International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 12 , ISSUE 5 ( September-October, 2019 ) > List of Articles

REVIEW ARTICLE

Clinical and Radiographic Outcomes of Calcium Hydroxide vs Other Agents in Indirect Pulp Capping of Primary Teeth: A Systematic Review

Manisha Nair

Keywords : Biodentine, Calcium hydroxide, Indirect pulp capping, Mineral trioxide aggregate, Primary teeth

Citation Information : Nair M. Clinical and Radiographic Outcomes of Calcium Hydroxide vs Other Agents in Indirect Pulp Capping of Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2019; 12 (5):437-444.

DOI: 10.5005/jp-journals-10005-1672

License: CC BY-NC 4.0

Published Online: 01-02-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: To extract and systematically identify the existing literature on the “Clinical and radiographic outcome of calcium hydroxide vs other agents in indirect pulp capping of primary teeth”. Objective: To compare the clinical and radiographic outcome of calcium hydroxide and other agents in indirect pulp capping of primary teeth. Search strategy: The following databases were searched: PubMed Central, Cochrane Database of Systematic Reviews, Lilacs, Science Direct, Sigle. Bibliographies of clinical studies identified in the electronic search were analyzed for studies published outside the electronically searched journals. Selection criteria: Studies comparing the clinical and radiographic success rate of one or more indirect pulp capping agents with calcium hydroxide in primary molars were included. Results: The initial search revealed 243 of which only 9 met the inclusion criteria and 234 were excluded based on the exclusion criteria. All the 9 included studies analysed the clinical and radiographic outcome of calcium hydroxide in comparison with other agents in indirect pulp capping of primary teeth. Conclusion: There is a very limited good quality studies estimating the clinical and radiographic outcome of calcium hydroxide in comparison with other agents in indirect pulp capping of primary teeth. The review identified the need for more studies on the clinical and radiographic outcome of calcium hydroxide in comparison with other agents in indirect pulp capping of primary teeth.


PDF Share
  1. Ghoddusi J, Forghani M, et al. New approaches in vital pulp therapy in permanent teeth. Iran Endod J 2014;9(1):15.
  2. Schröder U. Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, proliferation, and differentiation. J Dent Res 1985 Apr;64(4):541–548.
  3. Watts A, Paterson RC. Cellular responses in the dental pulp: a review. Int Endod J 1981 Jan 1;14(1):10–21.
  4. Cox CF, Suzuki S. Re-evaluating pulp protection: calcium hydroxide liners vs. cohesive hybridization. J Am Dent Assoc 1994 Jul 1;125(7):823–831.
  5. Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent 2009 Sep;34(5):615–625.
  6. Goldberg M, Kulkarni AB, et al. Dentin: Structure, Composition and Mineralization: The role of dentin ECM in dentin formation and mineralization. Front Biosci (Elite Ed) 2011 Apr 26;3:711.
  7. Heys DR, Cox CF, et al. Histological considerations of direct pulp capping agents. J Dent Res 1981 Jul;60(7):1371–1379.
  8. Cox CF, Sübay RK, et al. Tunnel defects in dentin bridges: their formation following direct pulp capping. Oper Dent 1996;21(1):4–11.
  9. Ghoddusi J, Forghani M, et al. New approaches in vital pulp therapy in permanent teeth. Iran Endod J 2014;9(1):15.
  10. Bogen G, Kim JS, et al. Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc 2008 Mar 31;139(3):305–315.
  11. Laurent P, Camps J, et al. Induction of specific cell resonses to a Ca3 SiO5 -based posterior restorative material. Dent Mater 2008;24(11):1486–1494.
  12. Garrocho-Rangel A, Quintana-Guevara K, et al. Bioactive Tricalcium Silicate-based Dentin Substitute as an Indirect Pulp Capping Material for Primary Teeth: A 12-month Follow-up. Pediatr Dent 2017 Sep 15;39(5):377–382.
  13. Casagrande L, Bento LW, et al. In vivo outcomes of indirect pulp treatment using a self-etching primer vs calcium hydroxide over the demineralized dentin in primary molars. J Clin Pediatr Dent 2008 Dec 1;33(2):131–136.
  14. Casagrande L, Westphalen Bento L, et al. Indirect pulp treatment in primary teeth: 4-year results. Am J Dent 2010 Feb 1;23(1):34.
  15. Trairatvorakul C, Sastararuji T. Indirect pulp treatment vs antibiotic sterilization of deep caries in mandibular primary molars. Int J Paediatr Dent 2014 Jan 1;24(1):23–31.
  16. Farsi N, Alamoudi N, et al. Clinical assessment of mineral trioxide aggregate (MTA) as direct pulp capping in young permanent teeth. J Clin Pediatr Dent 2007;31(2):72–76. DOI: 10.17796/jcpd.31.2.n462281458372u64.
  17. Garrocho-Rangel A, Quintana-Guevara K, et al. Bioactive tricalcium silicate-based dentin substitute as an indirect pulp capping material for primary teeth: a 12-month follow-up. Pediatr Dent 2017;39(5): 377–382.
  18. Bogen G, Kim JS, et al. Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc 2008 Mar 31;139(3):305–315.
  19. Mathur VP, Dhillon JK, et al. Evaluation of indirect pulp capping using three different materials: A randomized control trial using cone-beam computed tomography. Indian J Dent Res 2016 Nov 1;27(6):623.
  20. Kitasako Y, Ikeda M, et al. Pulpal responses to bacterial contamination following dentin bridging beneath hard-setting calcium hydroxide and self-etching adhesive resin system. Dent Traumatol 2008 Apr 1;24(2):201–206.
  21. Gardner DE, Mitchell DF, et al. Treatment of pulps of monkeys with vancomycin and calcium hydroxide. J Dent Res 1971 Sep;50(5): 1273–1277.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.