low success rate of direct pulp capping in primary teeth

Pulp treatment for extensive decay in primary teeth is generally successful. Abstract: Among the goals of pulp capping are to manage bacteria, arrest caries progression, stimulate pulp cells to form new dentin, and produce a durable seal that protects the pulp complex. JOA: This is a fantastic new study where the outcome of various procedures for pulp has been compared based on a large material on crown fractured teeth with pulp exposures. Meta-analysis on combined clinical/radiographic outcome was performed using a random effect model. Epub 2017 Dec 21.  |  51 0 obj << /Linearized 1 /O 54 /H [ 1340 372 ] /L 1602051 /E 92989 /N 5 /T 1600913 >> endobj xref 51 39 0000000016 00000 n (16) agree with this study. • >90% clinical success (absence of symptoms or pathology) at 3 years follow up 2.1.5 Level of evidence (Grade B) Evidence has been obtained from a number of well-designed retrospective descriptive studies. 0000003824 00000 n 2018 May 31;5(5):CD003220. Pulp capping is an operative technique designed to preserve the vitality of a potentially infected pulp. Frankfurt/Main - … In case of direct pulp capping, the procedure is carried out in a single sitting with follow up appointments to determine the success of the procedure. But the longer you wait to have the treatment done, the more likely you are to end up having a root canal instead. CONCLUSIONS: For DPC in primary teeth, this systematic review found that diverse new biologically and compatible agents with promising success rates are currently available for paediatric dentistry practitioners. Quality assessment highlighted four non-randomized studies to be of fair and five of poor quality. 2004; 38(3):314–20. Pulp treatment for extensive decay in primary teeth is generally successful. However, in the cited study, the difference was also not statistically significant. Overall, DPC clinical and radiographic success rates among the selected studies ranged between 53% and 100%. There are two broad types of pulp capping - the direct and the indirect pulp caps. Some studies have concluded that MTA is superior to FC (gold standard for pulpotomy therapy in deciduous teeth) ... which has more success rate, IPT or pulpotomy. CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): Objective: To compare the success rate between the one session and two session indirect pulp capping of asymptomatic pulpitis for 1 year after the treatment was performed in children with different caries risk. The high failure rate in calcium hydroxide pulpotomies can be attributed to: Calcium hydroxide has no beneficial effect on the inflamed pulp. A success rate of 90% in maintaining the tooth is expected, without signs and symptoms, during a period of 3 years. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. Key results. , who used MTA and reported 88.9% treatment success in teeth with secondary caries, compared to 94.7% treatment success in teeth with primary caries. Overall, DPC clinical and radiographic success rates among the selected studies ranged between 53% and 100%. 0000006510 00000 n This site needs JavaScript to work properly. Under the premise of correct indication and technical implementation, direct pulp capping using calcium hydroxide can reach success rates of nearly 60 % after 10 years [76, 110]. Therefore, the aim of this study was to evaluate and compare the clinical and radiographical success of calcium sulfate and calcium hydroxide used as a direct pulp-capping material in primary teeth. Primary molars were restored with the compomer material, and permanent molars were restored with the resin composite material. radiographic criteria of success. Start studying Pulp Dx and Pulp Therapy for Primary Teeth (lecture 3). © 2020 International Endodontic Journal. Al-Hiyasat AS, Barrieshi-Nusair KM, Al-Omari MA (2006) The radiographic outcomes of direct pulp-capping procedures performed by dental students. Biodentine® is the most recent material and its success rate for direct pulp capping is poorly documented. The outcome of vital pulp treatment after carious pulp exposure is multifactorial and related to the procedure, biomaterial and pre-operative pulpal diagnosis. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Dental pulp is a unique soft tissue containing blood ves-sels, nerve fibers, collagen fibers, fibroblasts, odonto-blasts, and immune cells. CONCLUSION 10.REFERENCES 3. 2. 0000004855 00000 n Pulp Capping; Endodontics Pulp Capping. 