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At least 55 records · Page 3Linked to original sources
PubMed1989

Pulp capping: conserving the dental pulp--can it be done? Is it worth it?

Emphasis has shifted from the "doomed" organ concept of an exposed pulp to one of hope and recovery. The era of vital-pulp therapy has been greatly enhanced with the introduction of calcium hydroxide (CH) products. The sequence of events leading to dentinal bridge formation with various CH formulas is detailed. Those factors usually considered liabilities to direct pulp capping (pulps cariously exposed, contaminated by saliva, previously carious or restored, periodontally involved, or from older patients and primary teeth) are disputed. Those factors that must be considered to improve the success rate of pulp capping are emphasized: control bleeding, make certain the CH contacts vital-pulp tissue, minimize dentinal chip invasion, avoid embolization of CH particles, and be aware of the depth of penetration of the chemical cautery effect.

Calcium Hydroxide↗
PubMed1995

Effects of antibacterial capping agents on dental pulps of monkeys mechanically exposed to oral microflora.

The effects of antibacterial drugs on bacterially contaminated dental pulps were investigated in monkeys. Class V buccal cavities with pulpal exposures were prepared and then left open to the oral environment for 24 h. The exposed pulps were capped with alpha-tricalcium phosphate (alpha-TCP) containing a mixture of antibacterial drugs. Either alpha-TCP or Ca(OH)2 was used as a control. Pulpal responses were histologically evaluated after 4 wk. Those teeth capped with alpha-TCP alone showed total pulp necrosis and bacterial growth within the pulp chamber. By contrast, the pulps capped with alpha-TCP containing mixed antibacterial drugs remained almost normal without any necrotic layer, but showed persistent absorbing response to capping materials and no signs of hard tissue barrier formation. In teeth capped with Ca(OH)2, a hard tissue barrier was formed below the exposure site, with a wide loss of pulp tissue. No inflammation was seen under the barrier. These results indicate that mixed antibacterial drugs added to alpha-TCP effectively disinfected pulpal lesions, without destroying any of the sound pulp tissue. However, hard tissue barrier formation was delayed by this mixture as compared with Ca(OH)2.

Animals↗
PubMed2005

Histological analysis of rat dental pulp tissue capped with propolis.

The aim of the present study was to assess the response of rat dental pulp to direct pulp capping with propolis. Flavonoid and non-flavonoid materials were purified from an ethanol extract of propolis obtained from South Sulawesi, Indonesia. A Class I cavity was prepared on the occlusal surface of the right maxillary first molar in Sprague Dawley rats. The dental pulp was exposed and then capped with a zinc oxide-based filler as a control (group I), or with propolis flavonoids (group II) or non-flavonoids (group III). The animals were sacrificed at week 1, 2 or 4, biopsy samples were obtained, and these were stained and viewed by light microscopy. The results showed that pulp inflammation occurred in groups I and III as early as week 1. No dentin bridge formation was seen in these groups. In contrast, there was no evident inflammatory response in group II at week 1. Mild and moderate pulp inflammation in this group occurred at 2 and 4 weeks after treatment, respectively. Partial dentinal bridge formation was seen in group II at week 4. Therefore, the present results suggest that direct pulp capping with propolis flavonoids in rats may delay dental pulp inflammation and stimulate reparative dentin.

Animals↗
PubMed2000

[The effect of fibrin sealant on dental pulp for pulp capping in experimental dogs].

