In vivo outcomes of indirect pulp treatment in primary posterior teeth: 6 months' follow-up

Chauhan, Ananya; Dua, Parminder; Saini, Sheeba; Mangla, Ritu; Butail, Apra; Ahluwalia, Shivika

doi:10.4103/ccd.ccd_48_18

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…According to logistic regression analysis, the odds of successfully treating reversible pulpitis on a DM were almost twice better using IPT than FSP (odds ratio (OR) = 1.89 (1.04, 3.43; confidence interval (CI) = 95%)). Our results are in agreement with the previous retrospective studies and clinical trials reporting a clinical success rate above 90% with IPT [3,9,10,12,18,[21][22][23][24][25] and an above 80% with FSP [7][8][9]12,[26][27][28].…”

Section: Discussionsupporting

confidence: 93%

Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study

Maqbool

Noorani

Samsudin

et al. 2021

IJERPH

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There is a paucity of information concerning vital pulp treatment outcomes in the undergraduate teaching setting. This study aimed to determine which type of deciduous molar, arch location, type of vital pulp therapy, and the number of carious surfaces involved had a better prognosis when carried out by undergraduate dental students. The method used was the review of clinical records of 590 patients with 600 deciduous molars, that visited the outpatient undergraduate dental clinics for vital pulp therapy. Statistical analysis used to determine the associations of tooth type, arch location, treatment type, and the number of carious surfaces involved in successful outcomes was logistic regression analysis with significance set at p < 0.05. According to the regression analysis model results, there was a significant association based on tooth type (p < 0.05) and arch location (p = 0.003). In addition, there was a significant association based on the type of treatment performed (p = 0.036). However, there was no significant association in success rates based on the number of carious surfaces involved (p = 0.873). In conclusion, second deciduous molars and maxillary deciduous molars had a better overall prognosis, and indirect pulp therapy was revealed to be more highly associated with successful treatment outcomes in comparison to ferric sulfate pulpotomy in our setting.

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Section: Discussionsupporting

confidence: 93%

Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study

Maqbool

Noorani

Samsudin

et al. 2021

IJERPH

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“…The findings were similar to the study by George et al (2015), who achieved success rate of 88.3% at six months. [14]Variable success rates have been observed ranging from 78% at four years follow up in a study of Casagrande et al to 94.4% at 12 months follow up by Boddeda et al to 100% at six months follow up by Chauhan et al [9,15,16]Factors that are held responsible for the failure of pulp capping procedure with calcium hydroxide include (1) non adherence to dentine, (2) dissolution over time, (3) tunnel defects, (4) necrosis of adjacent pulp tissue, which may lead to compromised vascularity, (5) dislodgement of particles within the body of the pulp. Misdiagnosis of pulpal status is also a factor causing failure of IPT irrespective of the agent being used.…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Clinical and Radiographic Outcomes of Indirect Pulp Treatment with Silver Diamine Fluoride Versus Calcium Hydroxide in Primary Teeth: A Randomized Controlled Trial

Patil

Katge

Jain

2021

Int J Sci Healthcare Res

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Background: Indirect pulp treatment (IPT) has been a minimally invasive procedure for deep dentinal caries with considerable success. IPT is a procedure which involves excavation of infected dentin and keeping affected dentin intact, followed by application of IPT agent and restoration. The aim of the study was to evaluate and compare clinical and radiographic outcomes of IPT with silver diamine fluoride (SDF) and calcium hydroxide in primary teeth. Materials and Methods: The present study is a prospective, parallel, randomized controlled trial. The study was conducted with a sample size of 50 primary molars in 4 to 7 year old children. In Group A, 25 teeth each were considered for SDF whereas, 25 teeth for calcium hydroxide IPT (Group B). Clinical and radiographic outcomes were evaluated at baseline, three and six months and were compared for both the groups. Data obtained was analyzed using Fisher’s exact test. Level of significance was set at p<0.05. Results: On statistical analysis of clinical and radiographic outcomes between both the groups IPT using SDF showed 96% success rate at six month follow up whereas IPT using calcium hydroxide showed 88% success. However, there was no statistically significant difference found between the groups. Conclusions: SDF can be used as an effective alternative of calcium hydroxide for IPT in primary molars. Keywords: Indirect pulp treatment, Calcium hydroxide, Silver diamine fluoride, Primary teeth.

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“…Furthermore, a clinical trial was conducted evaluating the success of IPT performed with calcium hydroxide, MTA, and Biodentine in primary molars. 40 The sample size was 45 primary molars divided into three groups in which 15 teeth were treated with each material. 40 They found that the clinical success rate is 100% for all groups.…”

Section: Discussionmentioning

confidence: 99%

“… 40 The sample size was 45 primary molars divided into three groups in which 15 teeth were treated with each material. 40 They found that the clinical success rate is 100% for all groups. 40 However, Biodentine was superior to the other groups on radiographic evaluation.…”

Section: Discussionmentioning

confidence: 99%

Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review

Meligy¹,

Saber²,

Alaki³

2021

International Journal of Clinical Pediatric Dentistry

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A bstract Aim To provide an overview of the techniques of indirect pulp treatment (IPT) and the new materials used. Background Indirect Pulp Treatment (IPT) is a conservative treatment approach that can be used in primary molars. Pulpotomy has been adopted as the treatment of choice for deep caries in primary molars. IPT showed higher success rates in recent researches. Materials and methods Electronic search of English scientific papers was accomplished using PubMed, ScienceDirect, and Scopus. Papers published from 1995 to 2019 were included. Search terms used were recent advances, indirect pulp treatment, mineral trioxide aggregate (MTA), biodentine, TheraCal–LC, chlorhexidine gluconate (CHX), resin-modified glass ionomer (RMGI), and calcium hydroxide. Review results Seventy two papers were obtained from the electronic search and references of selected studies. Thirty five papers explained recent advances in IPT materials for primary molars. MTA produces more dentinal bridging with superior quality than calcium hydroxide. Similarly, Biodentine can form reparative dentin in a very short period. TheraCal–LC has increased stability and durability with strong physical properties and low solubility. Furthermore, CHX is a chemical disinfectant which can aid in increasing the success rate of IPT when conjugated with other materials. It produced highly successful IPT when combined with RMGI or calcium hydroxide. Conclusion IPT is the preferred treatment approach for preservation of primary dentition. CHX is an emerging material that can provide promising results in IPT when combined with other materials. Clinical significance Up to date, no material had replaced the popular use of calcium hydroxide in IPT. The use of CHX with RMGI can increase the success rate while preserving the advantages of the latter as it is considered the liner of choice for primary teeth, making IPT a suitable substitute for pulpotomy in primary molars. How to cite this article Saber AM, El Meligy OA, Alaki SM. Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review. Int J Clin Pediatr Dent 2021;14(6):795–801.

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In vivo outcomes of indirect pulp treatment in primary posterior teeth: 6 months' follow-up

Cited by 7 publications

References 23 publications

Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study

Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study

Comparative Evaluation of Clinical and Radiographic Outcomes of Indirect Pulp Treatment with Silver Diamine Fluoride Versus Calcium Hydroxide in Primary Teeth: A Randomized Controlled Trial

Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review

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