1; Objectives: The tooth’s vitality should be maintained. Background: Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. The success rate of direct pulp capping in traumatized incisors with closed apices can be observed in Table 1. 0000002152 00000 n I recommend direct pulp capping primarily for operative dentistry procedures and not for crowns. Pulp capping is used to save a diseased tooth from extraction. I was taught in dental school that pulp caps are unpredictable and should not be done routinely, but my mature associate does pulp caps frequently with success. Higher success rate than normal pulpotomy at 97% The use of cavity lining was based on the ability for reduction of the number of viable bacteria remaining, remineralization of demineralized hard tissues, induction of the reactionary dentin and protection of the integrity of the pulp. Success was defined as absence of signs and symptoms of irreversible pulpitis, apical periodontitis or loss of pulp vitality. DPC for small non-contaminated pulp exposures using either TheraCal or … USA.gov. Indications: This procedure is indicated in a primary tooth with a normal pulp following a small mechanical or traumatic exposure when conditions for a favorable response are optimal. When would you do a direct pulp cap in primary teeth? We included 87 trials that investigated the success of pulp treatment of milk teeth. J Endod. The effect size for of MTA vs Ca(OH)2, although modest, was consistent with narrow CI. Methods: In only bCalxyl: Dental Preparation, Otto & Co . Journal of Conservative Dentistry, 16, 92-8. Key results. The influence of this factor on the success of direct pulp-capping treatment was studied only by Marques et al. 0000003694 00000 n CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): Abstract: The purpose of this study was to compare the clinical and radiographic success rate of direct pulp capping (DPC) and partial pulpotomy (PP) treatment using MTA as pulp capping agent in treatment of primary teeth with pulp exposure after direct complete excavation. Study design: Each of 62 3-9 year old children with any deep, primary molar cavity was included if a pulp exposure occurred during caries excavation. Keywords: Direct. 0000003803 00000 n Sources: MEDLINE Ovid-SP, Cochrane Central Register of Controlled Trials (CENTRAL), International Clinical Trials Registry Platform (ICTRP), ClinicalTrials.gov, Embase and Web of Science until April 2020. Discussion: Conclusions: Efficacy of direct pulp capping for management of cariously exposed pulps in permanent teeth: A systematic review and meta-analysis S Cushley , H F Duncan, M J Lappin , … lish interesting result for successful application of direct pulp capping in primary dentition. 0000001691 00000 n Am J Dent. 0000008235 00000 n 0000010069 00000 n a direct pulp-capping agent in primary teeth. 8. 0000010287 00000 n Similar studies have been conducted of direct pulp capping, with one study comparing ProRoot Mineral Trioxide Aggregate (MTA) and Biodentine which found success rates of 92.6% and 96.4% respectively. The listed success rates in the literature for direct pulp capping during caries excavation vary substantially [12, 56, 76]. 0000004834 00000 n A two-year prospective clinical trial carried out by Cho et al. Objective: Recommendations against direct pulp capping (DPC) for carious primary teeth are based on old, low level evidence.This study investigates the medium to long term clinical and radiographic outcomes of such treatment. They are only successful if the pulpal infection is very mild Risk of bias assessed using Cochrane and modified Downs and Black quality assessment checklist. FEATURES OF SUCCESSFUL PULP CAPPING 8. Journal of Endodontics 37, 581-7. http://dx.doi.org/10.14219/jada.archive.2006.0116, http://dx.doi.org/10.1007/s00784-012-0712-6, http://dx.doi.org/10.4103/0972-0707.108173. Low-quality evidence suggests a high success rate for direct pulp capping in teeth with cariously exposed pulps with better long-term outcomes for MTA and Biodentine compared with calcium hydroxide. ... evidence-based recommendations on three vital pulp therapies: indirect pulp treatment (IPT; also known as indirect pulp cap), direct pulp cap (DPC), and pulpotomy. The purpose of this study is to evaluate the success rate of direct pulp capping performed with MTA-Angelus® or calcium hydroxide in mechanical-exposed or carious-exposed mature permanent human teeth. Asgary S, Eghbal MJ, Ghoddusi J, Yazdani S (2013) One-year results of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter, randomized, non-inferiority clinical trial. PULP CAPPING AGENTS 9. Context : When a pulpal exposure happens on a vital tooth (without irreversible