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Development of a Direct Pulp-capping Model for the Evaluation of Pulpal Wound Healing and Reparative Dentin Formation in Mice
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Direct pulp capping in asymptomatic carious primary molars using three different pulp capping materials: a

K Chatzidimitriou1, G Vadiakas2, D Koletsi3

  • 1Department of Pediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Street, Goudi, 115 27, Athens, Greece. konchatzid@dent.uoa.gr.

European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry
|July 2, 2022
PubMed
Summary

Direct pulp capping with calcium hydroxide, Portland cement, or Biodentine in primary molars showed similar success rates. This treatment is a viable option for exposed pulps in young children.

Keywords:
Clinical trialsDirect pulp cappingPrimary molarsPulp capping materials

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Area of Science:

  • Dentistry
  • Pediatric Dentistry
  • Endodontics

Background:

  • Direct pulp capping aims to preserve pulp vitality in primary teeth.
  • Carious exposures in primary molars require effective pulp management strategies.

Purpose of the Study:

  • To evaluate the clinical outcomes of direct pulp capping using three different materials in asymptomatic carious primary molars.

Main Methods:

  • A prospective clinical trial included primary molars with pulp exposure after caries removal.
  • Teeth were treated with calcium hydroxide (Ca(OH)2), Pure Portland cement, or Biodentine.
  • Survival analysis and statistical tests were used to compare outcomes.

Main Results:

  • Seventy-nine primary molars were analyzed with a mean follow-up of 13 months.
  • The overall failure rate was 16%, with no significant differences between the capping materials.
  • No variations in failure rates were observed based on tooth type, age, or gender.

Conclusions:

  • Direct pulp capping is an acceptable treatment for exposed pulps in asymptomatic carious primary molars.
  • Bioceramic materials demonstrate comparable efficacy as pulp capping agents in this context.