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Pulp capping with adhesive resin-based composite vs. calcium hydroxide: a review.
A H Schuurs1, R J Gruythuysen, P R Wesselink
1Department of Cariology, Endodontology and Pedodontology (CEP), Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Endodontics & Dental Traumatology
|February 24, 2001
Summary
Direct pulp capping with resin composites shows promise, potentially matching calcium hydroxide effectiveness. However, long-term research is crucial to confirm efficacy and address concerns like microleakage and allergic reactions.
Area of Science:
- Dentistry
- Biomaterials Science
Background:
- Direct pulp capping aims to preserve pulp vitality.
- Traditional calcium hydroxide materials have limitations, including microleakage and tunnel defects.
Purpose of the Study:
- To evaluate the efficacy of modern resin-based composite systems for direct pulp capping.
- To compare resin-based composites with calcium hydroxide as pulp capping agents.
Main Methods:
- Short-term experimental studies were reviewed.
- Evaluation of cavity etching agents (phosphoric acid) and wound cleaning solutions (sodium hypochlorite, saline, chlorhexidine).
Main Results:
- Resin-based composites may be as effective as calcium hydroxide in short-term pulp capping.
- 10% phosphoric acid etching appears safe for exposed pulp; 35% may be harmful without calcium hydroxide.
- Calcium hydroxide cements show limited long-term sealing against bacteria.
Conclusions:
- Resin-based composites show promise for direct pulp capping.
- Further long-term research is essential to validate their use and assess potential issues like microleakage and allergic reactions.