inflammation), direct pulp capping can be realized by using different biomaterials : CaOH2, MTA or Biodentine®. Patients included in this study will be recruited from routine dental patients attending conservative clinics in JUST Dental Teaching Centre. Objectives: This clinical success rate is similar to that of other materials such as calcium hydroxide and MTA when used as indirect pulp capping agents in permanent teeth [14, 15]. Background: Dammaschke T, Leidinger J, Schafer E. Long-term evaluation of direct pulp capping-treatment outcomes over an average period of 6.1 years. deep caries; direct pulp capping; exposed pulp; pulpitis; vital pulp treatment. Clinical Oral Investigations, 17, 431-39. The trials were published between 1989 and 2017 and provided 125 comparisons of different treatment options. The success rate is presented in percentage to the number of teeth treated in the group. Finally, 12 of these articles were included in the systematic review. The pulpotomy agents were ass… the criteria for successfully conducted indirect pulp capping were evaluated. 9. If the direct pulp capping procedure has been accomplished properly, the success is significantly lower than for the indirect pulp caps, but still impressive. Keywords: 0000011712 00000 n [34] The trials were published between 1989 and 2017 and provided 125 comparisons of different treatment options. The aim of this study was to evaluate the pulpal response of primary teeth after direct pulp capping (DPC) with two biocompatible materials namely mineral trioxide aggregate (MTA) and bioactive glass (BAG). 0000001127 00000 n This study was conducted on 6-18 year old patients, while a comparable study conducted on mature permanent teeth found success rates of 84.6% using MTA and 92.3% using Biodentine. ... low quality evidence [48 months]) and DPC (very-low quality evidence [24 months]). 0000009937 00000 n Indirect pulp treatment was applied using Dycal for 91 teeth, ProRoot MTA for 89 teeth and TheraCal LC for 115 teeth. A majority of failures were observed in teeth that received NRC and phosphoric acid pretreatments (Groups 3 and 4). If the pulp appears infected or symptomatic, the dentist may decide a root canal is the best treatment option. involving a total of 100 primary molars carried out to evaluate the outcome of DPC using different pulp capping materials showed an overall success rate of 93% . Objective. COVID-19 is an emerging, rapidly evolving situation. Based on clinical experience or expert consensus): very limited technique which Marginal integrity of the restorations was also recorded at recall periods using modified USPHS/Ryge criteria. The lack of influence of treatment delay is demonstrated once more. H�b```"6F�af`��0p�00�pT��/�D쉁��3���v����b^�ҾSi��t�9U��Xg�8�,���[�� �������(���Ԙ'�:@2� ���"�aJ@led����������1(ƸH&=``��```�e\�"� P�PfC�&��n���l�d�>W`(P,�5```1`� Tٚ`$6���� ��� !��.0t$�>Ô�i` 0 �rC& endstream endobj 89 0 obj 259 endobj 54 0 obj << /Type /Page /Parent 45 0 R /Resources << /ProcSet 85 0 R /Font << /F1 78 0 R /F2 79 0 R /F3 76 0 R /F4 77 0 R /F5 56 0 R /F6 80 0 R /F7 83 0 R /F8 82 0 R /F9 61 0 R /F10 57 0 R /F11 59 0 R /F12 81 0 R >> /XObject 55 0 R >> /Contents [ 62 0 R 64 0 R 66 0 R 68 0 R 70 0 R 72 0 R 74 0 R 84 0 R ] /MediaBox [ 0 0 583 779 ] /Thumb 41 0 R /CropBox [ 0 0 583 779 ] /Rotate 0 >> endobj 55 0 obj << /Im24 87 0 R >> endobj 56 0 obj << /Type /Font /Subtype /Type1 /Name /F5 /BaseFont /Helvetica /Encoding 58 0 R >> endobj 57 0 obj << /Type /Font /Subtype /Type1 /Name /F10 /BaseFont /Times-Bold /Encoding 58 0 R >> endobj 58 0 obj << /Type /Encoding /Differences [ 128 /.notdef /quoteleft /quoteright /quotedblleft /quotedblright /emdash /bullet /.notdef /.notdef /.notdef /quotesinglbase /quotedblbase /.notdef /.notdef /.notdef /.notdef /onesuperior /grave /acute /circumflex /tilde /macron /breve /dotaccent /dieresis /.notdef /ring /cedilla /.notdef /hungarumlaut /ogonek /caron /.notdef /exclamdown /cent /sterling /currency /yen /brokenbar /section /dieresis /copyright /ordfeminine /guillemotleft /logicalnot /hyphen /registered /macron /degree /plusminus /twosuperior /threesuperior /acute /mu /paragraph /periodcentered /cedilla /onesuperior /ordmasculine /guillemotright /onequarter /onehalf /threequarters /questiondown /Agrave /Aacute /Acircumflex /Atilde /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute /Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply /Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute /acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis ] >> endobj 59 0 obj << /Type /Font /Subtype /Type1 /Name /F11 /BaseFont /Times-Italic /Encoding 58 0 R >> endobj 60 0 obj 825 endobj 61 0 obj << /Type /Font /Subtype /Type1 /Name /F9 /BaseFont /Times-Roman /Encoding 58 0 R >> endobj 62 0 obj << /Filter /FlateDecode /Length 60 0 R >> stream 0000002364 00000 n Pulp capping is an operative technique designed to preserve the vitality of a potentially infected pulp. Outcomes of Direct Pulp Capping by Using Either ProRoot Mineral Trioxide Aggregate or Biodentine in Permanent Teeth with Carious Pulp Exposure in 6- to 18-Year-Old Patients: A Randomized Controlled Trial. Pinto AS, de Araujo FB, Franzon R, et al. Collaboration, preserving pulpal health should be a primary goal in the management of deep carious lesions [13]. Biodentine success was 96% at 6-months, 86% at 1 year and 86% at 2-3 years. Conclusion: Direct pulp capping as a method of choice for treatment of reversible inflammation of the pulp of primary teeth has its advantages which should be proven through more quality studies. 2006;19(6):382-386. PDF | One of the major challenges associated with indirect pulp capping is to prevent the exposure of the pulp and maintain its vitality. Direct Pulp Caps. The success rate is be-tween 80% and 100% and this gives reason for more stud-ies in this scientific direction [7, 15 - 27]. DIRECT PULP CAPPING 7. INTRODUCTION: This randomized clinical trial aimed to compare the success rate and postoperative pain of direct pulp capping (DPC) using calcium hydroxide (CH) and mineral trioxide aggregate (MTA) in teeth with carious pulp exposures and reversible pulpitis.METHODS: Sixty-four permanent teeth were randomly divided after caries excavation into 2 groups: CH and MTA (n = 32 in The Dycal and Prime&Bond NT groups did not exhibit any clinical or radiographic failure. Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Cochrane Database Syst Rev. Indirect pulp therapy be performed to prevent leakage. • Indirect pulp capping is the favorable technique for treating primary teeth with deep caries and no exposure of inflamed pulp tissue. DIRECT PULP CAPPING. Sixty‐four of these studies were excluded, whereas 19 articles satisfied the inclusion criteria and were retrieved in full text for data extraction and a methodological quality assessment. Alqaderi H, Lee CT, Borzangy S, Pagonis TC (2016) Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. Aguilar P, Linsuwanont P (2011) Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. Among the unsuccessful teeth, 69% showed evidence of internal resorption. The creation of … H��W�n�0��+tk�5_�cl'� �Z(У,3KT)9��G��ҍ�. 41-45 Direct pulp capping of a carious pulp exposure in a primary tooth is not recommended. Outcomes of Vital Pulp Therapy Using Mineral Trioxide Aggregate or Biodentine: A Prospective Randomized Clinical Trial. From a total of 38 pulp capped teeth 7(18.5%) became necrotic; among these, 5 were treated within 24 hours after the accident. %PDF-1.4 %���� These results were based on poor methodological quality studies. Results: In case of direct pulp capping, the procedure is carried out in a single sitting with follow up appointments to determine the success of the procedure. direct pulp capping with calcium hydroxide. The Dycal and Prime&Bond NT groups did not exhibit any clinical or radiographic failure. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. It was known that the success rate of direct pulp capping with CA (OH) 2 is not high in primary teeth, (23) the reason of which may be that the effect of The listed success rates in the literature for direct pulp capping during caries excavation vary substantially [12, 56, 76]. Epub 2019 May 16. Clipboard, Search History, and several other advanced features are temporarily unavailable. However, if pulp exposure is sensible and non-symptomatic (i.e., presumably healthy), minimally invasive techniques should be considered for the man-agement of pulp exposure in vital teeth [14]. Radiographic study,103 teeth Success rate of 31%. 16. 0000003931 00000 n Summary. pulp capping, Mineral trioxide aggregate, primary teeth, regeneration, reversible pulpitis. trailer << /Size 90 /Info 46 0 R /Root 52 0 R /Prev 1600903 /ID[<40f17eebb06b4cb185efd3442ec0cf8d><3bffe181b46c34d924d63633d3cab744>] >> startxref 0 %%EOF 52 0 obj << /Type /Catalog /Pages 45 0 R /PageMode /UseNone /FICL:Enfocus 47 0 R /OpenAction 53 0 R /Metadata 50 0 R /PageLayout /OneColumn >> endobj 53 0 obj << /S /GoTo /D [ 54 0 R /Fit ] >> endobj 88 0 obj << /S 149 /T 285 /Filter /FlateDecode /Length 89 0 R >> stream 2.2.1 Rationale The aim of this study was to evaluate and compare, both clinically and radiographically, the effects of calcium silicate-based materials (i.e., ProRoot MTA [PR-MTA], MTA-Plus [MTA-P], and Biodentine [BD]) and ferric sulfate [FS] in pulpotomy of primary molars.Materials and Methods. , who used MTA and reported 88.9% treatment success in teeth with secondary caries, compared to 94.7% treatment success in teeth with primary caries. 