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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.
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.
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.
