Outcomes of Direct Pulp Capping by Using Either ProRoot Mineral Trioxide Aggregate or Biodentine in Permanent Teeth with Carious Pulp Exposure in 6- to 18-Year-Old Patients: A Randomized Controlled Trial

Parinyaprom, Nuttaporn; Nirunsittirat, Areerat; Chuveera, Patchanee; Lampang, Sakarat Na; Srisuwan, Tanida; Sastraruji, Thanapat; Bua-on, Puangporn; Simprasert, Sophon; Khoipanich, Issaraporn; Sutharaphan, Thitida; Theppimarn, Suthida; Uesrichai, N.; Tangtrakooljaroen, Waritorn; Chompu-inwai, Papimon

doi:10.1016/j.joen.2017.10.012

Cited by 85 publications

(83 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Theracal LC provides a more clinically efficient solution because of its good sealing capabilities and curing with light (Karadas, Cantekin, Gumus, Ates, & Duymus, ). Biodentine has demonstrated good results in previous studies when used in PC (Nowicka et al, ; Parinyaprom et al, ). However, it has shown failures in bonding to composites and waiting for the placement of overlying materials is advised (Hashem, Foxton, Manoharan, Watson, & Banerjee, ).…”

Section: Introductionmentioning

confidence: 90%

Bond strength and adaptation of pulp capping materials to dentin

Karadaş

Atıcı

2020

Microscopy Res & Technique

View full text Add to dashboard Cite

This study evaluated the shear bond strength (SBS) and internal marginal adaptation of pulp-capping materials to dentin. Flat occlusal deep dentin surfaces were produced and randomly assigned to two groups (sound or artificial caries-affected dentin). The specimens in each group were assigned to one of seven subgroups according to the materials used: Biodentine, Theracal LC, Ultra-Blend plus, Calcimol LC, ApaCal ART, EQUIA Forte, and Ionoseal. Buildups (3-mm inner diameter and 2-mm deep) were made over the dentin surfaces. The bonded specimens were tested under shear forces at a crosshead speed of 0.8 mm/min and fracture modes were determined using a stereomicroscope at 25× magnification. The materials were applied to the pulp floor of prepared Class I cavities and then the cavities were restored with composite resin. Restored molar teeth were subjected to 5,000 thermocycles and sectioned in a bucco-lingual direction. Resin replicas were made to determine the adaptation at the pulp floor with scanning electron microscopy. Significant differences were determined among both bond strengths and gap formations of the materials. EQUIA Forte applied to both dentin substrates had a significantly higher SBS than the other materials. The bond strength of each material was not influenced by the dentin condition. Biodentine (3.03%), EQUIA Forte (7.83%), and Theracal LC (13.37%) had lower gap formations compared to other materials but were not significantly different from each other. K E Y W O R D S adaptation, bond strength, pulp capping, replica, scanning electron microscopy

show abstract

Section: Introductionmentioning

confidence: 90%

Bond strength and adaptation of pulp capping materials to dentin

Karadaş

Atıcı

2020

Microscopy Res & Technique

View full text Add to dashboard Cite

show abstract

“…Moreover, the hard tissue bridges formed against MTA have higher histological quality compared with those induced by Ca(OH) 2 (Nair et al 2008). Biodentine has potential to overcome some of the issues of discoloration associated with MTA after pulp capping (Parinyaprom et al 2018) and favourably induces mineralization (Laurent et al 2012) and cellular differentiation in vitro (Zanini et al 2012). In addition to the biological effects of Ca(OH) 2 and calcium silicates on DPCs, they also have the ability, as discussed earlier to induce the release of DMCs (Graham et al 2006, Tomson et al 2007.…”

Section: Materials For Pulp Cappingmentioning

confidence: 99%

“…Biodentine has potential to overcome some of the issues of discoloration associated with MTA after pulp capping (Parinyaprom et al . ) and favourably induces mineralization (Laurent et al . ) and cellular differentiation in vitro (Zanini et al .…”

