In a group of 77 patients aged 14–68 years, direct pulp capping with MTA was performed in 80 teeth affected by tooth decay, diagnosed with reversible pulpitis by the cold-temperature test and radiographic examination. 2015;8(10):17055-17060. Pulp exposure remains a source of great frustration to the dental practitioner, because the outcome of any pulp capping procedure is marked with uncertainty. Int J Clin Pediatr Dent 2019;12(5):437–444. For example, the restorative regimen may vary among the experimental groups. Educational video for dental students and dentists on the Direct Pulp Capping procedure. Indirect pulp treatment of primary posterior teeth: A retrospective study. Le point sur les thérapeutiques bioconservatrices de la dent pulpée.ADF: Quintessence du congrès, Pluridisciplinaire, 2010. 53. One study made the following statement: “In light of the results of the present and other relevant studies, MTA is superior to calcium hydroxide for pulp capping mechanically exposed human teeth.”108 In this study, the pulps of 14 teeth were intentionally exposed, half capped with calcium hydroxide and the other half with MTA. Effects of unpolymerized resin components on the function of accessory cells derived from the rat incisor pulp. Professor E. E. J. Kirk, Department of Conservative Dentistry, University of Otago Schooi of Dentistry, PO Box 647, Dunedin, New Zealand. Part 7: The exposed pulp. 2018; 39(3):182-189. Pulp capping is a process used by dentists and orthodontists while attempting to restore a seriously decayed tooth, when the decay has almost reached the tooth’s soft pulp. 9. Etch and primer components of adhesives are vasodilators, which can result in increased bleeding that contaminates adjacent dentin and degrades adhesion.6,9,86 The increased moisture at the pulp cap site reduces polymerization of the adhesive. 1. Pulp capping: Conserving the dental pulp—can it be done? Heat generation during curing of a dentin adhesive and composite. Effect of eugenol on respiration and division in human pulp, mouse fibroblasts, and liver cells in vitro. Clinical and radiographic evaluation of adhesive pulp capping in primary molars following hemostasis with 1.25% sodium hypochlorite: 2-year results. [3] Schröder U.Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, prolifera- Chlorhexidine is antibacterial but may not be as effective at hemorrhage control as sodium hypochlorite. PubMed and Ovid databases were searched for any articles that met the criteria of containing “pulp capping,” “direct pulp capping,” “indirect pulp capping,” “sealed dental caries” or “pulp capping materials.” No date limits were applied. Because of glass ionomer's ability to chemically bond to tooth structure, it can prevent the diffusion of potentially toxic materials through dentin to the pulp. Nine databases were screened: PubMed (MedLine), Lil … Keys to clinical success with pulp capping: a review of the literature. Check prices and reviews of quality Pulp Capping dental clinics in SS23, rated 4.6 over 5 from 1 verified reviews by our community medical support network. A logical extension of this is that teeth that are asymptomatic and exhibit no clinical or radiologic signs of pathology at the time of pulp capping tend to fare better than those teeth with such factors present.25 The placement of a permanent, well-sealed restoration at the time of pulp capping is crucial to clinical success.20–25,36,45, Another factor that has been demonstrated to have an effect on direct pulp cap success is the ability to control pulp bleeding after the exposure and prior to placing the pulp cap agent.46–48 This is likely a result of two reasons. 29. doi: https://doi.org/10.2341/09-132-0. This study was to compare the success of resin-modified Portland cement-based material (TheraCal) with MTA in direct pulp capping (DPC) of primary molars. Pulp response to direct capping with an adhesive system. A systematic review attempted to compare success rates of direct pulp capping and indirect pulp capping and found that indirect pulp capping had a higher level of success but found a low quality of evidence in studies on direct pulp capping. Sodium hypochlorite shows increased pulpal inflammatory response but has the advantages of possessing antibacterial properties and providing enhanced hemorrhage control. Without this GI/RMGI protective sealer, it would be necessary to place a temporary restoration for a period of time until the MTA is set, requiring the patient to present for a second appointment for definitive restoration placement. Review Article Indirect and Direct Pulp Capping: Reactionary vs. Reparative Dentins Michel Goldberg* Department of Oral Biology, Paris Cité University, France Abstract Pulp therapies aiming to keep alive the dental pulp use either indirect (IPT) or direct procedures (DPC). Summary. No specific criteria were applied a priori as to what articles would be accepted into this review. Colon P, Lasfargues JJ, Bonte E, Opsahl Vital S, Decup F. et al. There are a number of materials-related sequela associated with direct pulpal contact with certain materials, including cytotoxicity and immunosuppression. The comparative antimicrobial effect of calcium hydroxide. Background: Pulp capping agents are used in dental restorations to prevent the dental pulp from dying, after being exposed, or nearly exposed due to a mechanical exposure. Direct pulp capping with mineral trioxide aggregate: An observational study. Need to report the video? Methods Study design: Systematic review. Pulp capping (a review). reported that there are still insufficient clinical studies evaluating the performance of MTA for pulp capping. A recent Cochrane review of the literature (2012) stated, “If the tooth is asymptomatic but the caries is extensive, there is no consensus as to the best method of management.” The type of liner is less important to success than the placement of a well-sealed restoration.20,34,36–41 In addition, partial caries removal significantly reduces the chance of pulp exposure during caries excavation.22,42 These findings are confirmed by two thorough systematic reviews that concluded the following: partial caries removal reduced the risk of pulp exposure by 98% compared to complete caries excavation in teeth with deep caries; there is no evidence that partial caries removal is detrimental in terms of signs, symptoms, pulpitis occurrence or restoration longevity; there is substantial evidence that complete caries removal is not needed for success provided the restoration is well sealed.24,43. 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