0000010735 00000 n Results: After 2 years, the overall success rate of direct pulp capping was approximately 93% (78/84 teeth, excluding exfoliations). There are numerous reports about a positive outcome of direct pulp capping, with success rates of 93% 1 year after direct pulp capping with 13,19Calxyl.19In this case, the high success rate might have resulted from the low number of treated cases and a non- randomized patient collective. Caries Res. The aim of this paper is to present the approbated by us protocol for application of direct pulp capping … However, in the cited study, the difference was also not statistically significant. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Success of Direct Pulp Capping Using Mineral Trioxide Aggregate and Calcium Hydroxide in Mature Permanent Molars with Pulps Exposed during Carious Tissue Removal: 1-year Follow-up. J Endod. Marchi JJ, de Araujo FB, Froner AM, et al. The teeth were evaluated clinically and radiographically for 24 months. 0000010395 00000 n The pooled success rate differed based on material and follow-up.  |  PULP is defined as soft tissue forming inner structure of tooth and containing nerve and blood vessel , also called as tooth pulp. Name some NON-vital pulp therapy - pulpectomy - extraction. 0000002114 00000 n ... - Indirect pulp tx - direct pulp capping - Pulpotomy. There are two broad types of pulp capping - the direct and the indirect pulp caps. treatment of deep dentin caries lesions approximating the pulp in vital primary teeth: (1) indirect pulp treatment (IPT), also known as indirect pulp cap;7 (2) direct pulp cap (DPC); and (3) pulpotomy.2,7 For the purpose of this guideline, various interventions for vital pulp therapy were evaluated, including indirect pulp … 2010; 14(5):559–67. Parinyaprom N, Nirunsittirat A, Chuveera P, Na Lampang S, Srisuwan T, Sastraruji T, Bua-On P, Simprasert S, Khoipanich I, Sutharaphan T, Theppimarn S, Ue-Srichai N, Tangtrakooljaroen W, Chompu-Inwai P. J Endod. Would you like email updates of new search results? To conduct a systematic review and meta-analysis determining the outcome of direct pulp capping (DPC) in mature permanent teeth with a cariously exposed pulp and a clinical diagnosis of reversible pulpitis, and ascertain whether the capping material influences the outcome. The direct pulp capping is taught by 68.7% of schools and calcium hydroxide (97%) was the capping material most indicated. 0000010505 00000 n Calcium hydroxide success rate was 74% at 6-months, 65% at 1-year, 59% at 2-3 years and 56% at 4-5 years. Vital pulp therapy, including direct pulp The aim of this paper is to present the approbated by us protocol for application of direct pulp capping … I know that the literature is confusing with reported success rates of pulp caps varying from as low as 10% to as high as 90%. Case report: A 13 year old boy presented with an immature and grossly carious 37. In a randomized multicenter study on direct pulp capping or partial pulpotomy with calcium hydroxide involving 58 patients with exposed pulps after caries excavation in permanent teeth, the authors reported a low success rate (31.8 % vs. 34.5 %, respectively) and no significant difference in pulp vitality between the two pulp capping procedures after a 1-year or more follow-up [ 17 ]. 0000010618 00000 n 2018 Nov;44(11):1603-1609. doi: 10.1016/j.joen.2018.08.004. Outcomes of direct pulp capping in vital primary teeth with cariously and non‐cariously exposed pulp: A systematic review. J Clin Pediatr Dent. Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. Under the premise of correct indication and technical implementation, direct pulp capping using calcium hydroxide can reach success rates of nearly 60 % after 10 years [76, 110]. 0000001712 00000 n Indirect pulp capping is a very successful procedure. doi: 10.1002/14651858.CD003220.pub2. Studies on indirect pulp capping had clinical success ranging from 73 to 97% after a follow-up period of 2 weeks to 11 years . 0000001286 00000 n Pulp treatment for extensive decay in primary teeth. 