Remineralization of carious dentin. I: In vitro microradiographic study in human teeth capped with calcium hydroxide

Conrado, Carlos Alberto

doi:10.1590/s0103-64402004000100011

Cited by 13 publications

(13 citation statements)

References 5 publications

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“…Some of these materials, like calcium hydroxide, are able to induce the formation of a hard-tissue tissue barrier (1,3,8). In addition to this property, calcium hydroxide is also capable of stimulating pulp tissue repair and presents the best pulp capping outcomes (1,(8)(9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

Importance of the diagnosis in the pulpotomy of immature permanent teeth

Souza

Gomes²,

Dantas³

et al. 2007

Braz. Dent. J.

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Pulpotomy is a conservative therapy performed to remove the inflamed coronal portion of the pulp and preserve the vitality of the remaining radicular pulp. This article reports two cases of immature permanent mandibular molars with clinical signs of pulp vitality and radiographic images of periapical bone rarefaction, which were treated with calcium hydroxide pulpotomy. In Case 1, pulpotomy was performed in a single session, while in Case 2 two sessions were required to complete the treatment. Clinical and radiographic follow up within 13 and 9 months, respectively, showed hard tissue barrier and new bone formation as well as progression of root development. These outcomes are confirmatory that an accurate clinical/radiographic assessment of pulp vitality is of paramount importance for the correct diagnosis and indication of pulpotomy in cases of young permanent teeth with incomplete root formation.

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Section: Discussionmentioning

confidence: 99%

Importance of the diagnosis in the pulpotomy of immature permanent teeth

Souza

Gomes²,

Dantas³

et al. 2007

Braz. Dent. J.

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“…1. Of the 20 studies retained for detailed review, three studies could not be included: one study did not use a CH cement as liner (Conrado 2004), another study evaluated Class V restorations without carious lesions (Costa et al 2003), and a third study evaluated complete caries removal (Wegehaupt et al 2009). A total of 17 studies fulfilled all the selection criteria and were included in the qualitative analysis.…”

Section: Search Strategymentioning

confidence: 99%

Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta‐analysis

et al. 2018

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The aim of this systematic review and meta‐analysis was to evaluate whether the use of calcium hydroxide (CH) liner improves the clinical success in the treatment of deep caries lesions of primary and permanent teeth. The review was reported in accordance with the PRISMA Statement. Only studies that evaluated deep carious lesions treated with and without a CH liner were included. The required outcomes had to be obtained by clinical, radiographic or laboratory evaluations. Statistical analyses were performed with the RevMan 5.2 program (The Cochrane Collaboration, Copenhagen, Denmark) for randomized clinical trials with at least 12 months of follow‐up, using fixed‐effect models at a significance level of P < 0.05. The literature search was performed in eight databases: PubMed (MEDLINE), Lilacs, IBECS, BBO, Web of Science, Scopus, SciELO and The Cochrane Library. A total of 17 studies were included (15 in primary teeth, two in permanent teeth). The overall risk difference for CH versus adhesive system in primary teeth was 0.06 [95% CI −0.01 to 0.13], and the overall risk difference for CH versus GIC was 0.10 [95% CI −0.01 to 0.22], with no significant differences between materials. CH liner did not influence the clinical success of treatment for deep caries lesions of primary or permanent teeth. Although the present analysis demonstrated that use of CH liner in deep caries lesions was unnecessary, the evidence was of moderate to very low quality; thus, further well‐designed, randomized and controlled clinical trials are necessary to provide stronger recommendations.

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“…Dental literature pertinent to carious dentin, in vitro and in vivo, was extensively reviewed by Conrado (1,2). Several studies reported remineralization, rehardening and tertiary dentin formation after application of a variety of agents, including calcium hydroxide.…”

Section: Introductionmentioning

confidence: 99%

Remineralization of carious dentin. II: In vivo microradiographic and chemical studies in human permanent teeth capped with calcium hydroxide

Conrado

2004

Braz. Dent. J.

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The main aim of this in vivo study was to evaluate a possible remineralization of human carious dentin by means of chemical and microradiographic studies. Eighty-six samples of carious dentin were removed from 36 permanent teeth of 24 patients. These were divided into untreated (control) and chemically pure calcium hydroxide-capped (experimental) samples and analyzed at intervals varying from 10 to 120 days. They were classified according to depth of caries and degree of dentin softening and evaluated in relation to weight, phosphorus concentration, qualitative and quantitative microradiography and absolute values of total mineral content. One of two halves of each sample was selected for chemical studies and the other for total content of mineral salts. Experimental samples were examined with a light microscope and the results obtained showed a qualitative increase in radiopacity. Quantitatively, it was observed that, in the case of samples analyzed for phosphorus concentration, the average mean of differences in percentage increase after treatment was 9.6%, while for the samples evaluated microradiographically for total mineral content, it was 22.29%. In both cases, the differences were statistically significant.

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Remineralization of carious dentin. I: In vitro microradiographic study in human teeth capped with calcium hydroxide

Cited by 13 publications

References 5 publications

Importance of the diagnosis in the pulpotomy of immature permanent teeth

Importance of the diagnosis in the pulpotomy of immature permanent teeth

Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta‐analysis

Remineralization of carious dentin. II: In vivo microradiographic and chemical studies in human permanent teeth capped with calcium hydroxide

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