Section: Reviewmentioning

confidence: 99%

Management of deep caries and the exposed pulp

et al. 2019

View full text Add to dashboard Cite

Caries prevalence remains high throughout the world, with the burden of disease increasingly affecting older and socially disadvantaged groups in Western cultures. If left untreated, caries will advance through dentine stimulating pulpitis and eventually pulp infection and necrosis; however, if conservatively managed, pulpal recovery occurs even in deep carious lesions. Traditionally, deep caries management was destructive with nonselective (complete) removal of all carious dentine; however, the promotion of minimally invasive biologically based treatment strategies has been advocated for selective (partial) caries removal and a reduced risk of pulp exposure. Selective caries removal strategies can be one‐visit as indirect pulp treatment or two‐visit using a stepwise approach. Management strategies for the treatment of the cariously exposed pulp are also shifting with avoidance of pulpectomy and the re‐emergence of vital pulp treatment (VPT) techniques such as partial and complete pulpotomy. These changes stem from an improved understanding of the pulp–dentine complex's defensive and reparative response to irritation, with harnessing the release of bioactive dentine matrix components and careful handling of the damaged tissue considered critical. Notably, the development of new pulp capping materials such as mineral trioxide aggregate, which although not an ideal material, has resulted in more predictable treatments from both a histological and a clinical perspective. Unfortunately, the changes in management are only supported by relatively weak evidence with case series, cohort studies and preliminary studies containing low patient numbers forming the bulk of the evidence. As a result, critical questions related to the superiority of one caries removal technique over another, the best pulp capping biomaterial or whether pulp exposure is a negative prognostic factor remain unanswered. There is an urgent need to promote minimally invasive treatment strategies in Operative Dentistry and Endodontology; however, the development of accurate diagnostic tools, evidence‐based management strategies and education in management of the exposed pulp are critical in the future.

show abstract

“…The remaining 281 articles were assessed for eligibility. After evaluation of the full-text version, 266 articles that did not fit the eligibility criteria were excluded, and 15 articles were included in this review (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16).…”

Section: Literature Identificationmentioning

confidence: 99%

“…Calcium hydroxide (CH) was used in 10 studies (2)(3)(4)(5)7,8,(11)(12)(13)15), and mineral trioxide aggregate (MTA) was used in nine studies (3,6,7,9,10,(13)(14)(15)(16)). An improved calcium silicate-based cement (Biodentine; Septodont, Saint-Maur-des-Fossés, France) was used in three studies (13,14,16). For the other materials, each was used in one study (2,(4)(5)(6)(8)(9)(10)(11)(12).…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Long-term clinical and radiographic evaluation of the effectiveness of direct pulp-capping materials

2019

View full text Add to dashboard Cite

The aim of this review was to assess the effectiveness of different direct pulp-capping (DPC) materials for human pulp-exposed teeth. An electronic search was performed on 20 February 2018. Long-term clinical and radiographic evaluations of the effectiveness of different DPC materials for use on human pulp-exposed teeth were included. Risk-ofbias assessment and data extraction were performed. From the 496 identified articles, 15 met the eligibility criteria. Among the studies included in those articles, a total of 1,322 teeth were treated with 12 types of DPC materials, and 1,136 teeth were evaluated at a final follow-up examination. For mineral trioxide aggregate (MTA) and calcium hydroxide (CH), the number of included studies, the number of treated teeth, and the mean follow-up period of studies were almost equal, and the success rates of MTA was superior to CH. Therefore, MTA is likely to be a more effective and predictable material for DPC compared to CH. However, the results were based on the included studies, which were all judged to have a high risk of bias. Therefore, more long-term clinical and radiographic studies designed with lower risk of bias are needed. Moreover, the other 10 materials were only investigated by a small number of studies; therefore, further studies are required.

show abstract

Outcomes of Direct Pulp Capping by Using Either ProRoot Mineral Trioxide Aggregate or Biodentine in Permanent Teeth with Carious Pulp Exposure in 6- to 18-Year-Old Patients: A Randomized Controlled Trial

Cited by 85 publications

References 31 publications

Bond strength and adaptation of pulp capping materials to dentin

Bond strength and adaptation of pulp capping materials to dentin

Management of deep caries and the exposed pulp

Long-term clinical and radiographic evaluation of the effectiveness of direct pulp-capping materials

Contact Info

Product

Resources

About