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The pulp capping procedure in primary teeth "revisited"

H M Kopel1

  • 1Section of Pediatric Dentistry, School of Dentistry, Center for the Health Sciences, University of California, Los Angeles 90095-1668, USA.

ASDC Journal of Dentistry for Children
|December 10, 1997
PubMed
Summary
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Direct pulp capping in primary teeth is improved with dentin bonding adhesives, overcoming calcium hydroxide limitations. This method enhances sealing, reducing bacterial invasion and improving treatment outcomes.

Area of Science:

  • Dentistry
  • Dental Materials Science
  • Pediatric Dentistry

Background:

  • Traditional calcium hydroxide for direct pulp capping has limitations.
  • Microleakage and bacterial invasion are key factors in treatment failure.
  • Dentin bonding adhesives offer a potential solution to microleakage.

Purpose of the Study:

  • To revisit direct pulp capping in primary teeth.
  • To introduce dentin bonding adhesives as a modern alternative.
  • To evaluate the safety and efficacy of dentin bonding adhesives in this context.

Main Methods:

  • Review of existing literature on direct pulp capping.
  • Analysis of studies comparing calcium hydroxide with dentin bonding adhesives.
  • Discussion of concerns regarding bonding techniques and pulp response.

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Main Results:

  • Dentin bonding adhesives create an impervious seal, preventing microleakage.
  • This sealing effect minimizes postoperative sensitivity and pulp inflammation.
  • Concerns about bonding techniques' effects on the pulp are addressed.

Conclusions:

  • Dentin bonding adhesives are a safe and biologically feasible option for direct pulp capping.
  • They offer improved outcomes compared to traditional methods.
  • The procedure is effective in both primary and permanent teeth.