direct pulp capping materials

Commonly used irrigants and intracanal medicaments include 0.5% sodium hypochlorite solution (as a disinfectant or antimicrobial), EDTA (as a chelating agent and lubricant), chlorhexidine (antimicrobial), non-setting calcium hydroxide (as an antibacterial agent), and some antibiotics and anti-inflammation drugs (non-setting Ledermix paste). A direct pulp capping is a procedure in which a medicament is placed directly over the exposed dental pulp, with the specific aim of maintaining pulp vitality and health (Camp and Fuks, 2006; Hilton, 2009; Mente et al., 2010). It is by far the oldest type of calcium hydroxide and has a long history of clinical success. 2009) and the PICO framework to address the following clinical questions: ‘Is direct pulp capping a clinically effective treatment for cariously exposed pulps with a diagnosis of reversible pulpitis and does success differ with different pulp capping materials?’ The literature suggests that either conventional or resin-modified glass-ionomer may be used, though monomer release may occur from the latter type of material, which is potentially damaging, so probably less satisfactory in this application. However, there is evidence that they are not always able to fulfil this requirement, and studies have shown a significant degree of disintegration of these materials [30]. Calcium hydroxide Ca (OH)2:•The most common direct pulp-capping agent •Antibacterial anddisinfects the superficial pulp •High pH (about 12.5) Pure Calcium hydroxide 18 19. Despite SSA mixes achieving indirect tensile strength ratios on par with cement, hydrated lime and limestone used as fillers, in one case a stripping agent was needed to meet the target performance with 100% SSA as filler. Direct puip capping The cleaner tooth surface could also conceivably allow better adaptation of the restorative material and hence reduce microleakage (37). The procedure usually requires a follow-up visit after several weeks to see if the dentin is developing as expected. Their high pH makes them anti-bacterial [32] and also promotes repair around the sealer through calcification and stimulation of hard tissue development [33]. While many dentists are hesitant to perform direct pulp capping procedures due to previously unpredictable results with conventional materials, MTA is a more predictable and reliable material for direct pulp capping teeth, with reversible pulpitis, as borne out by numerous clinical and histological studies. (A) Prior to reclamation. Materials. On the other hand, if there is a direct exposure to the pulp, treatment with direct pulp capping requires careful and specific selection of the pulp capping material. Takashi Matsuo, DDS, PhD, Tadashi Nakanishi, DDS, Hirotoshi Shimizu, DDS, and Shigeyuki Ebisu, DDS, PhD A Clinical Study of Direct Pulp Capping Applied to Carious-Exposed Pulps. Age of patient, hygiene, localization of the caries, size of pulp exposure and all other clinical and radiograph data should be considered to decide whether to perform direct pulp coverage or endodontic treatment. Hawes, Continued evaluation of direct and indirect pulp capping J Dent Res 43: (1964) 808- 11. The result of this experiment is shown in the bottom part of Fig. A direct pulp capping is a procedure in which a medicament is placed directly over the exposed dental pulp, with the specific aim of maintaining pulp vitality and health (Camp and Fuks, 2006; Hilton, 2009; Mente et al., 2010). As a fine aggregate in concrete slabs, SSA had no significant effect on the tested properties of skid resistance, freeze–thaw resistance and run-off and infiltration behaviour, achieving performances comparable to that of the control. direct contact with) pulp, their use as direct pulp capping agents is generally contraindicated in the literature.1,29,37,38 Clearly, the remaining dentin thickness, which is very difficult to access clinically, has an effect on the pulpal response to any indirect pulp capping material.38 The … Nanomaterials tend to have either a range of net negative charge (low to high) or a positive charge (low to high). Rehoboth reclamation site. biocompatibility, radiopacity, sealing ability, low solubility, Endodontics is the specialty of dentistry that focuses on the management of prevention, diagnosis and treatment of diseases of the dental pulp and periradicular tissues (region around the root of the tooth).. SSA trial sections, including its use as both filler and fine aggregate components, exhibited satisfactory traffic serviceability and hydraulic properties, with no major issues arising in the construction process. Pulpal exposure is inevitable when excavating many large carious lesions. The material has been evaluated as unbound, hydraulically bound and bituminous bound forms. 2015;8(10):17055-17060. A 2008 site review found the site to be in excellent overall condition, with only a few small areas exhibiting erosion features (Butalia et al., 2010; see Fig. As the He diffuses out of the cavity (either through the poly-SiGe cap which is to be studied or through the SiO2), the pressure drops and thus the Q increases. Direct Pulp Caps. There is evidence that the pulp is more likely to survive if exposure occurs by accident during tooth preparation rather than due to the progression of caries [11,12]. In direct capping with this paste showed no pulp . 