SEARCH · PubMed Health
Results for “DENTAL PULP CAPPING”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
[Comments on natural pulp capping].
Explore the source record for details and available documents.
[The question of natural or indirect pulp capping].
Explore the source record for details and available documents.
Pulp capping in deciduous and newly erupted permanent teeth of monkeys.
Explore the source record for details and available documents.
[Follow-up studies of direct pulp capping in the daily dental practice].
Explore the source record for details and available documents.
Pulp stimulation and pulp capping.
Explore the source record for details and available documents.
Adverse effects of human pulps after direct pulp capping with the different components from a total-etch, three-step adhesive system.
OBJECTIVES: The objective was to evaluate the response of human pulps capped with different components from a total-etch three-step adhesive system. METHODS: Direct pulp capping was performed in 25 caries-free human premolars scheduled for extraction due to orthodontic treatment. The teeth were randomly divided in five groups, and capped with the following materials: Group 1-acid+primer+adhesive were used as recommended; Group 2-only primer was applied; Group 3-only bonding resin (light-cured for 10s); Group 4-only composite resin (light-cured for 40s); Group 5-calcium hydroxide. After capping, all teeth were restored with ScotchBond Multi Purpose Plus and Z-100 was placed incrementally. After 60 days, the teeth were extracted and processed for light microscopic examination (H/E) according to a histological score system. These were subjected to non-parametric tests (alpha<0.05). RESULTS: Overall, the histological features showed that groups 1-4 were quite similar and inferior to group 5. In groups 1-4 the pulp response varied from acute inflammatory cell infiltrate with varying degrees to necrosis. The groups 3 and 4 showed a trend towards better pulp response, since a normal connective tissue could be observed in more than half of the sample. All teeth from group 5 showed normal connective tissue below an amorphous dentin bridge. SIGNIFICANCE: Adhesive components (primer or adhesive) as well as a composite should be avoided for pulp capping. Ca(OH)(2) should be the first choice for pulp capping.
Direct pulp capping with mineral trioxide aggregate in a primary molar: a case report.
A case is presented in which pulp capping was performed on a right first mandibular primary molar in a 7-year-old male patient. An alkaline cement powder based on mineral trioxide aggregate (MTA) was used for pulp capping. There were no pathological findings either on a radiograph taken after one year or on clinical examination after 18 months, and the right first mandibular primary molar remained vital after capping with MTA. Further clinical investigation of MTA for direct pulp capping of primary teeth should be performed.
Pulp capping in monkeys with a calcium-hydroxide compound, an antibiotic, and a polycarboxylate cement.
Explore the source record for details and available documents.
Development of new adhesive pulp capping materials.
The pulp capping materials currently available do not adhere to dentine but cover it and therefore extensive removal of tooth tissue is necessary to expose sufficient dentine for the adhesives used to secure the restoration (the adhesives do not adhere to the capping material). The authors describe how two new pulp capping materials have been developed, which combine the properties required for pulp capping with an ability to adhere to dentine.
A pilot study. Capping infected and vitally exposed permanent teeth.
Explore the source record for details and available documents.
Tunnel defects in dentin bridges: their formation following direct pulp capping.
This study was conducted to observe the formation and nature of tunnel defects in dentin bridges, assess the nature of the associated soft tissue elements, and note the relationship of pulp inflammation and necrosis associated with these defects. A total of 235 teeth with class 5 cavity preparation exposures were randomly distributed throughout the dentitions of 14 adult rhesus monkeys. Each pulp was exposed and left open to the oral microflora at one of four time intervals, flushed with saline, debrided, capped with one of two hard-set calcium hydroxide medicaments [Ca(OH)2 (Dycal or Life)] and restored with a dispersed-phase amalgam alloy. Observation times were 14 days, 5 weeks, and 1 and 2 years. A total of 192 dentin bridges formed against the Ca(OH)2 medicaments Life or Dycal in 235 pulp-capped teeth. Considering all four capping periods, 89% of all dentin bridges contained tunnel defects (172 of 192). Forty-one percent (78) of the 192 dentin bridges were associated with recurring pulp inflammation or necrosis and were always associated with the presence of inflammatory cells and stained bacterial profiles. This study demonstrates that a statistically significant number of dentin bridges contain multiple tunnel defects, most of which appear to remain patent. These patent tunnels fail to provide a hermetic seal to the underlying pulp against recurring infection due to microleakage. Most Ca(OH)2 medicaments have been reported to disintegrate and wash out after 6 months, leaving a void underneath the restoration and thereby a pathway for bacterial infection. This study reemphasizes the need to employ biologically relevant measures that will provide a long-term clinical seal against microleakage following direct pulp capping with Ca(OH)2 medicaments alone.
Pulpal response to Procal for capping exposures in dog's teeth.
Explore the source record for details and available documents.
A histopathological study of direct pulp capping with adhesive resins.
