Related Experiment Video
Updated: Jul 11, 2025
Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
Published on: December 20, 2024
Does the liner material influence pulpal vitality in deep carious cavities submitted to selective caries removal? A
Leonardo Lamberti Miotti1, Cariane Vissotto2, Letícia De Nardin2
1Conservative Dentistry Department, Federal University of Rio Grande Do Sul (UFRGS), Ramiro Barcelos St., 2492, Porto Alegre, Rio Grande Do Sul (RS), 90035003, Brazil. llmiotti@gmail.com.
Objectives:
To evaluate whether the restorative material in direct contact with the dentin influences pulp vitality in primary and permanent teeth with deep carious lesions restored after selective caries removal (SCR).
Material And Methods:
Systematic searches of databases MEDLINE via PubMed, Scopus and ISI Web of Science were performed for primary and permanent teeth. Inclusion criteria were applied for title and abstract reading of databases search results. After full texts review of included studies, those that did not meet exclusion criteria were excluded from meta-analysis.
Results:
For meta-analysis, 2 studies were included for permanent teeth and 6 for primary teeth. The failure events reported were meta-analyzed using two statistical methods: standard pairwise meta-analysis (SPMA) and network meta-analysis (NMA). The SPMA identified similar failure occurrence of restorations performed with calcium hydroxide (CH) and other liner materials (RR 0.84, 95% CI 0.41, 1.74; p = 0.64), no significant difference between the use of alternative liners or CH regardless deciduous or permanent teeth (RR 0.79, 95% CI 0.36, 1.71; p = 0.55) and similar risk of failing at different follow-ups for all liner materials tested (RR 0.77, 95% CI 0.35, 1.70; p = 0.52). Probabilistic analysis indicated GIC as liner material with the highest probability of clinical success (SUCRA = 72.76%), and CH ranked as the worst liner material (SUCRA = 21.81%).
Conclusion:
Pulpal vitality was not affected by material used as liner after selective caries removal in deep carious cavities.
Clinical Relevance:
Current clinical evidence supports the weak recommendation to not use calcium hydroxide as liner after SCR.