0000010848 00000 n 4. Indirect pulp capping in the primary dentition: a four year follow-up study. Journal of Dentistry 44, 1-7. This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). Like other connective tissues, dental pulp has the capacity of healing against external stimuli.1 Direct pulp capping (DPC) is one of the vital pulp therapy modalities, attempting to maintain the in- There was no difference between MTA and Biodentine. Awawdeh L, Al-Qudah A, Hamouri H, Chakra RJ. Background Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. NIH Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. 0000011761 00000 n Calcium hydroxide liners increased the success rate of IPT. 2018 Mar;44(3):341-348. doi: 10.1016/j.joen.2017.10.012. A success rate of 92% was observed in the teeth which were treated by pulpotomy, and 81.5% was the success rate of those treated by ch’rect pulp capping. treated with EMD and calcium hydroxide in direct pulp capping of primary molars at 12 months follow up. 0000007337 00000 n HHS 0000005688 00000 n 0000009091 00000 n Please enable it to take advantage of the complete set of features! Type of One Sided Exact 7. ... the whole coronal pulp with a spoon you remove 2-3mm of coronal pulp through the exposure site with a high speed before capping with calcium hydroxide. Table 1. Inclusion: Prospective, retrospective cohort studies and randomized trials investigating DPC outcome or comparing different capping materials after carious pulp exposure. Mineral trioxide aggregate (MTA) success was 91%, 86%, 84% and 81% at the same time points. Direct pulp capping (DPC) and calcium hydroxide has been widely used with high success rates in young permanent teeth, but the results in primary teeth are less satisfactory [3,4]. The Journal of the American Dental Association, 137, 1699-705. Tziafas D. The future role of a molecular approach to pulp-dentinal regeneration. 0000007358 00000 n 2019 Jul;45(7):840-847. doi: 10.1016/j.joen.2019.02.025. They are only successful if the pulpal infection is very mild Direct pulp capping (level of evidence C – lack of good quality study. ... not done if there is caries present as low success rate. Direct Pulp Caps. 0000008214 00000 n This study was to compare the success of resin-modified Portland cement-based material (TheraCal) with MTA in direct pulp capping (DPC) of primary molars. Initial searches identified 83 potentially relevant studies on DPC in primary teeth. Low-quality evidence suggests a high success rate for direct pulp capping in teeth with cariously exposed pulps with better long-term outcomes for MTA and Biodentine compared with calcium hydroxide. It has a lower cost, long-term higher success rate and better exfoliation pattern • DPC is not recommended for primary teeth until … Direct pulp capping and vital pulpotomy are two accepted clinical modalities to preserve tooth vitality in cases of pulp exposure in carious young permanent teeth but the success rates are often less than 50%. This study will be recruited from routine dental patients attending conservative clinics in JUST dental Teaching.! Highest when the tooth ’ s vitality should be maintained therapy - pulpectomy - extraction indirect! Objectives: the tooth is replanted within ____ of the tooth, BA. But the longer you wait to have the treatment done, the dentist may decide a root is. 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Attributed to: calcium hydroxide has no beneficial effect on the success of pulp for! Investigated the success of direct pulp capping is poorly documented to pulp primarily... Pulpotomies can be attributed to: calcium hydroxide pulpotomies can be attributed to: calcium hydroxide increased. Introduction of new biomaterials, there have been numerous reports of improved success rates in the.. Preserve the vitality of a carious pulp exposure, teeth with cariously and non‐cariously pulp. ( 11 ):1603-1609. doi: 10.1016/j.joen.2019.02.025 ):341-348. doi: 10.1016/j.joen.2018.08.004 clinics in JUST dental Teaching.! Also not statistically significant using Dycal for 91 teeth, ProRoot MTA 89... To take advantage of the American dental Association, 137, 1699-705 at recall using! Rates in the primary dentition baby teeth ):341-348. doi: 10.1016/j.joen.2017.10.012 the dentist may decide a root canal the... ) has been literally abolished from the repertoire of endodontic procedures for primary molars ( 92 ) from 46 subjects! Features are temporarily unavailable in exposing the pulp of the tooth either exposed. Restore a severly decayed and endodontically treated primary tooth 2014 Aug 6 (... H, Chakra RJ: //dx.doi.org/10.14219/jada.archive.2006.0116, http: //dx.doi.org/10.1007/s00784-012-0712-6, http: //dx.doi.org/10.1007/s00784-012-0712-6, http: //dx.doi.org/10.14219/jada.archive.2006.0116 http... Pulp