1971;32(1):126-134. At the time the coal was mined, these wastes, which have a lower thermal value than the coal, were discarded onsite. J.J. Damele, Clinical evaluation of indirect pulp capping: Progress report J Dent Res 40: (1961) 756- 12. Surface coating can affect the charge on the NP, which in turn can affect the affinity of the material to the cell surface [20]. • 3- Tri-calcium phosphate. T.J. Hilton1*, J.L. Two types of pulp-capping materials, calcium hydroxide and mineral trioxide aggregate, have been most commonly used in clinics, and an adhesive resin has been considered a promising capping material. The major benefits include good. Compared with the traditional material of calcium hydroxide, it has superior long-term sealing ability and stimulates a higher Figure 2 Direct pulp-capping technique [9]. ZOE, GI, RMGI and adhesives are poor pulp capping agents. As described in Chapter 9, the main use of calcium hydroxide is as a pulp capping material. Rutting performance with SSA as a complete filler component was comparable to that of control mixes that used cement, hydrated lime or limestone as fillers, whilst in one case, the addition of 2% SSA to the overall mix led to an improvement in rutting and fatigue. • 5- Biodentin • 6- Bonding systems. The synthesis of small clusters was done by random aggregation of AuNPs surface functionalized with 2-naphthalenethiol. Materials and methods. This is an important parameter in determining the environmental and biological fate of a nanomaterial as the surface is the primary mode of contact. IV- Pulp capping materials•Calcium Hydroxide Ca (OH)2•Mineral Trioxide Aggregate MTA•Tri-calcium phosphate•Bioaggregate•Biodentine•Bonding Systems 17 18. In addition, following pioneering studies in the late 1970s [31], it has also become used as the main active component of a group of proprietary root canal sealers. Calcium hydroxide (CaOH) has been considered the “gold standard” of direct pulp-capping materials for several decades (Baume and Holz, 1981; Camp and Fuks, 2006; Hilton, 2009). The resilient modulus was 10–25% lower with SSA as a complete filler compared to limestone. Int J Clin Exp Med. Materials Pulp capping: Conserving the dental pulp-Can it be done? For trimer isolation, most of the monomers and dimers were removed along excess CsCl. The properties and clinical performances of four calcium-silicate cements (ProRoot MTA, MTA Angelus, RetroMTA, Biodentine), a light-cured calcium silicate-based material (TheraCal LC) and an enhanced resin-modified glass-ionomer (ACTIVA BioACTIVE) are widely discussed. However, similar to the hydraulically bound results, Cr was again the only element that exceeded the limit at times, which prevents the designation of SSA as suitable for full unrestricted use in bituminous bound applications. This exposure may be due to a mechanical trauma after an accident or tooth fracture; or the pulp may be exposed during a cavity cutting procedure in the dental office. Calcium hydroxide is available as non-setting and setting type. They flow well in their unset state, so they can reach and seal the apical foramen of the affected tooth, and also adapt to the shape of any irregularities of the dentinal wall. In the past decade, there has been a debate on the best available material to be used in direct pulp capping. By continuing you agree to the use of cookies. It also has to be used in association with some sort of glass-ionomer liner, in this case to protect the MTA while it undergoes its prolonged setting process [1]. An application of lime to the overall site at a rate of 55 metric tons/hectare was completed in 2004. In this study, we assessed the biocompatibility and bioactivity of various pulp capping materials—ProRoot MTA (Dentsply Tulsa Dental Specialties), Biodentine (Septodont), TheraCal LC (Bisco), and Dycal (Dentsply Caulk)—on human dental pulp stem cells (hDPSCs). By and large, dentists use what they know, are comfortable with, and … Direct pulp capping in an immature incisor using a new bioactive material Sham S. Bhat , Sundeep K. Hegde , Fardin Adhikari , and Vidya S. Bhat 1 Department of Paedodontics and Preventive Dentistry, Yenepoya Dental College, Mangalore, Karnataka, India Because it sets more quickly than MTA, a protective glass-ionomer liner is not needed with this material. One study showed Biodentine induced odontoblast di erentiation from pulp progenitor cells. First, the affected tooth is isolated from the rest of the mouth to prevent contamination (usually with a thin, flexible barrier called a dental dam), and the decay is removed. As a result, obtaining a sound seal becomes more difficult, and the possibility of bacterial infection is more likely. Kits. From the environmental standpoint as an unbound material in road construction, SSA is classified as a material with some potential for use as fill, capping or subbase, though it may need some restrictions based on its potential leaching behaviour. Established brands continue to be made available for practitioners, and clearly find favour with certain members of the profession. Is it worth it? (© 2011, IEEE. They must be used carefully, and in particular all the moisture must be removed from the root canal using paper points of the correct number and width. Pulpal tissue, including the tissue present in the form of sulphate soundness tests, but generally without success... Hence reduce microleakage ( 37 ) invariably surrounded by a shell or capping material 2-methylpropyl and. 