Direct Pulp Capping with Calcium Hydroxide, Mineral Trioxide Aggregate, and Biodentine in Permanent Young Teeth with Caries: A Randomized Clinical Trial
| Autor: | Claudia Brizuela, Carolina Cabrera, Valeria Ramírez, Andrea Ormeño, Carolina Inostroza Silva, Montse Mercadé, Roxana Cabezas |
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| Rok vydání: | 2017 |
| Předmět: |
Mineral trioxide aggregate
Male Materials science Root canal Direct pulp capping (procedure) Dentistry 02 engineering and technology Dental Caries Dental Pulp Capping law.invention Calcium Hydroxide 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Randomized controlled trial Tooth pulp stimulation law medicine Humans Aluminum Compounds Child General Dentistry Permanent tooth Calcium hydroxide business.industry Silicates Oxides 030206 dentistry Calcium Compounds 021001 nanoscience & nanotechnology Molar Pulp capping Dentition Permanent Drug Combinations medicine.anatomical_structure chemistry Female 0210 nano-technology business Pulp Capping and Pulpectomy Agents |
| Zdroj: | Journal of endodontics. 43(11) |
| ISSN: | 1878-3554 |
| Popis: | Introduction Direct pulp capping treatment is intended to preserve pulp vitality, to avoid or retard root canal treatment, and, in cases with an open apex, to allow continued root development. Historically, calcium hydroxide (CH) was the gold standard material, but nowadays calcium silicate materials (CSMs) are displacing CH because of their high bioactivity, biocompatibility, sealing ability, and mechanical properties. However, more randomized clinical trials are needed to confirm the appropriateness of CSMs as replacement materials for CH in direct pulp capping procedures. Methods A randomized clinical trial was conducted that included 169 patients (mean age, 11.3 years) from the Maipo district (Chile). The inclusion criterion was patients with 1 carious permanent tooth with pulpal exposure, a candidate for a direct pulp capping procedure. The patients were randomly allocated to one of the experimental groups (CH, Biodentine, or mineral trioxide aggregate [MTA]). Clinical follow-up examinations were performed at 1 week, 3 months, 6 months, and 1 year. The Fisher exact test was performed. Results At the follow-up examination at 1 week, the patients showed 100% clinical success. At 3 months, there was 1 failure in the CH group. At 6 months, there were 4 new failures (1 in the CH group and 3 in the MTA group). At 1 year, there was another failure in the CH group. There were no statistically significant differences among the experimental groups. Conclusions CSMs appear to be suitable materials to replace CH. Although no significant differences were found among the materials studied, Biodentine and MTA offered some advantages over CH. |
| Databáze: | OpenAIRE |
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