Elsevier

Dental Abstracts

Volume 62, Issue 2, March–April 2017, Pages 106-107
Dental Abstracts

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Best direct pulp capping materials

https://doi.org/10.1016/j.denabs.2016.09.048Get rights and content

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Background

Direct capping of exposed, vital, painless pulps is a way for patients to retain the tooth and avoid expensive and more invasive root canal treatment. With direct capping, pulpal health is maintained after trauma or carious involvement, the two modes of exposure. However, the success of direct pulp capping can vary, with high rates most often associated with traumatic exposure and low rates after carious exposure. The material used for pulp capping also affects the prognosis of directly capped

Methods

The Medline, Central, and Embase databases were searched and hand searches performed. Risk of bias was assessed, and meta-analyses were done by dentition, whether primary or permanent.

Results

Eleven studies were included in the analysis, with 6 done in children, 1 in adolescents, and 5 in adults. Mean follow-up was 14 months, with a range of 3 to 24 months. Altogether, 1196 teeth in 922 patients were included.

All but one study compared CH with one or more other alternatives. Included in the list of alternatives were MTA, bonding without separate etching or conditioning, enamel matrix proteins, bonding with prior etching or conditioning, resin-modified glass ionomer cement, calcium

Discussion

Although many different material comparisons were identified, in most cases a single study was available for support. In addition, most of the studies were small, with just a few events taking place over a relatively short period of follow-up. As a result, recommendations should be given with caution. MTA may be used instead of CH for pulp capping in permanent teeth. For primary dentitions, formocresol or CH will offer the best results.

Clinical Significance

The use of various materials for pulp

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Schwendicke F, Brouwer F, Schwendicke A, et al: Different materials for direct pulp capping: Systematic review and meta-analysis for trial sequential analysis. Clin Oral Invest 20:1121-1132, 2016

Reprints available from F Schwendicke, Dept of Operative and Preventive Dentistry, Charité−Universitätsmedizin Berlin, Aßmannshauser Str 4-6, 14197 Berlin, Germany; e-mail: [email protected]

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