Comparison of Two New Calcium Silicate-based Cements in Indirect Pulp Therapy in Primary Molar Teeth: Clinical...

Pulp capping is a vital dental procedure used to preserve the vitality of teeth affected by deep caries lesions without irreversible pulpitis. The use of modern bioceramic materials has enhanced the predictability of vital pulp therapy.

This study aimed to assess the clinical success of two calcium silicate-based cements (NeoPUTTY and e-MTA Putty) as pulp capping materials for indirect pulp capping in carious primary teeth.

Indirect pulp therapy (IPT) was performed on 52 deciduous molars in 26 patients presenting with deep carious lesions. The teeth were randomly assigned to two groups: NeoPUTTY (26 teeth) and e-MTA Putty (26 teeth). Patients were monitored at 1, 3, 6, and 12 months posttreatment to evaluate the clinical success of the procedures.

Statistical analysis was conducted using the Statistical Package for the Social Sciences (SPSS) software version 21.0. Pearson's Chi-square test was employed to compare success and failure rates between NeoPUTTY and e-MTA Putty at four different time intervals (30, 90, 180, and 365 days) and overall success and failure rates regardless of the time intervals.

The clinical success rate was similar in both NeoPUTTY and Kids e-MTA Putty in 1st month. In 3rd month, there was no significant difference in the distribution of clinical success between NeoPUTTY and Kids e-MTA Putty (p = 0.110). At 6 months, a significantly high percentage of failure was elucidated in Kids e-MTA Putty (30.8%) compared to NeoPUTTY (3.8%) (p = 0.024). At 12 months, the percentage of failure was significantly high in Kids e-MTA Putty (46.2%) compared to NeoPUTTY (7.7%) (p = 0.004). A significant increase in the median radiographic dentin was elucidated in NeoPUTTY at 1st, 3rd, 6th, and 12th months compared to Kids e-Putty (p = 0.000).

NeoPUTTY is clinically successful compared to Kids e-MTA Putty. Similarly, there is a consistent increase in radiographic dentin in NeoPUTTY compared to Kids e-MTA Putty.

Acharya S, Gurunathan D, Assiry AA, et al. Comparison of Two New Calcium Silicate-based Cements in Indirect Pulp Therapy in Primary Molar Teeth: Clinical Evaluative Study. Int J Clin Pediatr Dent 2025;18(6):671-676.