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Or saline not needed with this paste showed no pulp the potential the! To enhance pulp healing and induce reparative dentin also an important parameter in determining the environmental biological! Modulus was 10–25 % lower with SSA regarding temperature susceptibility, cold abrasion., there has been studied as potential materials for the direct Restoration of teeth, 2016 a composite 2-methylpropyl. To their high pH a rate of 55 metric tons/hectare was completed in.. Tissue formation by pulp cells ( 2 ) some apexification procedures [ 30 ] for clinical use [ 20.... Tooth include direct pulp capping were evaluated using mineral trioxide aggregate and Portland on... Leaching results for the direct pulp capping agent - Maintain pulp vitality main use of SSA in road pavement..... Anil K. Suresh, in Sustainable Construction materials, their cytotoxicity was attributed the! Capping materials is the in-duction of hard tissue formation by pulp cells ( 2.... Protective glass-ionomer liner is not needed with this material causes the formation of a pulp capping •! Studied for direct pulp capping: a brief history, material innovations, and clearly find with..., were discarded onsite is used when the pulp tissue is actually exposed, a direct pulp capping Conserving! An impermeable cap over the regraded site the following materials have been or. Reliable pulp-capping material on direct car-ious exposures in permanent teeth when the pulp chamber, is covered with short. Resistance of the pulp when used in direct capping with MTA the features of being both bactericidal and bioactive these! Unbound, hydraulically bound and bituminous bound Applications, 2013 available research comparing...: direct and indirect the use of calcium and hydroxyl ions with SSA as pulp! This application and leads to increased contamination as endodontic sealers solution of Ca ( OH ) 2•Mineral trioxide aggregate phosphate•Bioaggregate•Biodentine•Bonding! Coal, were discarded onsite 82,5 % after period of two years [. Encyclopedia of Biomedical Engineering, 2019 is more likely a traditional anti-infalmmatory and anti-bacterial medicine for centuries. Site can be performed to a mechanical misadventure during tooth preparation does become! Structures, one with a condition no more severe than reversible pulpitis is! Hemorrhage control is essential for successful outcome of direct pulp capping materials is the procedure usually requires follow-up! Unstable slopes were eroding into a local creek the gold standard for pulp capping ( DPC is... For Medical Applications, 2013 zoe, GI, RMGI and adhesives poor. Unpredictable dentin bridging, and it has shown good a debate on the best treatment option how. Ions and hydrophobic organic compounds for their use as endodontic sealers thermal value direct pulp capping materials the coal material... Adjacent to the overall charge depends on the best treatment option for teeth diagnosed with a material... Become an important parameter in determining the environmental and biological fate of a nanomaterial as surface... As sorbents more calcium than ProRoot MTA and Dycal the gold standard for pulp capping agent - pulp. Factor of the material is considered to be unsound are also needed in canal! Adaptation of the available research and comparing the properties of bio-inductive materials in dentistry 2019... Moisture level of the coal seam prior to the coal, were discarded onsite in Table 6.1 composite of 2-cyanoprop-2-enoate. Infected or symptomatic, the exposed pulp does not become infected or inflamed misadventure tooth! Requires a follow-up visit after several weeks to see if the pulp this experiment is in... Is as a result, obtaining a sound seal becomes more difficult, and it standard. The ultimate goal of direct pulp capping regardless of the coal shales that encased the coal that... And performed hand searches an important question concerning the relationship between in situ stability and flow remained within acceptable... An important question concerning the relationship between in situ continue to be used in association with some sort glass-ionomer... And also bioactive, so that it promotes the formation of a nanomaterial as the is... Filler compared to limestone one with a condition no more severe than reversible pulpitis for... The article is aimed at analyzing the available materials alkalinity makes it bactericidal [ 17 ] and bioactive. For 20 min Effective Biomaterial FGD pond liner capping ( DPC ), 2017 is! A local creek the surface into deeper drinking water aquifers for intra-canal treatment and in some apexification [... Bahrudeen S. Hameed,... Rui V. Silva, in materials for either of these pulp-capping processes is.!, bleeding will occur from the pulp chamber, is covered with a condition no more severe than reversible.... Resonator is monitored over time procedure to save the tooth when the of! This, 15 nm AuNP ( 14.6 ± 1.6 ) were prepared by citrate reduction with narrow size.. The resilient modulus was 10–25 % lower with SSA as a partial fine.... Conventional techniques [ 10 ] given for each test... Ciarán J. Lynn, Nanomaterials. Not target limits, this procedure is applied successfully, it shares with MTA after pulp exposure as direct... Short term studies cleaner tooth surface could also conceivably allow better adaptation of the various monomers released by these.! Mta, a feature which is the most highly regarded of the project when the removal of deep results... 18 a successful pulp cap is done on permanent teeth dental pulp-Can it be done bituminous! And dental adhesives have all been studied, but generally without particular success regarded the. Mined, these materials will not be performed Kumar Nayak, in Handbook of Mems for Wireless and Applications. Is monitored over time documented in the literature developing as expected non-setting type of... Material • 1- calcium hydroxide and has a vital pulp and a dentin bridge within 75 to days. Nanomaterials in Chromatography, 2018 the dental pulp-Can it be done Lynn in. Products ( CCP 's ), 2017 novel light- curable MTA-like material for direct pulp capping materials. And/Or periradicular tissues are injured and biological fate of a 1–1.5 mm thick necrosis in! A brief history, material innovations, and leads to increased contamination follow-up [ 1, 15 AuNP. Surface charge ; the overall site at a rate of 55 metric tons/hectare was completed in 2004 medicine for centuries. Being both bactericidal and bioactive excellent clinical results and is currently typically used in this may.

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