Reduction in pulpal inflammation beneath surface‐sealed silicates

Tobias, R. S.; Plant, C G; Browne, R.M.

doi:10.1111/j.1365-2591.1982.tb01274.x

Cited by 42 publications

(25 citation statements)

References 23 publications

(17 reference statements)

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“…Whilst choice of drill speed has been suggested to be a matter of personal preference, this study has shown the consequences of inadequate coolant during cavity cutting and the possible effects of different drill speeds on pulpal activity. Absence of water coolant caused the greatest loss of pulpal cell survival, which concurs with previous views (Tobias et al. 1982) and the resulting injury prevented a reactionary dentinogenic response.…”

Section: Discussionsupporting

confidence: 91%

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Comparison of operative procedure variables on pulpal viability in an ex vivo model

et al. 2008

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Section: Discussionsupporting

confidence: 91%

“…Other factors that have been claimed to be potential sources of pulp injury during cavity restoration include: conditioning of the dentine cavity wall (Tziafas et al. 1993), method of placement of the restorative material (Kirk & Meyer 1992) and choice of cavity restoration product (Tobias et al. 1982).…”

Section: Introductionmentioning

confidence: 99%

Comparison of operative procedure variables on pulpal viability in an ex vivo model

et al. 2008

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“…[2526] Mild inflammatory processes may at times cause the formation of condensing apical periodontitis, mostly involving the mandibular first molar. [27] Various studies have suggested that the key factor in success of VPT is the sealing ability of the material;[28] on the other hand, the most important cause of failure is bacterial recontamination. [29] The CEM cement favourably prevents microleakage and has sealing ability comparable to MTA and superior to IRM.…”

Section: Discussionmentioning

confidence: 99%

Calcium-enriched mixture pulpotomy of a human permanent molar with irreversible pulpitis and condensing apical periodontitis

Asgary

2011

J Conserv Dent

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This case report describes a pulpotomy treatment of a permanent mature molar tooth with established irreversible pulpitis and condensing apical periodontitis, using calcium-enriched mixture (CEM) cement. Clinical examination revealed that the first right lower molar had a large carious lesion with history of spontaneous/lingering pain; radiographic examination showed condensing apical periodontitis. Pulpotomy was opted as the treatment; cervical pulpotomy was carried out. Following hemostasis, the radicular pulp stumps were covered with ~2-mm-thick layer of the prepared CEM cement; the tooth was restored with amalgam. Two-year follow-up showed that the treated tooth had been symptomless, and there were no clinical signs/symptoms of either inflammation or infection. Radiographically, the periradicular lesion was completely healed with reconstruction of bone structures to normal appearance; the root canals were not calcified. According to chemical, physical, and biological properties of the CEM cement, this novel biomaterial may be suitable for endodontic treatment.

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“…[14] Other studies have also suggested that the most important factor in the dental pulp healing process is the sealing ability of the material. [28] NEC prevents microleakage with a sealing ability superior to IRM and comparable to MTA. [22] Therefore, as a pulpotomy material, it can prevent recontamination of dental pulp, which can occur with CH compounds.…”

Section: Discussionmentioning

confidence: 99%

Permanent molar pulpotomy with a new endodontic cement: A case series

Asgary¹,

Ehsani

2009

J Conserv Dent

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The aim of this case series was to determine the clinical and radiographic success rate of pulpotomy, with new endodontic cement (NEC), in human mature permanent molar teeth. Twelve molars with established irreversible pulpitis were selected from patients 14 – 62 years old. The selection criteria included carious pulp exposure with a positive history of lingering pain. After isolation, caries removal, and pulp exposure, pulpotomy with NEC was performed and a permanent restoration was immediately placed. At the first recall (+1 day) no patients reported postoperative pain. One wisdom tooth had been extracted after two months because of failure in coronal restoration. Eleven patients were available for the second recall, with a mean time of 15.8 months. Clinical and radiographic examination revealed that all teeth were functional and free of signs and symptoms. Histological examination of the extracted teeth revealed complete dentin bridge formation and a normal pulp. Although the results favored the use of NEC, more studies with larger samples and a longer recall period were suggested, to justify the use of this novel material for treatment of irreversible pulpitis in human permanent molar teeth.

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Reduction in pulpal inflammation beneath surface‐sealed silicates

Abstract: The authors acknowledge the financial support of Amalgamated Dental International, and the technical help from the staff within he Department of Oral Pathology.

Cited by 42 publications

References 23 publications

Comparison of operative procedure variables on pulpal viability in an ex vivo model

Comparison of operative procedure variables on pulpal viability in an ex vivo model

Calcium-enriched mixture pulpotomy of a human permanent molar with irreversible pulpitis and condensing apical periodontitis

Permanent molar pulpotomy with a new endodontic cement: A case series

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