Indirect pulp capping in the primary dentition: a 4 year follow-up study.

J Clin Pediatr Dent

Department of Pediatric Dentistry, School of Dentistry, Universidade Federal do Rio Grande do Sul, Brazil.

Published: April 2007

AI Article Synopsis

  • The study assessed the clinical and radiographic outcomes of indirect pulp capping (IPC) on primary teeth over a 48-month period.
  • Twenty-seven primary molars with deep caries were treated, using either calcium hydroxide (Group-1) or glass ionomer cement (Group-2), and both groups showed high success rates.
  • After 48 months, the success rates were 88.8% for Group-1 and 93% for Group-2, indicating that IPC effectively halts caries progression in primary teeth, regardless of the material used.

Article Abstract

Purpose: Evaluate clinical and radiographic changes in primary teeth submitted to indirect pulp capping (IPC) over a 48-month-period.

Methods: Twenty seven primary molars with deep caries, but without preoperative signs of irreversible pulpits, were treated with IPC. The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex. (1) a calcium hydroxide liner (Dycal) and (2) glass ionomer cement (Vitremer).

Results: After 48 months, Group-1 showed a success rate of 88.8% and Group-2 of 93%. No statistical significant difference between the groups was observed (P = 0.62).

Clinical Significance: The results of this study suggested that indirect pulp capping in primary teeth arrests the progression of the underlying caries, regardless of the material used as a liner.

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Source
http://dx.doi.org/10.17796/jcpd.31.2.y4um5076341226m5DOI Listing

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