Response to Pulp Sensibility Tests after Full Pulpotomy in Permanent Mandibular Teeth with Symptomatic Irreversible Pulpitis: A Retrospective Data Analysis

Aravind, Archana; Rechithra, R; Sharma, Radha; Rana, Amal Singh; Sharma, Sidhartha; Kumar, Vijay; Chawla, Amrita; Logani, Ajay

doi:10.1016/j.joen.2021.10.005

Cited by 21 publications

(25 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since response to pulp sensibility tests are not predictable on follow‐up evaluation of FP due to the thickness of restorative materials in the pulp chamber, the results of this parameter were not subjected to statistical analysis (ESE, 2019). However, the results of the present study somewhat contradicted this assumption, at least partially supporting other studies that have reported a positive response to vitality tests after FP (Aravind et al, 2022; Asgary et al, 2018). Out of the cases evaluated at 12 months, 95% (21/22) and 63% (13/22) of PP and FP groups respectively showed positive response to EPT; however, this number was significantly lower after cold testing.…”

Section: Discussionsupporting

confidence: 77%

“…Out of the cases evaluated at 12 months, 95% (21/22) and 63% (13/22) of PP and FP groups respectively showed positive response to EPT; however, this number was significantly lower after cold testing. Following pulpotomy procedure, temperature conductivity of the tooth is reduced due to decline in fluid conductivity via dentinal tubules and because of a reduced number of intact odontoblasts (Aravind et al, 2022), which could help to explain the lower response with cold testing. Others have dismissed the value of pulp sensibility test results, suggesting they are not relevant in the judgement of VPT success or failure due to a high chance of getting false negative responses (Zanini et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome of partial and full pulpotomy in cariously exposed mature molars with symptoms indicative of irreversible pulpitis: A randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

Aim The aim of this study was to assess and compare the clinical and radiographic outcome of partial pulpotomy and full pulpotomy using Biodentine in cariously exposed mature molar teeth with symptoms indicative of irreversible pulpitis. Methodology This study is an unicentric, double‐arm, randomized superiority clinical trial with parallel experimental groups, registered under CTRI (CTRI/2019/12/022559). Fifty mature permanent molar teeth with carious exposures with symptoms indicative of irreversible pulpitis were randomly allocated equally into two groups. Partial pulpotomy (PP) and full pulpotomy (FP) were performed in the first and second group, respectively, following standardized protocols. Exposed pulp tissue was removed up to a depth of 2–3 mm for partial pulpotomy, whereas complete coronal pulp tissue was removed up to the level of root orifices for full pulpotomy. Haemostasis was achieved with placement of 2.5% sodium hypochlorite‐moistened cotton pellets placed on amputated pulp tissue for a maximum of 10 min. Biodentine was used as the pulp capping material. Pain scores were evaluated using 11‐point Visual Analogue Scale (VAS) preoperatively, at 24 h, 48 h and 7th day after the intervention(s). Clinical and radiographic evaluation was done at 3 months, 6 months and 1 year. The data were statistically analysed using chi‐squared test, Mann–Whitney U‐test, Friedman's test and Wilcoxon signed‐rank test. The significance level was pre‐determined at p < .05. Cumulative survival probabilities were assessed at 12 months using Kaplan–Meier analysis. Results Intra‐group analysis of pain scores revealed significant reduction in pain scores preoperatively and at 24 h, 48 h and 7th day in both the groups. However, the difference in the pain score(s) reduction between both the groups was not statistically significant at any time interval (p > .05). At 1‐year follow‐up, the success rate was 88% (22/25) and 91.6% (22/24) for PP and FP respectively (p > .05). Conclusions Partial pulpotomy showed comparable results to full pulpotomy in terms of clinical/radiographic treatment outcome. If the long‐term results remain the same, partial pulpotomy can be proposed as an alternative treatment modality for mature teeth with cariously exposed pulp tissue presenting with signs of symptomatic irreversible pulpitis.

