Evaluation of indirect pulp capping using three different materials: A randomized control trial using cone-beam computed tomography

Mathur, Vijay Prakash; Dhillon, Jatinder Kaur; Logani, Ajay; Kalra, Gauri

doi:10.4103/0970-9290.199588

Cited by 38 publications

(44 citation statements)

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“…Furthermore, there was a decrease in bacterial counts for teeth treated with CH cement and an inert material (wax or gutta-percha) (Pinto et al 2006, Bressani et al 2013. The thickness of the reparative dentine formed was also similar between teeth treated with a CH cement, or GIC (Mathur et al 2016).…”

Section: Descriptive Analysismentioning

confidence: 62%

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Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta‐analysis

et al. 2018

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The aim of this systematic review and meta‐analysis was to evaluate whether the use of calcium hydroxide (CH) liner improves the clinical success in the treatment of deep caries lesions of primary and permanent teeth. The review was reported in accordance with the PRISMA Statement. Only studies that evaluated deep carious lesions treated with and without a CH liner were included. The required outcomes had to be obtained by clinical, radiographic or laboratory evaluations. Statistical analyses were performed with the RevMan 5.2 program (The Cochrane Collaboration, Copenhagen, Denmark) for randomized clinical trials with at least 12 months of follow‐up, using fixed‐effect models at a significance level of P < 0.05. The literature search was performed in eight databases: PubMed (MEDLINE), Lilacs, IBECS, BBO, Web of Science, Scopus, SciELO and The Cochrane Library. A total of 17 studies were included (15 in primary teeth, two in permanent teeth). The overall risk difference for CH versus adhesive system in primary teeth was 0.06 [95% CI −0.01 to 0.13], and the overall risk difference for CH versus GIC was 0.10 [95% CI −0.01 to 0.22], with no significant differences between materials. CH liner did not influence the clinical success of treatment for deep caries lesions of primary or permanent teeth. Although the present analysis demonstrated that use of CH liner in deep caries lesions was unnecessary, the evidence was of moderate to very low quality; thus, further well‐designed, randomized and controlled clinical trials are necessary to provide stronger recommendations.

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Section: Descriptive Analysismentioning

confidence: 62%

“…The thickness of the reparative dentine formed was also similar between teeth treated with a CH cement, or GIC (Mathur et al . ).…”

Section: Resultsmentioning

confidence: 97%

Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta‐analysis

et al. 2018

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“…Two randomized clinical trials (Mathur et al . , Menon et al . ) reported successful clinical (no pain, absence of sinus tract) and radiographic (no sign of external and internal resorption, presence of calcified bridge) outcomes following the use of MTA and TheraCal LC when used for indirect pulp capping in primary teeth.…”

Section: Vital Pulp Therapiesmentioning

confidence: 97%

“…The authors also reported that exposing cone‐beam computed tomography images in children was difficult because they tended to move during the long exposure time (Mathur et al . ).…”

Section: Vital Pulp Therapiesmentioning

confidence: 97%

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy

2017

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Mineral trioxide aggregate (MTA) is a bioactive endodontic cement (BEC) mainly comprised of calcium and silicate elements. The cement was introduced by Torabinejad in the 1990s and has been approved by the Food and Drug Administration to be used in the United States in 1997. A number of new BECs have also been introduced to the market, including BioAggregate, Biodentine, BioRoot RCS, calcium-enriched mixture cement, Endo-CPM, Endocem, EndoSequence, EndoBinder, EndoSeal MTA, iRoot, MicroMega MTA, MTA Bio, MTA Fillapex, MTA Plus, NeoMTA Plus, OrthoMTA, Quick-Set, RetroMTA, Tech Biosealer and TheraCal LC. It has been claimed that these materials have properties similar to those of MTA without its drawbacks. In this article, the chemical composition and the application of MTA and other BECs for vital pulp therapy (VPT), including indirect pulp cap, direct pulp cap, partial pulpotomy, pulpotomy and partial pulpectomy, have been reviewed and compared. Based on selected keywords, all papers regarding chemical composition and VPT applications of BECs had been reviewed. Most of the materials had calcium and silicate in their composition. Instead of referring to the cements based on their chemical compositions, we suggest the term 'bioactive endodontic cements (BECs)', which seems more appropriate for these materials because, in spite of differences in their chemical compositions, bioactivity is a common property for all of them. Numerous articles were found regarding use of BECs as VPT agents for indirect and direct pulp capping, partial pulpotomy and cervical pulpotomy. Most of these investigations used MTA for VPT. In most studies, newly introduced materials have been compared to MTA. Some of the BECs have shown promising results; however, the number of their studies compared to investigations on MTA is limited. Most studies had several methodological shortcomings. Future investigations with rigorous methods and materials are needed.

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“…All studies were performed in secondary care by a single research team, which limits the external validity of the results. Furthermore, studies 6,10,30 published so far comparing other materials, such as mineral trioxide aggregate or calcium silicate, were not included in this review because they did not fulfill the selection criteria. Therefore, there is a need for further well-designed and well-reported randomized controlled clinical investigations assessing other relevant outcomes for longevity of restorations after indirect pulp treatment.…”

Section: Discussionmentioning

confidence: 99%

Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis

et al. 2017

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This study aimed to systematically review the literature to address the question regarding the influence of different materials in the clinical and radiographic success of indirect pulp treatment in primary teeth. A literature search was carried out for articles published prior to January 2017 in PubMed/MEDLINE, CENTRAL, Scopus, TRIP and ClinicalTrials databases; relevant articles included randomized clinical trials that compared materials used for indirect pulp treatment in primary teeth. Two reviewers independently selected the studies and extracted the data. The effects of each material on the outcome (clinical and radiographic failures) were analyzed using a mixed treatment comparisons meta-analysis. The ranking of treatments according to their probability of being the best choice was also calculated. From 1,088 potentially eligible studies, 11 were selected for full-text analysis, and 4 were included in the meta-analysis. In all papers, calcium hydroxide liner was used as the control group versus an adhesive system, resin-modified glass ionomer cement or placebo. The follow-up period ranged from 24 to 48 months, with dropout rates of 0-25.7%. The material type did not significantly affect the risk of failure of the indirect pulp treatment. However, calcium hydroxide presented a higher probability of failure. In conclusion, there is no scientific evidence showing the superiority of any material used for indirect pulp treatment in primary teeth.

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Evaluation of indirect pulp capping using three different materials: A randomized control trial using cone-beam computed tomography

Cited by 38 publications

References 0 publications

Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta‐analysis

Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta‐analysis

Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy

Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis

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