Which is the most effective biomaterial in indirect pulp capping? 4- year comparative randomized clinical trial

Authors : Uzay KOÇ VURAL, Arlin KİREMİTCİ, Saadet GÖKALP

Pages : 35-41

Doi:10.26650/eor.2022895748

View : 13 | Download : 7

Publication Date : 2022-01-31

Article Type : Research Paper

Abstract :Purpose The aim of this study is to compare the clinical outcomes of Mineral Trioxide Aggregate insert ignore into journalissuearticles values(MTA); and calcium hydroxide pulp capping after complete caries removal. Materials and Methods In 73 regular patients insert ignore into journalissuearticles values(47 women, 26 men; age 20.65±3.02 years);, having at least one deep carious lesion was recruited. Following complete caries removal, the pulp was indirectly capped with either MTAinsert ignore into journalissuearticles values(n=51); or calcium hydroxide insert ignore into journalissuearticles values(n =49);, randomly. Final restoration with a resin-based composite in a single session was performed. Clinical parameters including pulp vitality, sensitivity to cold or heat stimulants, percussion tests and discomfort during chewing and color were recorded after 6 months, 1 year, 2- year, 3- year and 4- year. Data were analysed statistically insert ignore into journalissuearticles values(p < 0.05);. Results After 4- year, the survival rates were 86% insert ignore into journalissuearticles values(for MTA);, and 82.9% insert ignore into journalissuearticles values(for calcium hydroxide);. Totally, 8 teeth from calcium hydroxide group and 7 teeth from MTA group were endodontically treated. No significant difference was detected between the groups in terms of pulp vitality insert ignore into journalissuearticles values(p=0.613);. Grey discoloration rate was 63% in MTA group. Conclusion Both pulp-capping materials, MTA and calcium hydroxide showed similar clinically successful performance in terms of pulp vitality in the treatment of deep dentin caries lesions after 4- year. 
Keywords : Mineral trioxide aggregate, calcium hydroxide, indirect pulp capping, complete caries excavation, randomised clinical trial