Indirect pulp treatment in primary teeth: 4-year results
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Published on: March 27, 2026
Luciano Casagrande1, Letícia Westphalen Bento, Débora Martini Dalpian
1School of Dentistry, Franciscan University Center (UNIFRA), Andradas 1614, Santa Maria, RS 97010 032, Brazil. lucianocasagrande@hotmail.com
Purpose:
To evaluate clinical and radiographic outcomes of indirect pulp treatment (IPT) in primary molars after long-term function (up to 60 months).
Methods:
Teeth with deep carious lesions without signs and symptoms of irreversible pulpitis were divided by random allocation into two groups, according to the capping material utilized over demineralized dentin: experimental group (1): self-etching adhesive system (Clearfil SE Bond); and control group (2): calcium hydroxide liner (Dycal). Both groups were filled with resin composite (Z250) and submitted to a clinical and radiographic monitoring period until exfoliation.
Results:
After the follow-up period (up to 60 months), no statistical difference was found between groups (P= 0.514). The overall success rate reached 78%. The failures occurred after the first year period recall.
