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Original Research

Open Access

In vivo outcomes of Indirect Pulp Treatment using a Self-etching Primer versus Calcium Hydroxide over the Demineralized Dentin in Primary Molars

  • Luciano Casagrande1,*,
  • Letícia Westphalen Bento2
  • Simone Ossok Rerin'2
  • Évelin de Resende Lucas2
  • Débora Martini Dalpian2
  • Fernando Borba de Araujo2

1Franciscan University Center (UNIFRA), Santa Maria RS, Brazil

2Department of Pediatric Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre RS, Brazil

DOI: 10.17796/jcpd.33.2.82r1tp71x75m5345 Vol.33,Issue 2,March 2009 pp.131-136

Published: 01 March 2009

*Corresponding Author(s): Luciano Casagrande E-mail: lucianocasagrande@hotmail.com lucianocasagrande@unifra.br

Abstract

Objective: To evaluate the clinical and radiographic outcomes (24 months) of indirect pulp treatment (IPT)in primary teeth when a self-etching primer or a calcium hydroxide layer was used over the remaining carious dentin. Study design: Primary molar teeth with deep carious lesions without signs and symptoms of irreversible pulpitis were divided into two groups, according to the capping material: Experimental group(1): self-etching adhesive system (Clearfill SE Bond); and Control group (2): calcium hydroxide liner(Dycal). Both groups were followed up after application of a resin restoration (3M - Z250). Results: After 2 years of clinical and radiographic follow-up, no statistical difference was found between groups (p=1). The overall success rate reached 87%. Conclusion: These results demonstrate that IPT has a high clinical and radiographic performance in primary teeth and is not dependent on the capping material used over the demineralized dentin.

Keywords

primary teeth, indirect pulp treatment, self-etching primer, calcium hydroxide

Cite and Share

Luciano Casagrande,Letícia Westphalen Bento,Simone Ossok Rerin,Évelin de Resende Lucas,Débora Martini Dalpian,Fernando Borba de Araujo. In vivo outcomes of Indirect Pulp Treatment using a Self-etching Primer versus Calcium Hydroxide over the Demineralized Dentin in Primary Molars. Journal of Clinical Pediatric Dentistry. 2009. 33(2);131-136.

References

1. Besic, F. The Fate of Bacteria Sealed in Dental Cavities. J. Dent. Res, v. 22, n.5, p. 349–354, 1943.

2. Eidelman, E., S. B. Finn, et al. Remineralization of carious dentin treated with calcium hydroxide. J Dent Child, v.32, n.4, p. 218–25, 1965.

3. King, J. B., Jr., J. J. Crawford, et al. Indirect pulp capping: a bacterio-logic study of deep carious dentine in human teeth. Oral Surg Oral Med Oral Pathol, v.20, n.5, Nov, p. 663–9, 1965.

4. Sarnat, H. M., M. Microstructure of Active and Arrested Dentinal Caries. J. Dent. Res., v.44, n.06, Nov-Dec, p. 1389–1401, 1965.

5. Aponte, A. J., J. T. Hartsook, et al. Indirect pulp capping success veri-fied. J Dent Child, v.33, n.3, May, p. 164–6, 1966.

6. Fairbourn, D. R., G. T. Charbeneau, et al. Effect of improved Dycal and IRM on bacteria in deep carious lesions. J Am Dent Assoc, v.100, n.4, Apr, p. 547–52, 1980.

7. Nordbo, H., G. Brown, et al. Chemical treatment of cavity walls fol-lowing manual excavation of carious dentin. Am J Dent, v.9, n.2, Apr, p. 67–71, 1996.

8. Bjorndal, L. e T. Larsen. Changes in the cultivable flora in deep carious lesions following a stepwise excavation procedure. Caries Res, v.34,

n. 6, Nov-Dec, p. 502–8, 2000.

9. Ribeiro, C. C., L. N. Baratieri, et al. A clinical, radiographic, and scan-ning electron microscopic evaluation of adhesive restorations on cari-ous dentin in primary teeth. Quintessence Int, v.30, n.9, Sep, p. 591-9, 1999.

10. Bjorndal, L., T. Larsen, et al. A clinical and microbiological study of deep carious lesions during stepwise excavation using long treatment intervals. Caries Res, v.31, n.6, p. 411–7. 1997.

