Direct Pulp Capping with Calcium Hydroxide, Mineral Trioxide Aggregate, and Biodentine in Permanent Young Teeth with Caries: A Randomized Clinical Trial

Claudia Brizuela, Andrea Ormeño, Carolina Cabrera, Roxana Cabezas, Carolina Inostroza Silva, Valeria Ramírez, Montse Mercade

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

60 Citas (Scopus)

Resumen

Introduction
Direct pulp capping treatment is intended to preserve pulp vitality, to avoid or retard root canal treatment, and, in cases with an open apex, to allow continued root development. Historically, calcium hydroxide (CH) was the gold standard material, but nowadays calcium silicate materials (CSMs) are displacing CH because of their high bioactivity, biocompatibility, sealing ability, and mechanical properties. However, more randomized clinical trials are needed to confirm the appropriateness of CSMs as replacement materials for CH in direct pulp capping procedures.

Methods
A randomized clinical trial was conducted that included 169 patients (mean age, 11.3 years) from the Maipo district (Chile). The inclusion criterion was patients with 1 carious permanent tooth with pulpal exposure, a candidate for a direct pulp capping procedure. The patients were randomly allocated to one of the experimental groups (CH, Biodentine, or mineral trioxide aggregate [MTA]). Clinical follow-up examinations were performed at 1 week, 3 months, 6 months, and 1 year. The Fisher exact test was performed.

Results
At the follow-up examination at 1 week, the patients showed 100% clinical success. At 3 months, there was 1 failure in the CH group. At 6 months, there were 4 new failures (1 in the CH group and 3 in the MTA group). At 1 year, there was another failure in the CH group. There were no statistically significant differences among the experimental groups.

Conclusions
CSMs appear to be suitable materials to replace CH. Although no significant differences were found among the materials studied, Biodentine and MTA offered some advantages over CH.
Idioma originalInglés
Páginas (desde-hasta)1776-1780
Número de páginas5
PublicaciónJournal of Endodontics
Volumen43
N.º11
DOI
EstadoPublicada - nov 2017

Nota bibliográfica

Publisher Copyright:
© 2017 American Association of Endodontists

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