direct pulp capping success rate

Appropriate definitions, history and success rates of direct pulp capping procedures are reviewed. Second, the sample size was calculated on the basis of 2 previous studies analyzing success rates after pulp capping using the 2 materials. (grossman) • without signs or symptoms of pulp degeneration. The listed success rates in the literature for direct pulp capping during caries excavation vary substantially [12, 56, 76]. The teeth which met the criteria were treated following the steps shown in Table 2, after warning each patient of the possibility of having to have endodontic therapy in case of tooth pain or evidence of of infection. The rationale for using calcium hydroxide should be reserved for iatrogenic exposures in asymptomatic teeth expected to exfoliate within a short period of time. Defined as a procedure in which the exposed vital pulp is covered with a protective dressing or base placed directly over the site of exposure in an attempt to preserve the pulp vitality. DIRECT PULP CAPPING. That means more money spent and more time in the dental chair. 4 year old boy. 1. The tooth/teeth in question are examined and a decision is made to do direct or indirect pulp capping based on the condition of the tooth. Under the premise of correct indication and technical implementation, direct pulp capping using calcium hydroxide can reach success rates of nearly 60 % after 10 years [76, 110]. Clinical success rate for Biodentine™ was 77.8% (21/27) and for Fuji IX™ 66.7% (18/27) at 24 months. Review showing normal furcation radiolucencies. J Am Dent Assoc. Results: An apparent success rate of 48.5% was obtained versus a 51. C. 12 months after DPC. Two of the disadvantages of this form of treatment are infection of the pulp, either preoperatively or postoperatively due to a non-sterile procedure or bacterial leakage at the capping site. Clinical assessments of the MTA versus calcium hydroxide for direct pulp capping suggested that MTA was superior to calcium hydroxide in direct pulp capping resulting in a lower failure rate (risk difference 0.1 [95% CI 0.04 to … INTRODUCTION: Direct pulp capping is a treatment option for teeth with carious-exposed pulp. Direct pulp capping (DPC) and calcium hydroxide has been widely used with high success rates in young permanent teeth, but the results in primary teeth are less satisfactory [3,4]. Direct pulp capping in primary teeth due to a carious exposure is not indicated but is used in permanent teeth. increased the success rate of IPT. Being a large difference, it could have underestimated the sample size. Direct pulp capping with Biodentine seems to have an acceptable success rate after 1 to 1.5 years. This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. The success rate of direct pulp capping was 59.3%, associated more with traumatic exposure than with carious exposure (75 % versus 29.03%, p˂0,001) and more with class I occlusal restorations (85.71%) than with proximal restorations (class II 59.09%, class III 66.67%, p=0,009). Considering this, the findings of the present study must be viewed with caution. Calcium Hydroxide and mineral trioxide aggregate (MTA) have both been used. Indirect pulp capping • procedure where the deepest layer of the remaining affected carious dentin is covered with layer of biocompatible material in order to prevent pulpal exposure and further trauma to pulp. No significant difference p = 0.07) was found in the success rate at 24 months between the two materials. There was no difference between partial and coronal pulpotomy (P=.673). The most effective material was anything with calcium hydroxide in it. In cariously exposed pulps, the effectiveness of direct pulp cap varies. The success rates of direct pulp-capping with calcium hydroxide decrease as follow-up periods increase. Conclusions: … The procedure typically involves arresting any pulpal hemorrhage followed by covering and sealing exposed pulp tissue in some fashion to preserve its health, function, and viability. • Fitzgerald and Heys: 79% success rate after one year. Direct pulp capping Indirect pulp capping 15. doi: 10.1016/j.adaj.2018.01.040. 16. Epub 2019 May 16. The purpose of this study was to compare the clinical and radiographic success rate of direct pulp capping (DPC) and partial pulpotomy (PP) treatment using MTA as pulp capping agent in treatment of primary teeth with pulp exposure after direct complete excavation. Was no difference between partial and coronal pulpotomy ( P=.673 ) introduction: direct pulp capping the for! Results: an apparent success rate capping was 92.2 percent with carious exposure is not to say wouldn... 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direct pulp capping success rate 2021