11. Farooq, N. S., J. A. Coll, et al. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in pri-mary teeth. Pediatr Dent, v.22, n.4, Jul-Aug, p. 278–86. 2000.

12. Falster, C. A., F. B. Araujo, et al. Indirect pulp treatment: in vivo out-comes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent, v.24, n.3, May–Jun, p. 241–8, 2002.

13. Massara, M. L., J. B. Alves, et al. Atraumatic restorative treatment: clinical, ultrastructural and chemical analysis. Caries Res, v.36, n.6, Nov–Dec, p. 430–6, 2002.

14. Al-Zayer, M. A., L. H. Straffon, et al. Indirect pulp treatment of pri-mary posterior teeth: a retrospective study. Pediatr Dent, v.25, n.1, Jan–Feb, p. 29–36, 2003.

15. Marchi, J. J., F. B. De Araujo, et al. Indirect pulp capping in the primary dentition: a 4 year follow-up study. J Clin Pediatr Dent, v.31, n.2, Win-ter, p. 68–71, 2006.

16. Oliveira, E. F., G. Carminatti, et al. The monitoring of deep caries lesions after incomplete dentine caries removal: results after 14-18 months. Clin Oral Investig, v.10, n.2, Jun, p. 134–9, 2006.

17. Pinto, A. S., F. B. De Araujo, et al. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. Am J Dent, v.19, n.6, Dec, p. 382–6, 2006.

18. Tay, F. R., R. Carvalho, et al. Effect of smear layers on the bonding of a self-etching primer to dentin. J Adhes Dent, v.2, n.2, Summer, p. 99–116, 2000.

19. Casagrande, L., V. De Hipolito, et al. Bond strength and failure patterns of adhesive restorations in primary teeth aged in the oral environment. Am J Dent, v.19, n.5, Oct, p. 279–82, 2006.

20. Casagrande, L., V. De Hipolito, et al. Bond strength and interfacial morphology of two adhesive systems to deciduous dentin: in vitro study. J Clin Pediatr Dent, v.29, n.4, Summer, p. 317–22, 2005.

21. Mehl, A., R. Hickel, et al. Physical properties and gap formation of light-cured composites with and without ‘softstart-polymerization.’ J Dent, v.25, n.3–4, May–Jul, p. 321–30, 1997.

22. Franzon, R., L. Casagrande, et al. Clinical and radiographic evaluation of indirect pulp treatment in primary molars: 36 months follow-up. Am J Dent, v.20, n.3, Jun, p. 189–92, 2007.

23. Fitzgerald, M. e R. J. Heys. A clinical and histological evaluation of conservative pulpal therapy in human teeth. Oper Dent, v.16, n.3, May–Jun, p.101–12, 1991.

24. Maltz, M., E. F. De Oliveira, et al. A clinical, microbiologic, and radi-ographic study of deep caries lesions after incomplete caries removal. Quintessence Int, v.33, n.2, Feb, p. 151–9, 2002.

25. Graham, L., P. R. Cooper, et al. The effect of calcium hydroxide on sol-ubilisation of bio-active dentine matrix components. Biomaterials, v. 27, n.14, May, p. 2865–73, 2006.

26. Bergenholtz G. Evidence for bacterial causation of adverse pulpal responses in resin-based dental restorations. 2000; Crit Rev Oral Biol Med, 11: 467–80.

27. Straffon LH, Loos P. The indirect pulp capping: a review and commen-tary. 2000; J Israel Dent Assoc, 17: 7–14.

28. Nor, J. E., R. J. Feigal, et al. Dentin bonding: SEM comparison of the resin-dentin interface in primary and permanent teeth. J Dent Res, v.75, n. 6, Jun, p. 1396–403, 1996.

29. Hashimoto, M., H. Ohno, et al. In vivo degradation of resin-dentin bonds in humans over 1 to 3 years. J Dent Res, v.79, n.6, Jun, p. 1385–91, 2000.

30. Mertz-Fairhurst, E. J., J. W. Curtis, Jr., et al. Ultraconservative and car-iostatic sealed restorations: results at year 10. J Am Dent Assoc, v.129, n. 1, Jan, p. 55–66, 1998.

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