The Treatment of Reversible Pulpitis Using Calcium Hydroxide for Indirect Pulp Capping

Abstract

Vital pulp therapy is a biologic and conservative treatment to preserve the vitality and function of the pulp tissue. Indirect pulp capping is one of the techniques which can be done with Ca(OH)2. The success rate of using Ca(OH)2 during treatment of reversible pulpitis isn’t so high. And the reactivity of the vital pulp is reduced when exposed to an aggressive calcium hydroxide-based material. According to the international classification of diseases, reversible pulpitis is considered as K04.00 – initial pulpitis.
 The purpose of this review article is to assess systematically the available scientific evidence about the clinical response of pulp-dentin complex after using Ca(OH)2 for indirect pulp capping. 
 Materials and methods: The study of publications was produced in the electronic databases such as Google Scholar, PubMed during a systematic review of the literature. Included articles contain information about using Ca(OH)2 during treatment of initial pulpitis and its side effects. The publication date criterion was selected from January 2011 to July 2021.
 Results: 55 articles were viewed during the review. After analyzing the literature for inclusion criteria, the total number of publications has become 10.
 Conclusions: According to literature data, the using calcium hydroxide for indirect pulp capping during treatment of the reversible (initial) pulpitis is decreasing due to the side effects and clinical response from dentin pulp complex.