Comparison of three different materials used for indirect pulp capping in permanent molars: An in vivo study

Abstract

Background: Pulp capping should always be considered as the primary treatment of choice for teeth without irreversible pulpitis in lesions approaching dental pulp. The predictability of vital pulp therapy has improved with the introduction of newer bioceramic materials. Aim: The aim of this study was to evaluate the clinical success of Biodentine, calcium hydroxide (CH), and mineral trioxide aggregate (MTA) as pulp capping materials for indirect pulp capping in carious permanent teeth. Materials and Methods: Indirect pulp capping was done for 36 molars of 36 patients with deep caries lesions. They were randomly divided into three groups: Biodentine group (12 teeth), MTA group (12 teeth), and CH group (12 teeth). Patients were recalled at 1, 3, and 6 months to evaluate the clinical success of the treatment outcome. Statistical Analysis: All statistical analysis was performed using SPSS software version 21.0. Pearson's Chi-square test was used to compare the success and failure rates between Biodentine, MTA, and Ca(OH) 2 at three different time intervals (30, 90, and 180 days) and also the overall success and failure rates between Biodentine, MTA, and Ca(OH) 2 irrespective of the time intervals. P < 0.05 was considered statistically significant. Results: In a statistical trial/study, the pulp capping materials gave different success rates, 91.67% success in the Biodentine group, 83.33% success in the MTA group, and 58.33% success in the CH group. The results were not statistically significant. Conclusion: Indirect pulp capping with calcium silicate materials provided better results compared to that of calcium hydroxide.

Physicochemical and Antibacterial Properties of Bioactive Retrograde Filling Materials

“…Since their introduction in the dental market, calcium silicate cement materials have attained popularity due to their excellent physicochemical, biological and mechanical properties and their positive outcomes in clinical applications [ 9 , 28 ]. Calcium silicate cement products are the ideal dentine repair materials for various endodontic applications [ 2 , 3 , 17 , 20 , 29 ]. A number of investigations have been conducted to determine the differences among the products as retrograde bioactive material.…”

“…This product consists of a powder–liquid material, where the liquid contains calcium chloride with an admixture of polycarboxylate [ 17 ]. MTA Biorep and Biodentine cements are indicated for several endodontic treatments, including pulpotomy, pulp capping, resorption, apicoectomy and open apex [ 9 , 10 , 18 , 19 , 20 , 21 ].…”

Perawatan kaping pulpa indirek disertai restorasi resin komposit pada premolar kedua kanan maksila

“…8 Materi berbasis calcium silicate dikembangkan untuk mengatasi kekurangan dari kalsium hidroksida. 9 Calcium silicate based cement juga menunjukkan sifat antimikroba yang lebih baik dibandingkan dengan kalsium hidroksida. 10 TheraCal (Bisco, USA) merupakan material berbasis calcium silicate light cure.…”

Treatment outcome of coronal pulpotomy and indirect pulp capping in mature permanent molars with symptoms of moderate pulpitis: A randomized clinical trial

“…VPT is a minimally invasive treatment strategy for teeth with compromised pulp tissue resulting from factors such as dental caries, injury, or previous dental procedures. [ 6 ] Indirect pulp capping (IPC) involves applying a capping material over the affected dentin, covering the unexposed pulp and recent reports suggest that sealing cavitated lesions with bonded composite restorations can halt caries progression for at least a decade, implying that complete caries removal might not always be necessary.…”