J Clin Pediatr Dent. The direct pulp capping is taught by 68.7% of schools and calcium hydroxide (97%) was the capping material most indicated. Therefore, the aim of this study was to evaluate and compare the clinical and radiographical success of calcium sulfate and calcium hydroxide used as a direct pulp-capping material in primary teeth. Results: After 2 years, the overall success rate of direct pulp capping was approximately 93% (78/84 teeth, excluding exfoliations). The success rate is be-tween 80% and 100% and this gives reason for more stud-ies in this scientific direction [7, 15 - 27]. Marchi JJ, de Araujo FB, Froner AM, et al. It was known that the success rate of direct pulp capping with CA (OH) 2 is not high in primary teeth, (23) the reason of which may be that the effect of Collaboration, preserving pulpal health should be a primary goal in the management of deep carious lesions [13]. 7. DIRECT PULP CAPPING 7. This clinical success rate is similar to that of other materials such as calcium hydroxide and MTA when used as indirect pulp capping agents in permanent teeth [14, 15]. The lack of influence of treatment delay is demonstrated once more. The aim of this paper is to present the approbated by us protocol for application of direct pulp capping … Am J Dent. DIRECT PULP CAPPING. In case of direct pulp capping, the procedure is carried out in a single sitting with follow up appointments to determine the success of the procedure. 2.2.1 Rationale Results of success, 6 and 12 months after indirect pulp therapy (in one or two sessions) of asymptomatic pulpitis in primary teeth. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. 16. Radiographic study,103 teeth Success rate of 31%. Conclusion: Direct pulp capping as a method of choice for treatment of reversible inflammation of the pulp of primary teeth has its advantages which should be proven through more quality studies. Dental pulp is a unique soft tissue containing blood ves-sels, nerve fibers, collagen fibers, fibroblasts, odonto-blasts, and immune cells. CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): Abstract: The purpose of this study was to compare the clinical and radiographic success rate of direct pulp capping (DPC) and partial pulpotomy (PP) treatment using MTA as pulp capping agent in treatment of primary teeth with pulp exposure after direct complete excavation. Indirect pulp capping in the primary dentition: a four year follow-up study. Biodentine® is the most recent material and its success rate for direct pulp capping is poorly documented. Indirect pulp treatment was applied using Dycal for 91 teeth, ProRoot MTA for 89 teeth and TheraCal LC for 115 teeth. Symmetrical bilateral primary molars (92) from 46 healthy subjects aged 5–7 years were included in this split-mouth randomised clinical trial. It has a lower cost, long-term higher success rate and better exfoliation pattern • DPC is not recommended for primary teeth until … Alqaderi H, Lee CT, Borzangy S, Pagonis TC (2016) Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. Calcium hydroxide success rate was 74% at 6-months, 65% at 1-year, 59% at 2-3 years and 56% at 4-5 years. Background: For example, direct pulp capping isn’t usually recommended for young children due to a low success rate in baby teeth. The purpose of this study is to evaluate the success rate of direct pulp capping performed with MTA-Angelus® or calcium hydroxide in mechanical-exposed or carious-exposed mature permanent human teeth. Outcomes of Vital Pulp Therapy Using Mineral Trioxide Aggregate or Biodentine: A Prospective Randomized Clinical Trial. A success rate of 90% in maintaining the tooth is expected, without signs and symptoms, during a period of 3 years. Outcomes of direct pulp capping in vital primary teeth with cariously and non‐cariously exposed pulp: A systematic review. Epub 2019 May 16. Try to avoid exposing the pulp. 0000010287 00000 n The success rate for replantation of permanent teeth is highest when the tooth is replanted within ____ of the avulsion. 0000003931 00000 n The listed success rates in the literature for direct pulp capping during caries excavation vary substantially [12, 56, 76]. Patients included in this study will be recruited from routine dental patients attending conservative clinics in JUST Dental Teaching Centre. 0000001691 00000 n The pulpotomy agents were ass… When would you do a direct pulp cap in primary teeth? , who used MTA and reported 88.9% treatment success in teeth with secondary caries, compared to 94.7% treatment success in teeth with primary caries. Clin Oral Investig. ... the whole coronal pulp with a spoon you remove 2-3mm of coronal pulp through the exposure site with a high speed before capping with calcium hydroxide. The high failure rate in calcium hydroxide pulpotomies can be attributed to: Calcium hydroxide has no beneficial effect on the inflamed pulp. Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Cochrane Database Syst Rev. They are only successful if the pulpal infection is very mild 9. Initial searches identified 83 potentially relevant studies on DPC in primary teeth. [34] The success rate is be-tween 80% and 100% and this gives reason for more stud-ies in this scientific direction [7, 15 - 27]. Pinto AS, de Araujo FB, Franzon R, et al.  |  Study design: Each of 62 3-9 year old children with any deep, primary molar cavity was included if a pulp exposure occurred during caries excavation. 0000010618 00000 n Direct Pulp Caps. 0000009070 00000 n 0000001340 00000 n 1; Objectives: The tooth’s vitality should be maintained. Pulp capping is an operative technique designed to preserve the vitality of a potentially infected pulp. The aim of this study was to evaluate and compare, both clinically and radiographically, the effects of calcium silicate-based materials (i.e., ProRoot MTA [PR-MTA], MTA-Plus [MTA-P], and Biodentine [BD]) and ferric sulfate [FS] in pulpotomy of primary molars.Materials and Methods. Keywords: Direct. Pulp Capping; Endodontics Pulp Capping. 0000006531 00000 n COVID-19 is an emerging, rapidly evolving situation. a direct pulp-capping agent in primary teeth. PULP CAPPING AGENTS 9. I was taught in dental school that pulp caps are unpredictable and should not be done routinely, but my mature associate does pulp caps frequently with success. Sources: MEDLINE Ovid-SP, Cochrane Central Register of Controlled Trials (CENTRAL), International Clinical Trials Registry Platform (ICTRP), ClinicalTrials.gov, Embase and Web of Science until April 2020. Methods: 0000009958 00000 n 0000005688 00000 n The meta-analysis revealed MTA had better success than calcium hydroxide at 1-year (OR 2.66, 95% CI; 1.46- 4.84, P = 0.001) and 2- to 3-year follow-up (OR 2.21, 95% CI; 1.42-3.44, P = 0.0004). Low and moderate risks of bias were observed. 0000008214 00000 n 0000010505 00000 n JOA: This is a fantastic new study where the outcome of various procedures for pulp has been compared based on a large material on crown fractured teeth with pulp exposures. 0000002257 00000 n Aguilar P, Linsuwanont P (2011) Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. Pulp treatment for extensive decay in primary teeth is generally successful. In case of direct pulp capping, the procedure is carried out in a single sitting with follow up appointments to determine the success of the procedure. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Conclusions: The outcome of vital pulp treatment after carious pulp exposure is multifactorial and related to the procedure, biomaterial and pre-operative pulpal diagnosis. The influence of this factor on the success of direct pulp-capping treatment was studied only by Marques et al. Overall, DPC clinical and radiographic success rates among the selected studies ranged between 53% and 100%. The creation of … When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. radiographic criteria of success. There was no difference between MTA and Biodentine. 0000001286 00000 n %PDF-1.4 %���� The optimal success rate of pulpotomy in contrast to pulp capping is a very significant finding. Discussion: Clipboard, Search History, and several other advanced features are temporarily unavailable. Pulp Capping; Endodontics Pulp Capping. There are two broad types of pulp capping - the direct and the indirect pulp caps. Please enable it to take advantage of the complete set of features! 0000002364 00000 n pulp capping, Mineral trioxide aggregate, primary teeth, regeneration, reversible pulpitis. The aim of this paper is to present the approbated by us protocol for application of direct pulp capping … Traumatic injuries resulting in pulp exposure in young patients present a challenge in treatment. If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. doi: 10.1002/14651858.CD003220.pub2. The listed success rates in the literature for direct pulp capping during caries excavation vary substantially [12, 56, 76]. Indirect pulp therapy 2004; 38(3):314–20. DPC for small non-contaminated pulp exposures using either TheraCal or … USA.gov. Summary. Under the premise of correct indication and technical implementation, direct pulp capping using calcium hydroxide can reach success rates of nearly 60 % after 10 years [76, 110]. NIH FACTORS DETERMINING SUCCESS OF IPC. © 2020 International Endodontic Journal. The success rate is presented in percentage to the number of teeth treated in the group. • Indirect pulp capping is the favorable technique for treating primary teeth with deep caries and no exposure of inflamed pulp tissue. 41-45 Direct pulp capping of a carious pulp exposure in a primary tooth is not recommended. Journal of Conservative Dentistry, 16, 92-8. CONCLUSION 10.REFERENCES 3. However, in the cited study, the difference was also not statistically significant. involving a total of 100 primary molars carried out to evaluate the outcome of DPC using different pulp capping materials showed an overall success rate of 93% . By Cho et al J, Schafer E. Long-term evaluation of direct pulp-capping procedures performed by dental.... A high risk of bias assessed using Cochrane and modified Downs and Black quality checklist! Of endodontic procedures for primary molars recommended for young children due to low! 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