Direct pulp capping in asymptomatic carious primary molars using three different pulp capping materials: a prospective clinical trial

Chatzidimitriou, Konstantina; Vadiakas, G; Koletsi, Despina

doi:10.1007/s40368-022-00720-y

Cited by 6 publications

(6 citation statements)

References 27 publications

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“…These findings are consistent with previous studies [12,14,15,18]. Only 14.3% of our sample reported teaching DPC for primary teeth, which is relatively low considering the growing body of evidence supporting its efficacy [6,[19][20][21][22]. However, this observation could be attributed to the recent statement by the AAPD indicating that DPC is not contraindicated for primary molars [6].…”

Section: Comparison With Previous Studiessupporting

confidence: 92%

Primary tooth vital pulp therapy techniques taught in dental schools in Saudi Arabia: a cross-sectional study

2023

Journal of Clinical Pediatric Dentistry

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Worldwide, dental schools employ varying approaches to teaching vital pulp therapy (VPT) for primary teeth. However, little is known about the VPT techniques taught in dental schools in Saudi Arabia. Therefore, this study aimed to describe the approaches of VPT for primary teeth taught in undergraduate dental schools in Saudi Arabia. A nationwide cross-sectional study was conducted between January and June 2022, using an online questionnaire distributed to pediatric dentistry faculty members at all dental schools in Saudi Arabia. The questionnaire collected information on socio-demographic characteristics, educational background, work setting, and VPT teaching approaches. Descriptive statistics and logistic regression models assessed the association between participants’ characteristics and the VPT techniques taught. Seventy-seven faculty members from 17 out of 27 dental colleges in Saudi Arabia participated in the study. Most respondents reported teaching indirect pulp capping (95%), with glass ionomer cement and calcium hydroxide being the most popular materials. Only 11 participants (14%) taught direct pulp capping, with mineral trioxide aggregate and calcium hydroxide being the most commonly used materials. Pulpotomy procedures were taught in all dental schools, with formocresol being the most commonly used medicament (84%). No significant associations were found between faculty member characteristics and the likelihood of teaching indirect pulp capping. However, older age categories had a significantly higher chance of teaching direct pulp capping (trend odds ratio: 2.27, p = 0.02). In conclusion, most faculty members (95%) reported teaching indirect pulp capping using glass ionomer cement and calcium hydroxide for primary teeth. Only 14%of the respondents taught direct pulp capping, and the use of mineral trioxide aggregate for direct pulp capping appears to be increasing. Formocresol was the most commonly used pulpotomy medicament. Further research is needed to investigate factors that influence the teaching of VPT for primary teeth in Saudi Arabia.

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Section: Comparison With Previous Studiessupporting

confidence: 92%

Primary tooth vital pulp therapy techniques taught in dental schools in Saudi Arabia: a cross-sectional study

2023

Journal of Clinical Pediatric Dentistry

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“…The combined success rate of DPC in this present study was 80.4% at 12 months, which lies within the success rates of DPC of pulp exposures encountered during NSCR [12,13,21,23,24,27,39]. Yet, the success rate of DPC in our study was lower than those reported using other bioactive agents [21,26,27,39], including TheraCal LC, which showed comparable success to MTA [23].…”

Section: Discussionsupporting

confidence: 72%

“…The use of DPC in primary teeth has been debatable due to the risk of internal resorption associated with calcium hydroxide (CH) [10]. However, the introduction of biocompatible alternatives with better antibacterial, sealing and bioactive abilities has renewed interests in DPC procedures [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…In vitro studies showed that TCSs could form an apatitelike layer that acts as a substrate for cell attachment and their subsequent transformation to odontoblasts. This apatite-like layer also forms tags inside dentinal tubules, enhancing sealing ability and bonding to dentin [12,13]. Initially, all silicatebased materials release CH during hydration resulting in high alkalinity and cytotoxicity.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of four vital pulp therapies for primary molars using a dual-cured tricalcium silicate (TheraCal PT): one-year results of a non-randomized clinical trial