This study evaluated the histological pulp responses of four different adhesive resin systems placed directly on exposed pulp tissue. Gap formation between the respective resin and cavity walls was observed and correlated to the pulpal response. Occlusal cavity preparations creating mechanical pulp exposures were prepared in molars of wistar rats. Preparations were filled using one of the following resin systems: 1) Superbond C&B system, 2) Clearfil Liner Bond system, 3) Tokuso Light Bond system, and 4) Scotchbond Multi-Purpose One All system. Although there were no significant differences in the pulpal responses after 3 days, significant differences were observed after 7 days. Results showed that the Superbond C&B system induced only a slight initial reaction, while secondary dentin was observed at the 30-day postoperative evaluation period. The Clearfil Liner Bond system showed a slight initial reaction to the materials, but exhibited slight pulpal necrosis and formation of secondary dentin at the 90-day evaluation period. The Tokuso Light Bond and One All systems showed severe pulpal reactions at all evaluation periods with no formation of secondary dentin. Microleakage formation correlated with the histopathological responses. Superbond C&B exhibited no microleakage, and only slight microleakage was observed when the Clearfil Bond system was used. The Tokuso and One All systems exhibited a wide area of microleakage. Further in vivo study evaluating the clinical use of adhesive resins for pulp capping is necessary to determine which resin systems may be used for direct pulp capping without incurring severe damage to pulpal tissue.
Direct capping with four different materials in humans: histological analysis of odontoblast activity.
Pulp inflammation in restored teeth is mainly due to the presence of bacteria or bacterial products introduced by microleakage around the restoration or to the material toxicity. Recent knowledge has permitted a precise identification of the risks for pulpal irritation associated with adhesive materials and procedures. The purpose of this work was to evaluate the cellular events that occur in direct pulp exposure capped using different materials. Twenty-four vital teeth without caries, scheduled for extraction for orthodontic reasons, were selected. After a control of the hemostasis, each pulp was directly capped with a different material. The samples were randomly divided into four groups of six specimens each: group I: dental-bonding agent (Solist) followed by resin composite (Ecusit); group II: dental adhesive (Prompt) and resin composite (Pertac II); group III: traditional calcium hydroxide (Dycal) plus resin composite (Ecusit); group IV: light-curing calcium hydroxide (Ultrablend Plus) and amalgam (Dentsply). After 15 days the teeth were extracted, immediately fixed in 10% buffered formalin, embedded in resin (7200 Technovit), and prepared for thin ground sections with Precise 1 System. In the specimens of all groups, there were active odontoblasts near the composite resins and no newly formed dentin. Small quantities of inflammatory cells were present. A 1- to 3-microm layer zone of necrosis was present. In conclusion, all materials tested in this study induced similar tissue responses.
Preserving the vital pulp in operative dentistry: 4. Factors influencing successful pulp capping.
The sequence of factors that mediate pulp inflammation and necrosis are unclear, and controversy surrounds the effects of different pulp capping materials on exposed pulps. Clinicians have few quantitative studies that rank the in vivo pulp capping effects of commonly used restorative materials.
A histopathologic study of direct pulp-capping with adhesive resins.
OBJECTIVE: The purpose of this study was to evaluate the histologic pulp responses of Optibond and Syntac adhesive resin systems placed directly on exposed pulp tissues. STUDY DESIGN: Class V facial cavities with pulpal exposures were prepared in dogs. After acid etching of enamel margins, the cavities were restored with a composite resin after pulp-capping with one of the dentin bonding agents. The remaining exposures were capped with calcium hydroxide and amalgam as controls. The animals were killed after 7, 21, and 90 days and the pulps were evaluated histologically. Statistical analysis was carried out with the chi-square test. RESULTS: There was no statistically significant difference with respect to inflammatory cell response, fibrosis, bleeding, or bacterial staining criteria over the time intervals of evaluation among the Optibond, Syntac, and calcium hydroxide groups. New dentin formation was also observed for all of the groups at the end of 90 days. CONCLUSION: The results of direct pulp-capping with a dentinal adhesive and composite resin appear promising but further in vivo studies are recommended.
Response of human pulp capped with a bonding agent after bleeding control with hemostatic agents.
PURPOSE: This study evaluated the response of human pulps capped with a bonding agent after bleeding control with different hemostatic agents. MATERIAL AND METHODS: Twenty-five Class II cavities were prepared in 25 caries-free human premolars scheduled for extraction due to orthodontic treatment. The pulp exposures were performed on the occlusal floor. The teeth were randomly divided into five groups. Groups 1-4 were capped with an adhesive system after hemostasis with different agents: Group 1--saline solution; 2--ferric sulfate; 3--2.5% NaOCl; 4--Ca(OH)2 solution. In Group 5, after hemostasis with saline solution, the pulp was capped with calcium hydroxide (control group). Then, ScotchBond Multi Purpose Plus was applied and the resin composite Z-100 placed incrementally according to the manufacturers' directions. After 60 days, the teeth were extracted and processed for light microscopic examination (HE) and the groups were categorized in a histological score system. The data were subjected to a non-parametric test (alpha=0.05). RESULTS: Overall, the histological features showed that the pulp response from Groups 1 through 4 was inferior to the response from Group 5, where dentin bridging occurred. In all groups, where the adhesive system was used for capping, the pulp response varied from an acute inflammatory, with varying degrees, to necrosis. No dentin bridge was formed after adhesive capping.