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Outcome of partial and full pulpotomy in cariously exposed mature molars with symptoms indicative of irreversible pulpitis: A randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The MTA is recommended extensively for vital pulp therapies, protecting scaffolds during regenerative endodontic procedures, apical barriers in teeth with necrotic pulps and open apices, perforation repairs as well as root canal filling and root-end filling during surgical endodontics (Torabinejad et al, 2018;Aravind et al, 2021;Dal-Fabro et al, 2021). The main components of the MTA include tricalcium silicate, tricalcium aluminate, tricalcium oxide and silicate oxide.…”

Section: Discussionmentioning

confidence: 99%

Cytotoxicity, cytoprotection and morphological analysis of MTA, MTA Repair HP and Biodentine

Michelotto

Pupo

Araki

et al. 2022

RSD

View full text Add to dashboard Cite

The aim of the present study was to evaluate the in vitro cytotoxicity, cytoprotection and morphological changes by SEM technique of MTA, MTA-HP and Biodentine, on fibroblast 3T3 cell line. MTA, MTA-HP, and Biodentine were disposed into teflon sterile discs and incubated in culture media for 24 hours to obtain elutes. Fibroblast 3T3 cells were cultured with the respective elutes and control group with culture medium. Cytotoxicity and cytoprotection assays were determined by MTT method. The results were statistically processed by Mann-Whitney (α=0.05) and Kruskal-Wallis analysis. Cells cultured in coverslips and treated with the elutes were submitted to fixation and dehydration process to evaluate morphological alterations by SEM technique. In cytotoxicity assay, cells treated with MTA, MTA HP and Biodentine showed viability above 95%, like control cells. In cytoprotection to the 3T3 cells, materials promoted at the same magnitude (p>0.05), with improved cell growth and were considered statistically different from the obtained for cells only treated with peroxide solution (positive control) (p=0.046). Also, viability results of the tested root canal materials were close to that of the negative control (cells treated only with culture medium) (p=0.05). No morphologic cell changes of 3T3 cells in contact with the endodontic materials were revealed by SEM technique. The bioceramic materials has demonstrated high bioactivity and biocompatibility, as presented in cytoprotection and morphological trials.

show abstract

“…Carious tissue removal with spoon excavator until leathery-consistent dentin Langenau, Germany) was sprayed on a cotton roll, which was pressed against the buccal cervical area the tooth for 5 s. 14 The tooth presented normal sensibility, suggesting normal pulp vitality.…”

Section: Clinical Case Reportmentioning

confidence: 99%

The stamp technique for direct restoration in a ICDAS 4 carious lesion: A 4‐year follow‐up

Vertuan

Mosquim

Guimarães

et al. 2022

J Esthet Restor Dent

View full text Add to dashboard Cite

Objective This case report described the use of a stamping technique associated with a bulk fill composite to restore an ICDAS 4 carious lesion on a posterior tooth. The 4‐year follow‐up is also presented. Clinical Considerations A 32‐year‐old patient presented a carious lesion on tooth 36 with an underlying dark shadow at the dentin seen from the noncavitated enamel occlusal surface, which was compatible with an ICDAS 4 carious lesion. The lesion was radiographically detected and the caries disease was treated with dietary and hygiene habits orientations. Before accessing the lesion and selectively removing the carious tissue, an occlusal stamp was made by applying a flowable resin composite to copy the anatomy of the noncavitated enamel surface. The cavity was restored using a bulk fill resin composite (Opus Bulk Fill, FGM) with 4‐mm‐thick increments. Before curing the last increment, a Teflon band was adapted at the uncured bulk fill composite surface and the occlusal stamp made with the flowable composite was pressed against it to reproduce the natural characteristics and initial occlusal anatomy. The top surface was light‐activated for 40 s. After 4 years, small wear could be seen in the restoration, but still within clinically acceptable levels. Conclusion The occlusal stamp technique allows reproduction of the natural anatomy of teeth affected by ICDAS 4 carious lesions with good clinical longevity over 4 years. Clinical Significance This case report presents the use of the stamp technique to restore a tooth affected by an ICDAS 4 lesion, in which a carious process reached the dentin and the enamel anatomy was still preserved. The bulk fill resin composite associated with the occlusal stamp was chosen to quickly restore the cavity with clinical predictability. Bulk fill composites allow the insertion of up to 4‐mm‐thick increments and offer lower shrinkage stress, good clinical longevity and a less time‐consuming procedure in cases of posterior teeth, especially if associated with the stamp technique.

show abstract

Response to Pulp Sensibility Tests after Full Pulpotomy in Permanent Mandibular Teeth with Symptomatic Irreversible Pulpitis: A Retrospective Data Analysis

Cited by 21 publications

References 29 publications

Outcome of partial and full pulpotomy in cariously exposed mature molars with symptoms indicative of irreversible pulpitis: A randomized controlled trial

Outcome of partial and full pulpotomy in cariously exposed mature molars with symptoms indicative of irreversible pulpitis: A randomized controlled trial

Cytotoxicity, cytoprotection and morphological analysis of MTA, MTA Repair HP and Biodentine

The stamp technique for direct restoration in a ICDAS 4 carious lesion: A 4‐year follow‐up

Contact Info

Product

Resources

About