Wassel

Hamdy

Elghazawy

2023

Journal of Clinical Pediatric Dentistry

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Selecting an appropriate vital pulp therapy (VPT) for primary teeth with reversible pulpitis can sometimes be confusing for clinicians. Encouragingly, continuous developments in capping materials with bioactive properties help the selection of less-invasive treatments. This non-randomized clinical trial aimed to assess the clinical and radiographic success rates of indirect pulp treatment (IPT), direct pulp capping (DPC), partial pulpotomy (PP) and pulpotomy in primary molars utilizing TheraCal PT over a 12-month period. Different inclusion criteria were assigned for each treatment to assess the eligibility of each treatment type for specific clinical scenarios. Additionally, the association of tooth survival with some variables was assessed. The trial was registered at clinicaltrials.gov (NCT04167943) on 19 November 2019. Primary molars (n = 216) with caries extending into the inner dentin third or quarter were included. Selective caries removal was employed in IPT. Non-selective caries removal was employed in other groups, and treatment was decided according to pulp exposure characteristics, whereby the most conservative treatment was selected for the least clinically detectable pulp inflammation. Cox regression was performed to assess the effects of different variables on tooth survival using p ˂ 0.05 for detecting statistical significance. The 12-month combined clinical and radiographic success rates for IPT, DPC, PP and pulpotomy were 93.87%, 80.4%, 42.6% and 96.15%, respectively. Proximal surface involvement, provoked pain and first primary molars were associated with increased odds of treatment failure. According to the specified inclusion criteria, IPT, DPC and pulpotomy using TheraCal PT demonstrated acceptable results, while PP was associated with poor treatment outcomes. The odds of failure increased with proximal surface involvement, provoked pain and first primary molars. These results provide insights into different scenarios when managing deep carious lesions in primary teeth. The effects of clinical predictors on treatment outcomes may guide clinicians in case selection.

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“…Direct pulp capping treatment is appropriate for children, teenagers and young adults with primary and permanent teeth diagnosed as having healthy pulp [1]. A previous study demonstrated the success rate of direct pulp capping in primary molars with 84% cariously exposed pulp and suggested direct pulp capping with bioceramics as an acceptable treatment option [4]. In a recent study, pedodontists in Turkey preferred partial pulpotomy with mineral trioxide aggregate (MTA) at a rate of 35% for pulp exposures of 1-2 mm caused by mechanical perforation in young permanent teeth, while 32.9% were treated with direct pulp capping [5].…”

Section: Introductionmentioning

confidence: 99%

Examination of surface porosity of current pulp capping materials by micro-computed tomography (micro-CT) method

2024

JOCPD

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When dental pulp is exposed, it must be covered with a biocompatible material to form reparative dentine. The material used, besides being biocompatible, should have an ideal surface structure for the attachment, proliferation and differentiation of dental pulp stem cells. This study aimed to evaluate the porosity of the microstructures of four pulp capping materials using micro-computed tomography (micro-CT). Biodentine, Bioaggregate, TheraCal and Dycal materials were prepared according to the manufacturer's instructions using 2 × 9 mm Teflon molds. A total of 60 samples, 15 in each group, were scanned using micro-CT. Open and closed pores and the total porosity of the microstructures of the materials were assessed. The findings obtained from the study were analyzed via the Kruskal-Wallis test followed by the Mann-Whitney U test. The porosity of Bioaggregate was significantly higher than that of Biodentine, Dycal and TheraCal in all porosity values. While Biodentine did not show a statistically significant difference in open and total porosity values from either TheraCal or Dycal, closed porosity values of Dycal were significantly higher than those of Biodentine and TheraCal. Because of the affinity of cells to porous surfaces, the pulp capping materials' microstructure may affect the pulp capping treatment's success. From this perspective, the use of Bioaggregate in direct pulp capping may increase the success of treatment.

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Direct pulp capping in asymptomatic carious primary molars using three different pulp capping materials: a prospective clinical trial

Cited by 6 publications

References 27 publications

Primary tooth vital pulp therapy techniques taught in dental schools in Saudi Arabia: a cross-sectional study

Primary tooth vital pulp therapy techniques taught in dental schools in Saudi Arabia: a cross-sectional study

Evaluation of four vital pulp therapies for primary molars using a dual-cured tricalcium silicate (TheraCal PT): one-year results of a non-randomized clinical trial

Examination of surface porosity of current pulp capping materials by micro-computed tomography (micro-CT) method

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