LIGHT-CURED CALCIUM SILICATE BASED-CEMENTS AS PULP THERAPEUTIC AGENTS: A META-ANALYSIS OF CLINICAL STUDIES.

Abstract

OBJECTIVES:

To determine the clinical performance of light-cured calcium silicate-based cement for direct or indirect pulp capping. The research question was as follows: in teeth with deep caries lesions, does the use of resin-modified calcium silicate-containing composites improve the radiological success and prevent irreversible pulpitis and pulpal necrosis compared with other pulp-capping agents?

MATERIALS AND METHODS:

The following databases were screened until September 2021: PubMed, Web of Science, Scielo, Scopus, Embase, and The Cochrane Library. Randomized clinical trials reporting the clinical evaluation of a resin-modified calcium silicate material as an agent for pulp therapy were included. Meta-analysis was performed using the Rev Manager v5.4.1 software. The risk difference and 95% confidence interval of the dichotomous outcome (restoration failure or success) were calculated for comparison.

RESULTS:

Ten studies were considered for qualitative analysis and meta-analysis. Studies evaluating the performance of light-cured calcium silicate-based cement from 1 month to a maximum follow-up period of 36 months and comparing it with the performance of CaOH, mineral trioxide aggregate, or Biodentine were included. In the global analysis for direct pulp capping at 6-month follow-up, no statistical differences were observed between the experimental group using the light-cured calcium silicate-based cement and control group (P = .28). However, at 12-month follow-up, global analysis favored the control group (P < .001). For indirect pulp capping, at 6- and 24-month follow-ups, no statistically significant differences were observed between the experimental and control groups (P = .88; P = .21).

CONCLUSIONS:

Light-cured calcium silicate-based cement showed a limited clinical performance as a direct pulp capping agent, especially when evaluated in the long term. However, using it as an indirect pulp capping agent may be a reliable and easy-to-use option for restoring teeth with deep caries.

CLINICAL SIGNIFICANCE:

This systematic review provides evidence that supports the use of light-cured calcium silicate-based cement as an indirect pulp capping agent.

• Authors: Luis Francisco García-Mota, Louis Hardan, Rim Bourgi, J Eliezer Zamarripa-Calderón, José Alejandro Rivera-Gonzaga, Juan Carlos Hernández-Cabanillas, Carlos Enrique Cuevas-Suárez
• Journal: The journal of evidence-based dental practice (J Evid Based Dent Pract) Vol. 22 Issue 4 Pg. 101776 (Dec 2022) ISSN: 1532-3390 [Electronic] United States
• PMID: 36494107 (Publication Type: Systematic Review, Meta-Analysis, Journal Article, Review)
• Copyright: Copyright © 2022 Elsevier Inc. All rights reserved.

Chemical References

• calcium silicate
• Pulp Capping and Pulpectomy Agents
• Silicate Cement
• Glass Ionomer Cements
• Dental Cements
• Composite Resins

Topics

• Humans
• Pulp Capping and Pulpectomy Agents (therapeutic use)
• Dental Pulp Capping
• Silicate Cement
• Glass Ionomer Cements
• Dental Cements (therapeutic use)
• Composite Resins