-ZO/E mix (group B) showed a higher success rate (94.44%) while failure rate showed (16.67%) and (5.56%) respectively. Conclusion: Chitosan-ZO/E mix is a promising material as pulp capping material with a high success rate and showing competitive properties to ZO/E after FC application. It has the power to be an alternative for ZO/E after FC application in pulpotomized primary molars.

CONSERVATIVE APPROACH TO DEEP CARIES LESIONS MANAGEMENT IN CHILDREN

The aim of the study was to systematize effective deep caries management methods in children in order to determine the indications for their use. The author used Google search engine to find articles and scientific publications published between 2006 and 2019.
 Reversible pulpitis is an indication for applying the methods preserving pulp vitality performed under aseptic and antiseptic conditions, provided the absence of decompensated form of caries and chronic somatic pathology. To prevent the accidental pulp exposure, it is better to use a partial excavation of the affected dentin followed by an indirect pulp capping. During direct pulp capping and pulpotomy the bleeding should be arrested within 3-5 min in primary teeth and within 5 min – in permanent ones. Direct pulp capping with MTA is indicated at the spot pulp exposure in permanent teeth, the use of this method in the primary teeth requires further research. Direct pulp capping with 5.25% sodium hypochlorite used as a hemostatic agent and MTA-type cement application under endodontic microscope or pulpotomy with MTA or Biodentine can be applied when treating reversible pulpitis in permanent teeth. In asymptomatic temporary teeth affected by reversible pulpitis full pulpotomy is adviced which is more effective with MTA.
 A promising direction in deep caries management research is direct and indirect pulp capping of primary teeth with Biodentine.

Work experience influences treatment approaches in endodontics: a questionnaire survey among dentists in Western Norway

Objectives: To collect information on endodontic treatment procedures among dentists in the public dental service (PDS) in Western Norway and relate this information to their work experience.Materials and methods: A survey comprised of 35 questions related to personal information, frequency of endodontic treatment, endodontic procedures and treatment principles was distributed electronically to 187 dentists in PDS in two counties of Western Norway.Results: The response rate was 74%, and 130 dentists participated. Among them, 57.0% had completed their education less than 13 years ago, and almost all were below 39 years old (95%). The majority (81.0%) had graduated in Norway. Stepwise caries excavation in primary and permanent teeth and direct pulp capping in primary teeth were more frequently performed by dentists with less than 13 years from graduation. Routine use of rubber dam was high among the responders (87%). However, use of rubber dam and master-cone radiograph uptakes were more frequent among the younger dentists. The majority used rotary instrumentation systems, and almost all participants followed the current guidelines for use of antibiotics in endodontics.Conclusions: In general, dentists in PDS follow the current endodontic treatment guidelines. However, it seems that the more recently graduated dentists perform more endodontic procedures and tend to adhere more to the taught principles regarding rubber dam use and radiograph uptakes.

Clinical and Radiographic Outcomes of Calcium Hydroxide vs Other Agents in Indirect Pulp Capping of Primary Teeth: A Systematic Review.

ABSTRACTAimTo extract and systematically identify the existing literature on the “Clinical and radiographic outcome of calcium hydroxide vs other agents in indirect pulp capping of primary teeth”.ObjectiveTo compare the clinical and radiographic outcome of calcium hydroxide and other agents in indirect pulp capping of primary teeth.Search strategyThe following databases were searched: PubMed Central, Cochrane Database of Systematic Reviews, Lilacs, Science Direct, Sigle. Bibliographies of clinical studies identified in the electronic search were analyzed for studies published outside the electronically searched journals.Selection criteriaStudies comparing the clinical and radiographic success rate of one or more indirect pulp capping agents with calcium hydroxide in primary molars were included.ResultsThe initial search revealed 243 of which only 9 met the inclusion criteria and 234 were excluded based on the exclusion criteria. All the 9 included studies analysed the clinical and radiographic outcome of calcium hydroxide in comparison with other agents in indirect pulp capping of primary teeth.ConclusionThere is a very limited good quality studies estimating the clinical and radiographic outcome of calcium hydroxide in comparison with other agents in indirect pulp capping of primary teeth. The review identified the need for more studies on the clinical and radiographic outcome of calcium hydroxide in comparison with other agents in indirect pulp capping of primary teeth.How to cite this articleNair M, Gurunathan D. Clinical and Radiographic Outcomes of Calcium Hydroxide vs Other Agents in Indirect Pulp Capping of Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2019;12(5):437–444.

The Effect of Triple Antibiotic Paste on Pulp Capping of Primary Teeth. (Clinical and Radiographic Study)

The use of 3Mix can play a significant role in the dental management of pulp therapy for primary teeth. Where caries has penetrated into the deeper dentinal tissue, triple antibiotic paste may have a role depending on its antimicrobial effect. This study compared between the clinical, radiographic and microbiological effects of two medicaments; (3Mix and formocresol) on the remaining pulp tissue of the pulpotomized teeth, comprised 4main groups. In the first and second groups, vital pulpotomy procedure was performed while the third and fourth groups, non-vital pulpotomy were done. The teeth were evaluated clinically and radiographically at different intervals (immediately post-operative, 6 weeks, and 3 months), the result show that antibiotic paste having promising clinical effect on primary teeth.

Direct pulp capping in primary teeth

Direct pulp capping in primary teeth

Evidenced-Based Review of Clinical Studies on Direct Pulp Capping

The delivery of vital pulp therapy is a field replete with controversies regarding clinical outcomes, risk factors (eg, primary vs permanent teeth), and optimal treatments. This is an ideal topic for summary analyses of the evidence-based literature that focus on study quality, advantages, and limitations. In this year's inaugural special issue on evidence-based endodontics, we provide an analysis of two recent clinical trials on direct pulp capping in primary teeth.

Clinical long‐term evaluation of MTA as a direct pulp capping material in primary teeth

To evaluate the effectiveness of mineral trioxide aggregate (MTA) when used as a pulp capping material in primary teeth. Clinical follow-up was performed on 25 symmetrical pairs of primary molars with deep occlusal caries, in 25 patients between the ages of 5 and 8 years. Pulps exposed during cavity preparation were treated by direct pulp capping with MTA or calcium hydroxide, based with resin-bonded zinc oxide eugenol cement and restored with amalgam. Clinical and radiographic examinations were carried out at 1, 3, 6, 9, 12, 18 and 24 months. Twenty-four-month clinical and radiographic follow-ups were carried out on 22 patients. One patient failed to return for evaluation after 1 month, one after 9 months and another after 12 months. During follow-up, none of the MTA and calcium hydroxide groups exhibited clinical or radiographic failure. Mineral trioxide aggregate was found to be as successful as calcium hydroxide when used for direct pulp capping in primary teeth. Further histological investigations are needed to support these findings.

Indirect Pulp Capping in the Primary Dentition: a 4 Year Follow-up Study

Evaluate clinical and radiographic changes in primary teeth submitted to indirect pulp capping (IPC) over a 48-month-period. Twenty seven primary molars with deep caries, but without preoperative signs of irreversible pulpits, were treated with IPC. The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex. (1) a calcium hydroxide liner (Dycal) and (2) glass ionomer cement (Vitremer). After 48 months, Group-1 showed a success rate of 88.8% and Group-2 of 93%. No statistical significant difference between the groups was observed (P = 0.62). The results of this study suggested that indirect pulp capping in primary teeth arrests the progression of the underlying caries, regardless of the material used as a liner.

Clinical and Radiographic Follow up Examination on Direct Pulp Capping in Primary Teeth

Clinical and Radiographic Follow up Examination on Direct Pulp Capping in Primary Teeth