In vivo outcomes of indirect pulp treatment using a self-etching primer versus calcium hydroxide over the demineralized dentin in primary molars.

Abstract

OBJECTIVE:

To evaluate the clinical and radiographic outcomes (24 months) of indirect pulp treatment (IPT) in primary teeth when a self-etching primer or a calcium hydroxide layer was used over the remaining carious dentin.

STUDY DESIGN:

Primary molar teeth with deep carious lesions without signs and symptoms of irreversible pulpitis were divided into two groups, according to the capping material: Experimental group (1): self-etching adhesive system (Clearfill SE Bond); and Control group (2): calcium hydroxide liner (Dycal). Both groups were followed up after application of a resin restoration (3M - Z250).

RESULTS:

After 2 years of clinical and radiographic follow-up, no statistical difference was found between groups (p = 1). The overall success rate reached 87%.

CONCLUSION:

These results demonstrate that IPT has a high clinical and radiographic performance in primary teeth and is not dependent on the capping material used over the demineralized dentin.

• Authors: Luciano Casagrande, Letícia Westphalen Bento, Simone Ossok Rerin, Evelin de Resende Lucas, D'ebora Martini Dalpian, Fernando Borba de Araujo
• Journal: The Journal of clinical pediatric dentistry (J Clin Pediatr Dent) Vol. 33 Issue 2 Pg. 131-5 ( 2008) ISSN: 1053-4628 [Print] United States
• PMID: 19358380 (Publication Type: Clinical Trial, Comparative Study, Journal Article)

Chemical References

• Clearfil SE Bond
• Dental Cements
• Resin Cements
• Calcium Hydroxide

Topics

• Calcium Hydroxide (therapeutic use)
• Child
• Child, Preschool
• Dental Caries (complications, diagnostic imaging, therapy)
• Dental Cements (therapeutic use)
• Dental Pulp Capping (methods)
• Dental Restoration, Permanent (methods)
• Dentin (diagnostic imaging, drug effects, physiology)
• Follow-Up Studies
• Humans
• Molar
• Radiography
• Resin Cements (therapeutic use)
• Tooth Demineralization (etiology, prevention & control)
• Tooth, Deciduous
• Treatment Outcome