In vivo outcomes of Indirect Pulp Treatment using a Self-etching Primer versus Calcium Hydroxide over the Demineralized Dentin in Primary Molars

Abstract

Objective: To evaluate the clinical and radiographic outcomes (24 months) of indirect pulp treatment (IPT)in primary teeth when a self-etching primer or a calcium hydroxide layer was used over the remaining carious dentin. Study design: Primary molar teeth with deep carious lesions without signs and symptoms of irreversible pulpitis were divided into two groups, according to the capping material: Experimental group(1): self-etching adhesive system (Clearfill SE Bond); and Control group (2): calcium hydroxide liner(Dycal). Both groups were followed up after application of a resin restoration (3M - Z250). Results: After 2 years of clinical and radiographic follow-up, no statistical difference was found between groups (p=1). The overall success rate reached 87%. Conclusion: These results demonstrate that IPT has a high clinical and radiographic performance in primary teeth and is not dependent on the capping material used over the demineralized dentin.

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

“…) and four compared it with self‐etch adhesives (Büyükgüral & Cehreli , Casagrande et al . , , Dalpian et al . ).…”

“…CH was compared with an inert material (wax or gutta-percha) in four studies (Pinto et al 2006, Franzon et al 2007, Bressani et al 2013. Seven studies compared CH with adhesive systems, of which four studies compared CH with total-etch materials (Falster et al 2002, B€ uy€ ukg€ ural & Cehreli 2008, Casagrande et al 2009, Dalpian et al 2014) and four compared it with self-etch adhesives (B€ uy€ ukg€ ural & Cehreli 2008, Casagrande et al 2008, Dalpian et al 2012. In the majority of included studies, a resin composite was used as the restorative material.…”

Randomized controlled clinical trial of the 24-months survival of composite resin restorations after one-step incomplete and complete excavation on primary teeth

“…14,15 PCR has demonstrated effectiveness in terms of microbiological, histological, biochemical and clinical-radiographic outcomes. [3][4][5][6]16,17 Although the majority of the researches consider the maintenance of pulp tissue vitality in acute deep carious lesions as the main outcome, the performance of the restorations over the carious dentin is not well documented. Ribeiro et al have shown by scanning electron microscopy the presence of an altered hybrid zone formed over the carious dentin, but limited information is available about the repercussion of this interaction over the time.…”

The influence of the lining material on the repair of the infected dentin in young permanent molars after restoration: A randomized clinical trial

“…[162129] This article provided evidence that dentin reorganization and mineral changes were not dependent on the material placed in contact with the carious tissue, suggesting that the carious arrestment is a host-driven process rather than a material-induced process. [30]…”