OBJECTIVE: To investigate the pulp tissue reaction and reparative dentine formation of dog pulp capped with Fibrin Sealant (FS). METHODS: The fibrin was from a tisseel Kit (Immuno AG, Vienna, Austria) consisting of solution A (freeze-dried human fibrinogen, factor XIII, Aprotinine) and solution B (thrombin powder, calcium chloride) with 0.02 ml from each for each tooth. The Ca(OH)2 paste (Calar, China) was served as the control. Forty nine cuspid, premolar and molar teeth in 4 adult dogs weighed 11-13 kg were used. Surgical anesthesia was obtained by muscle injection of 3% sodium pentobarbital (1 ml/kg). The pulp were exposed by using sterile high-speed rotary cutting instruments with water-cooling. The pulps were treated with 0.02 ml fibrin or Ca(OH)2 paste respectively. The cavity was filled with zine phosphate cement. The animals were killed at intervals of 1, 4, 6, 9 weeks after surgery and perfused with phosphate-buffered saline followed by 10% formalin in phosphate-buffered saline. The jaws were resected and the samples prepared by removing each experimental tooth in block, further fixing them by immersion in 10% formalin in phosphate-buffered saline. The specimen were processed for histologic examination. Serial sections (5 nm thick) were made, stained with hematoxylin and eosin, examined using a light microscope. RESULTS: 7 days after operation, the samples treated with the FS showed no hemorrhage and degeneration of pulp tissue and a small amount inflammatory cells near the wounds. The samples treated with Ca(OH)2 showed hemorrhage and degeneration (2/6) and a large amount inflammatory cells near the wounds. 28 days after operation, pulp health of teeth treated with FS and Ca(OH)2 was nearly recovered. Dentin bridges were observed in 2 out of 6 cases treated with Ca(OH)2. 42 days after operation, pulp health of teeth treated with FS and Ca(OH)2 was totally recovered. Dentin bridges were observed in 2 out of 7 cases of pulp treated with FS and four out of 6 cases treated with Ca(OH)2. 63 days after operation, pulp health of teeth treated with FS and Ca(OH)2 was soundly resumed. The dentine bridge was observed in 4 out 6 cases of pulp treated with the FS and in all 6 cases treated with Ca(OH)2. CONCLUSION: FS has no dentin inducing activity, but can enhance exposed pulp healing, so FS can be served as a promised pulp capping agent.

Animals↗
PubMed1989

Response of the dental pulp to capping with a composite resin-bonded ceramic and dental adhesive in rat molars.

An inflammatory response occurs in the pulp tissue following the application of dental materials due to their chemical properties and/or a secondary bacterial irritation. Recently, a new line of composite resin products with reported improved esthetic qualities was designed to allow an intimate adherence with the dentin. This intense bonding could prevent bacterial penetration and marginal discoloration of these restorations. In addition, this method allows prevention of excessive removal of hard tissue. The present study examines pulpal reaction to capping with P-10 composite resin (Dental Products, USA) in rats. Histological examination did not reveal any inflammatory reaction in the nonexposed pulps. Direct pulp capping with P-10 induced formation of reparative dentin bridges.

Animals↗
PubMed1982

Capping of the dental pulp mechanically exposed to the oral microflora -- a 5 week observation of wound healing in the monkey.

The healing capacity of mechanically exposed and bacterially contaminated dental pulps was assessed in monkeys after capping with 2 commercial Ca(OH)2 containing compounds. One hundred eighty teeth in 7 monkeys were employed, 45 as untreated controls and 135 as treated exposures. Class V buccal cavity preparations resulting in pulpal exposure were prepared, left open to the oral cavity for 0, 1, 24 h or 7 days and employed as controls, or debrided, capped, restored with amalgam and left undisturbed for 5 weeks as treated exposures. Zero and 1 h untreated exposures presented damage from the mechanical trauma only, whereas 24 h and 7 day pulp wounds exhibited pronounced infiltrations of polymorphonuclear and mononuclear leukocytes. In addition, the 7 day exposures demonstrated several teeth with partial and total necrosis. Treated 0, 1 and 24 h exposures demonstrated wound healing, minimal pulp tissue inflammation, reorganization of soft tissue and formation of new hard tissue at the exposure site in 86 of 99 teeth. Treated 7 day exposures healed less frequently, showing signs of dentin bridging in 15 of 27 teeth. This study indicated that mechanically exposed and orally contaminated dental pulps in monkeys have a high capacity to resolve inflammation and initiate healing with new dentin formation at the exposure site when treated as described.

Animals↗
PubMed2003

Histopathological study of dental pulp tissue capped with enamel matrix derivative.

The purpose of this study was to examine the histopathological response of dental pulp tissue to enamel matrix derivative (EMD) used as a pulp capping material. Thirty-two teeth from two mongrel dogs were divided into four equal groups. One group served as controls, and the others were used for deep Class V cavity preparation followed by direct pulp capping with enamel matrix derivative. The treated teeth were extracted after 1, 4, and 8 weeks and prepared for histopathological examination by light microscopy. All teeth prepared after 4 and 8 weeks demonstrated an increase in tertiary dentin, suggesting that enamel matrix derivative exerts a considerable influence on odontoblasts and endothelial cells of capillaries in dental pulp tissue. These results imply that enamel matrix derivative used as a pulp capping material may play a role in the calcification of dental pulp tissue.

Animals↗