Comparison of Clinical Success between Three Different Materials- Direct Pulp Capping of Carious Molars- An In-vivo Study

Abstract

Aim: To evaluate the clinical success of Calcium Hydroxide (CH), Mineral trioxide aggregate (MTA) and Biodentine as pulp capping materials for Direct pulp capping in carious molars.
 Materials and Methods: Thirty-six molars of thirty-six patients with deep caries lesions, diagnosed with reversible pulpitis were subjected to direct pulp capping treatment. They were randomly divided into three groups, Biodentine (12 teeth) or MTA group (12 teeth) or CH group (12teeth). Simple randomization of three was employed to allocate the treatment materials. Patients were recalled at one, three and six months to evaluate the clinical success of the treatment outcome.
 Results: In clinical trial/study, the pulp capping materials gave different success rate, 91.67% success in the Biodentine group, 75% success in the MTA group and 41.67% success in Calcium Hydroxide group.
 Conclusion: In our study the materials tested at 1 month, 3 month and 6-month follow-up, Calcium Silicate materials are better than calcium hydroxide and comparably Biodentine is better than MTA for Direct pulp capping.
 Clinical Significance: The findings of this clinical trial could promote the reliability of pulp capping materials for treatment of deep carious lesions by conservative approach rather than opting endodontic management.

Direct Pulp Capping in Carious Ex Posed Permanent Teeth Assessing the Superiority Between Biodentin and Mineral Trioxide Aggregate

“…Both materials can supply the necessary support for the repair and regeneration of the surrounding periodontal tissues, which will eventually lead to a successful long-term treatment outcome (13). Side effects that concord with the medical operations, such as pain and swelling, were very few in both groups' patients, which is evidence that both Biodentine and MTA are equally effective and safe for direct pulp capping treatments (14). The study's findings are clinically significant in several aspects, as discussed below.…”