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Clinical Comparison of Three Indirect Pulp Capping Restorative Protocols: A Randomized Controlled Prospective Study.
A Semprum-Clavier1, A Rodriguez2, D Salazar3
1*Adriana Semprum-Clavier, DDS, MS, clinical associate professor, Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, IL, USA ORCID ID: 0000-0003-1396-7520.
This clinical trial compared indirect pulp capping materials for permanent teeth. Results show no significant difference in pain or success rates between TheraCal LC, Dycal, and no liner after 12 months.
Area of Science:
- Dentistry
- Restorative Dentistry
- Clinical Trials
Background:
- Indirect pulp capping is a conservative treatment for deep carious lesions.
- Evaluating different capping materials is crucial for long-term tooth preservation.
Purpose of the Study:
- To compare clinical outcomes of three indirect pulp capping protocols in permanent teeth.
- To assess pain and success rates over a 12-month period.
Main Methods:
- A prospective, double-blind clinical trial involving 90 permanent teeth with deep carious lesions.
- Teeth were randomly assigned to TheraCal LC, Dycal, or no liner groups (n=30 each).
- Outcomes included pain (VAS) and pulp vitality assessed over 12 months.
Main Results:
- No statistically significant differences in tooth sensitivity were found among the three groups.
- Success rates after 12 months were high for all groups: 96.2% (TheraCal LC), 100% (Dycal), and 100% (no liner).
- No significant difference in success rates was observed between the protocols.
Conclusions:
- The choice of indirect pulp capping material (TheraCal LC, Dycal, or no liner) did not significantly affect clinical outcomes.
- All evaluated indirect pulp capping protocols demonstrated high success rates in permanent teeth after 12 months.
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