Direct pulp capping: a review

Abstract

The healthy pulp has good healing potential when it is exposed, although the exact repair mechanism is still undetermined, and it is not material‐specific. Calcium hydroxide appears to promote the healing process and is the most widely accepted capping material. Paste‐type calcium hydroxide formulations are more consistent in promoting healing of pulp exposures than cement forms where bacterial microleakage is eliminated. The prognosis for pulp capping with calcium hydroxide is good if the pulp has no pre‐existing symptoms of pain, and the environment provided for it is suitable. This requires the absence of blood clots and bacterial contamination. Where there are some symptoms of pain in a vital tooth, pretreatments with suitable materials improve the prognosis.

Gypsum-based biomaterials: Evaluation of physical and mechanical properties, cellular effects and its potential as a pulp liner

“…Although Ca(OH)2 has been considered as the material of choice because of its therapeutic effect on exposed pulp 3) , it has short working time 4) , reduce flow able property 5,6) and high alkaline property 6) . Several studies have suggested that Ca(OH)2 causes pulp inflammation and tissue necrosis 7,8) . Regarding composite resin materials possible DNA damage in human cells exposed to dental composites had been observed in a recent study 9) .…”

Single Visit Root Canal Treatment

“…Proponents of pulp capping prefer the procedure as it is less invasive, less tissue destructive and easier to carry out thus saving time, effort and money. The mechanism of lesion development and pulp breakdown may be an important reason why pulps show a declining rate of survival over time following capping in pulpotomy [1]. Predictability of successful pulp capping is inferior to long term success rate of endodontic therapy.…”

Respons inflamasi pada pulpa gigi tikus setelah aplikasi ekstrak etanol propolis (EEP) (The inflammatory response on rat dental pulp following ethanolic extract of propolis (EEP) application)

“…Selain itu, kecepatan atrisi akibat mastikasi pada permukaan oklusal gigi molar tikus lebih lambat dibandingkan dengan permukaan insisal gigi insisivus tikus. 30,33 Hasil pemeriksaan histologis menunjukkan bahwa 1 minggu setelah aplikasi zink oxide maupun EEP respons inflamasi yang terjadi pada pulpa gigi tikus dapat dikatakan hampir sama. Pada kelompok kontrol hanya terjadi inflamasi ringan, walaupun hingga saat ini belum diketahui pengaruh zink oxide (Dentorit ® ) terhadap pulpa gigi (tabel 1).…”