2017
DOI: 10.1590/1807-3107/2017.vol31.0101
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Abstract: This study aimed to systematically review the literature to address the question regarding the influence of different materials in the clinical and radiographic success of indirect pulp treatment in primary teeth. A literature search was carried out for articles published prior to January 2017 in PubMed/MEDLINE, CENTRAL, Scopus, TRIP and ClinicalTrials databases; relevant articles included randomized clinical trials that compared materials used for indirect pulp treatment in primary teeth. Two reviewers indepe… Show more

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Cited by 11 publications
(14 citation statements)
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“…These authors reported high DPC success rates (75%‐100%) after 2 years of follow‐up, using four different etching/conditioner/adhesive systems; however, their results should be taken with caution, particularly in terms of application in class II cavities with exposed pulp. Conversely, other investigators have dissuaded the employment of these systems as DPC agents because of the direct histological toxicity of the individual components (mainly monomers) in the adhesive resins, their proneness to shrinkage, the lack of dentine bridge formation, the promotion of haemorrhage, and the subsequent inflammatory response, which significantly compromise the pulp‐healing process …”
Section: Discussionmentioning
confidence: 99%
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“…These authors reported high DPC success rates (75%‐100%) after 2 years of follow‐up, using four different etching/conditioner/adhesive systems; however, their results should be taken with caution, particularly in terms of application in class II cavities with exposed pulp. Conversely, other investigators have dissuaded the employment of these systems as DPC agents because of the direct histological toxicity of the individual components (mainly monomers) in the adhesive resins, their proneness to shrinkage, the lack of dentine bridge formation, the promotion of haemorrhage, and the subsequent inflammatory response, which significantly compromise the pulp‐healing process …”
Section: Discussionmentioning
confidence: 99%
“…Conversely, other investigators have dissuaded the employment of these systems as DPC agents because of the direct histological toxicity of the individual components (mainly monomers) in the adhesive resins, their proneness to shrinkage, the lack of dentine bridge formation, the promotion of haemorrhage, and the subsequent inflammatory response, which significantly compromise the pulp-healing process. 41,42 In addition to a careful initial diagnosis of pulp status, diverse authors have emitted some clinical considerations to be taken into account that may enhance the prognosis for DPC success in primary teeth: (a) thoroughly remove peripheral masses of soft carious dentine prior to when the exposure will probably occur, to avoid the penetration of necrotic and infected dentine chips; (b) use non-irritating solutions, and (c) enlarge the exposure site to 1 mm before the placement of the capping material in order to remove the surface inflamed/infected pulp tissue, to facilitate the washing away of debris, and to allow a closer contact between the material and the pulp tissue. 5 An additional factor that may exert an influence on the reported medium-and long-term success rates of DPC is the final restoration type selected to place over the treated primary tooth.…”
Section: Studymentioning
confidence: 99%
“…O agregado trióxido mineral (MTA), apresenta ótimas propriedades físicas e químicas, sendo considerado um excelente material para tratamentos pulpares. Este material é bastante indicado em dentes permanentes, e apesar de não haver ainda muitos estudos em dentes decíduos, as investigações existentes possuem resultados satisfatórios e apoiam sua utilização na odontopediatria 9 .…”
Section: Agregado Trióxido Mineralunclassified
“…A dentina e o tecido pulpar são estruturas co-dependentes, e formam juntas o complexo dentino-pulpar. Há longos anos, é reforçado que, frente a agressões, como lesões de cárie profundas e traumatismos, é necessária a proteção destes tecidos [5][6][7][8][9] .…”
Section: Introductionunclassified
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