Comparative Evaluation of the Efficacy of Theracal Lc, Mineral Trioxide Aggregate, and Biodentine As Direct Pulp Capping Materials in Patients With Pulpal Exposure in Posterior Teeth: A Triple Blinded Randomized Parallel Group Clinical Trial

Abstract

BackgroundThe aim was to evaluate and compare the efficacy of TheraCal LC, mineral trioxide aggregate (MTA), and Biodentine as direct pulp capping (DPC) materials in patients with pulpal exposure in the posterior teeth. MethodologyA total of 54 samples were assessed for eligibility. Out of this, 12 teeth samples failed to meet the inclusion criteria. Finally, 42 teeth samples were selected which were randomly distributed into three groups (n = 14). Groups A, B, and C received the intervention of MTA, Biodentine, and TheraCal LC, respectively. The assessment was performed clinically to check for postoperative pain, tenderness, and neural sensibility, and the radiographs were used to check the presence of periodontal ligament (PDL) space widening, calcified barrier, and periapical radiolucency at the follow-up of 21 days, three months, and 12 months. The outcomes depended on the clinical and radiographic success rates recorded at 12 months of recall. ResultsOverall successful outcome of DPC clinically at different periods was 97.61% at three months and 88.09% at 12 months. A Chi-square test was used which showed that the difference was statistically nonsignificant. For groups A, B, and C, the success rate at follow-up came out to be 85.71%, 100%, and 78.57% at 12 months, respectively.The overall radiographic success rate of DPC at different time periods was 83.33% at three months and 88.09% at 12 months. A Chi-square test was used which showed that the difference was statistically nonsignificant. For groups A, B, and C, the success rate at follow-up came out to be 85.71%, 100%, and 78.57% at 12 months, respectively. ConclusionResin-based calcium-silicate agent (TheraCal LC) showed good efficacy and can be used in practice with the predictability of a good success rate both clinically and radiographically. Thus, TheraCal LC can be utilized as an alternative to MTA or Biodentine in clinical practice, with the predictability of similar successful outcomes in patients with pulpal exposure in the posterior teeth.

Perfecting Posterior Dental Simulacrum: Unveiling the Stamp Technique for Tooth Restoration

“…Flowable composite has been used for performing the mentioned cases because of its ability to resist deformation during its removal after impression making of the pit and fissures of the occlusal surface. The incremental layering technique should be employed to mitigate the primary drawback of polymerization shrinkage in composite restorations [8,9]. The stamp is utilized on the final layer to replicate the natural occlusal anatomy.…”

Uncovering the Enigma of the C-shaped Root Canal Morphology

“…These cements have some desirable properties, such as good strength, radio-opacity, dimensional stability, antimicrobial activity, biocompatibility, bioactivity with the capacity to stimulate and modulate tissue formation, resistance to moisture sensitivity, non-absorbability to tissue fluid, and ease of manipulation. They also exhibit adequate sealing capacity by chemically bonding to the tooth structure [26,27]. Thus, they are frequently used for obturating a C-shaped canal.…”

Hemisection: A Boon for the Hopeless Tooth

“…It is usually done in mandibular molars. In case selection, if a tooth is indicated for hemisection, it must first receive endodontic therapy [1]. When a root is removed selectively, it leads to a reduction in the pocket depth and an increase in the accessibility for better oral hygiene, thus controlling the plaque.…”