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Factors affecting the outcomes of direct pulp capping using Biodentine
Mariusz Lipski1, Alicja Nowicka2, Katarzyna Kot3
1Department of Preclinical Conservative Dentistry and Preclinical Endodontics, Pomeranian Medical University of Szczecin, Al. Powstańców Wlkp. 72, 70-111, Szczecin, Poland. lipam@pum.edu.pl.
Clinical Oral Investigations
|December 14, 2017
Summary
Direct pulp capping with Biodentine shows an 82.6% success rate in permanent teeth. Patient age is a key prognostic factor, with younger patients (<40 years) achieving better outcomes in this dental procedure.
Area of Science:
- Endodontics
- Dental Materials Science
Background:
- Direct pulp capping is a dental procedure to preserve pulp vitality.
- Biodentine, a calcium silicate cement, is used for direct pulp capping of permanent teeth with carious pulp exposure.
Purpose of the Study:
- To evaluate prognostic factors for direct pulp capping treatment outcomes using Biodentine.
- To assess the success rate of direct pulp capping with Biodentine in permanent teeth.
Main Methods:
- 112 permanent teeth with carious pulp exposure underwent direct pulp capping with Biodentine.
- Patients were followed up for 1-1.5 years, assessing clinical and radiographic parameters for success.
- Statistical analysis using the Fisher exact test was performed.
Main Results:
- An overall success rate of 82.6% was observed at 1-1.5 years follow-up.
- Patient age significantly impacted success rates: 90.9% for <40 years vs. 73.8% for ≥40 years (P=0.0480).
- Factors like sex, caries type, and tooth position did not influence outcomes.
Conclusions:
- Patient age is a significant prognostic factor for direct pulp capping success with Biodentine.
- Direct pulp capping with Biodentine is a successful treatment option for vital permanent teeth with cariously exposed pulps.
