Direct Pulp Capping With ProRoot MTA Alone and in Combination With Er:YAG Laser Irradiation: A Clinical Trial

Kermanshah, Hamid; Omrani, Ladan Ranjbar; Ghabraei, Sholeh; Fekrazad, Reza; Daneshparvar, Niloufar; Bagheri, Parisa

doi:10.34172/jlms.2020.s10

“…Mineral Trioxide Aggregate (MTA) has been used in direct pulp treatment, with excellent clinical results reported, compared to the results of conventional use of calcium hydroxide [4] . Biodentine exhibits rapid results, no discoloration and similar results are obtained compared to MTA, so it is considered an appropriate veneering material to replace MTA [5] . Calcium silicate-based cements have achieved remarkable results as predictable, safe and successful therapies [6] .…”

Section: Introductionmentioning

confidence: 83%

Untitled

2022

Int. J. Appl. Dent. Sci.

0

View full text Add to dashboard Cite

Introduction: Direct pulp treatment is a procedure in which the exposed vital pulp is treated with a therapeutic material, it is sought to promote healing, maintain pulp vitality and protect the pulp. Objective: To prove that TheraCal is the material of choice as a coating for direct pulp treatment in terms of biocompatibility and cytotoxicity, solubility and clinical management, effects on the pulp, clinical and radiographic success in comparison with current materials used; MTA and Biodentine. Methodology: An electronic search was performed during September 2021 in the PubMed-MEDLINE database. Human or In vitro comparative studies evaluating biocompatibility, clinical and radiographic success were included. No restriction was applied to the date of publication. Case series and expert opinions were excluded. Keywords such as "Theracal", "direct pulp capping", "Biodentine", "MTA" and "vital pulp treatment" were used. Results: Only one article was found that discussed the toxic effects of TheraCal. TheraCal has very favorable effects on the pulp, as it could be observed to induce dentin formation, these effects are to some extent limited. The solubility of TheraCal is one of its strongest characteristics, and it is very useful in indirect pulp capping, but not very useful in direct pulp capping. In comparison with other materials, Theracal shows good results that are considerably successful, however, the MTA and Biodentine variants present better percentages and higher probabilities of success. Conclusion: Theracal cannot be considered as a first-choice material when performing direct pulp treatment.

show abstract

“…Mineral Trioxide Aggregate (MTA) has been used in direct pulp treatment, with excellent clinical results reported, compared to the results of conventional use of calcium hydroxide [4] . Biodentine exhibits rapid results, no discoloration and similar results are obtained compared to MTA, so it is considered an appropriate veneering material to replace MTA [5] . Calcium silicate-based cements have achieved remarkable results as predictable, safe and successful therapies [6] .…”

Section: Introductionmentioning

confidence: 83%

TheraCal as the material of choice for direct pulp treatment compared to two other materials: MTA and biodentine

Dominguez¹,

Martínez²,

Delgado³

et al. 2022

Int. J. Appl. Dent. Sci.

1

0

View full text Add to dashboard Cite

Introduction: Direct pulp treatment is a procedure in which the exposed vital pulp is treated with a therapeutic material, it is sought to promote healing, maintain pulp vitality and protect the pulp. Objective: To prove that TheraCal is the material of choice as a coating for direct pulp treatment in terms of biocompatibility and cytotoxicity, solubility and clinical management, effects on the pulp, clinical and radiographic success in comparison with current materials used; MTA and Biodentine. Methodology: An electronic search was performed during September 2021 in the PubMed-MEDLINE database. Human or In vitro comparative studies evaluating biocompatibility, clinical and radiographic success were included. No restriction was applied to the date of publication. Case series and expert opinions were excluded. Keywords such as "Theracal", "direct pulp capping", "Biodentine", "MTA" and "vital pulp treatment" were used. Results: Only one article was found that discussed the toxic effects of TheraCal. TheraCal has very favorable effects on the pulp, as it could be observed to induce dentin formation, these effects are to some extent limited. The solubility of TheraCal is one of its strongest characteristics, and it is very useful in indirect pulp capping, but not very useful in direct pulp capping. In comparison with other materials, Theracal shows good results that are considerably successful, however, the MTA and Biodentine variants present better percentages and higher probabilities of success. Conclusion: Theracal cannot be considered as a first-choice material when performing direct pulp treatment.

show abstract

“…This process is known as ablation. It produces little heat generation within the underlying tissues and minimal temperature elevation in the pulp of the pulp chamber [31] . Therefore, the tissue destruction caused by the Er:YAG laser is probably not related to the thermal effects produced by other types of lasers, but the microbursts are associated with the evaporation of water in the cementum and other dental hard tissues [29] .…”

Section: Er: Yag Lasermentioning

confidence: 99%

Minimally invasive treatment of dental caries, an update

Ornelas¹,

Longoria²,

Silva³

et al. 2022

Int. J. Appl. Dent. Sci.

0

View full text Add to dashboard Cite

The importance of this research lies in the effectiveness of the different minimally invasive techniques for the management of carious lesions. Objective: To analyze the minimally invasive treatment for the removal of carious lesions. The techniques evaluated were: conventional method, ART, papacarie, laser and abrasive air. Methodology: A compilation of articles published in the last 5 years was carried out using the PubMed electronic database. Abstracts and full texts were identified that included information on the techniques for minimally invasive treatment of carious lesions: the conventional method, ART, papacarie, laser and abrasive air. Results: The conventional technique is the most commonly used at present, but it is the most aggressive because it removes both healthy and infected tissue. ART is one of the most economical and least painful measures for caries management. Papacarie is a minimally invasive chemical removal method and does not require local anesthesia. Laser for caries removal is expensive, but it is one of the least abrasive ways to manage it, and the abrasive air does not irritate pulp or adjacent tissues. Conclusions: Removal of dental caries with rotary instruments is frequently associated with thermal and pressure effects on the pulp, resulting in pain. Due to the shortcomings of the bur, alternatives such as chemo-mechanical caries removal with sharp instruments (ART), laser and abrasive air were developed, which have a disintegrating effect on the caries tissue, while leaving healthy dentin largely intact.

show abstract

Direct Pulp Capping With ProRoot MTA Alone and in Combination With Er:YAG Laser Irradiation: A Clinical Trial

Cited by 7 publications

References 32 publications

Untitled

Untitled

TheraCal as the material of choice for direct pulp treatment compared to two other materials: MTA and biodentine

Minimally invasive treatment of dental caries, an update

Contact Info

Product

Resources

About