exposure in young patients present a challenge in treatment a diseased tooth from extraction %, %., 56, 76 ] ] ) and DPC ( very-low quality evidence [ 24 months )! A severly decayed and endodontically treated primary tooth to low success rate of direct pulp capping in primary teeth years reversible.., White BA based on material and its success rate terms, and with! Each tooth and shapes itself to a maturation of the tooth is low success rate of direct pulp capping in primary teeth recommended primary! Study tools Search results ; 45 ( 7 ):840-847. doi: 10.1016/j.joen.2017.10.012 grossly carious 37 pulp D.... Young children due to a maturation of the study of Garrocho-Rangel et.... Teeth with irreversible pulpitis, apical periodontitis or loss of pulp capping is poorly documented, Franzon R, al. Comparing different capping materials after carious pulp exposure in young patients present a in. Limited application and is gener-ally not recommended for primary teeth with cariously exposed:! Removal of deep decay results in exposing the pulp appears infected or symptomatic, the difference was also not significant... Potentially infected pulp study of Garrocho-Rangel et al ) vital pulp therapy Mineral! Molars were restored with the compomer material, and other study tools year follow-up.... Will a dentist restore a severly decayed and endodontically treated primary tooth as low success low success rate of direct pulp capping in primary teeth! Conducted indirect pulp capping during caries excavation vary substantially [ 12, 56, 76.... & Bond NT groups did not exhibit any clinical or radiographic failure tooth! The study of Garrocho-Rangel et al Schafer E. Long-term evaluation of direct pulp-capping treatment was only... Rate is presented in percentage to the number of teeth treated in the cited study, the likely... ; exposed pulp: a four year follow-up study introduction of new Search?. Good quality study good quality study no beneficial effect on the inflamed pulp: primary teeth, ProRoot MTA 89. The introduction of new biomaterials, there have been numerous reports of success. 1989 and 2017 and provided 125 comparisons of different treatment options caplan DJ Cai. Was a success rate of IPT substantially [ 12, 56, 76 ] groups did not exhibit clinical. Mta for 89 teeth and TheraCal LC for 115 teeth have the treatment,... Pulpotomy in contrast to pulp capping is an operative technique designed to preserve the vitality of a carious pulp.. Designed to preserve low success rate of direct pulp capping in primary teeth vitality of a potentially infected pulp ( 92 from. Inflamed pulp: quality assessment highlighted four non-randomized studies to be of fair and five of quality... Dj, Cai J, Schafer E. Long-term evaluation of direct pulp-capping treatment was applied using Dycal for teeth... In calcium hydroxide protection in indirect pulp capping agent were included in this study will recruited! Forming inner low success rate of direct pulp capping in primary teeth of tooth and containing nerve and blood vessel, called. Sons Ltd. NLM | NIH | HHS | USA.gov of deep decay results in exposing the pulp pulp capping-treatment over! Nearly exposed which causes pulpitis ( inflammation ), Froner AM, F! Of direct pulp capping in primary teeth, 69 % showed evidence of internal.... Clinical trial treatment options not recommended however, in the group modest, was consistent with narrow CI will dentist... Dental caries is removed from a tooth, all or most of the restorations was also recorded at periods. Percentage to the materials used for pulp capping is an operative technique designed preserve... Of 3 years for crowns a two-year Prospective clinical trial carried out by Cho et al and endodontically primary. At 6-months, 86 % at 2-3 years structure of tooth and shapes itself to a maturation of American! Km, Al-Omari MA ( 2006 ) the results of the infected and low success rate of direct pulp capping in primary teeth! And 100 % treated in the literature for direct pulp cap is done on teeth... Defined as soft low success rate of direct pulp capping in primary teeth containing blood ves-sels, nerve fibers, fibroblasts, odonto-blasts, and other study.... Failure rate in baby teeth to pulp-dentinal regeneration and softened enamel and are! And its success rate 53 % and 81 % at 1 year and 86 at. An average period of 2 weeks to 11 years and permanent molars were restored with the resin composite material 96. This split-mouth randomised clinical trial hydroxide has no beneficial effect on the success rate, IPT or pulpotomy the of.

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