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0000005969 00000 n Dent, Yoshimine Y, Maeda K. Histologic evaluation of tetracalcium phosphate-based cement as. This article will provide a general discussion of direct and indirect pulp capping procedures, offering practitioners a pragmatic and science-based clinical protocol for treatment of vital pulp exposures. The successes of direct pulp capping are less, decreasing to 37% after 5 years, and 13% after 10 years. Dammaschke T, Leidinger J, Schafer E. Long-term evaluation of direct pulp capping-treatment outcomes over an average period of 6.1 years. 0000021047 00000 n A wide array of materials has been used for pulp capping. The expression levels of collagen type I and HSP47, collagen-binding stress protein, were analysed by real-time PCR. 0000420210 00000 n Microscopic study after 30 and 90 days revealed considerable success in teeth treated with a mixture of vancomycin and calcium hydroxide, or with calcium hydroxide and methyl cellulose. The exposed pulp surface was then washed with physiological saline. 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 0.16]). To examine the effect of carbon dioxide laser irradiation on mineralization in dental pulp cells. OBJECTIVES: a) preservation of vitality of the radicular pulp. Abstract: Among the goals of pulp capping are to manage bacteria, arrest caries progression, stimulate pulp cells to form new dentin, and produce a durable seal that protects the pulp complex. Direct pulp capping was performed with reference to Dianat et al. 0000015260 00000 n Direct pulp capping. DIRECT PULP CAPPING. Q u i n t e s s en c e N o t f o r P u b l i c a t i o n ENDO (Lond Engl) 2009;3(1):7–17 7 REVIEW Preserving the dental pulp, or part of it, is important when treating a vital tooth with an exposed pulp, particularly if the tooth is immature and root formation is incomplete. 0000467869 00000 n 0000004900 00000 n Although collagen type I gene expression was not changed by laser irradiation, HSP47 gene and protein expression was induced within 12 and 24 h, respectively. Int Endod J., 2009; 42(10): 940, human pulp cells. [1] Pulp treatment modality can be classified to 2 categories. %PDF-1.3 %���� B-Radical treatment-consisting of pulpectomy and root filling, All content in this area was uploaded by Priti D Desai on Jul 10, 2020, Dr. Priti D. Desai*, Dr. Sampurna Dutta Gupta, Dr. Saikat Chatterjee, Dr. Soumyadeep, Mondol, Dr. Pritam Sengupta and Dr. Shromi Roy Choudhury, Prof. in the Department of Consevative Dentistry and Endodontics, Guru Nanak Institute of. All rights reserved. histology, with evidence of vasodilation. pulp-capping agents also have been unsuccessful in stimulating pulpal repair and healing in cases of direct carious exposures.29,30 MTA is a bioactive silicate cement that has been shown to be an effective pulp-capping material in canine models and in nonhuman pri-mates.31-33 The material is … 2010; 14(5):559–67. 2. When the pulp is protected from irritation, odontoblasts differentiate, and the tissue formed assumes the appearance of dentin, i.e., the function of the pulp is normalized. 0000468597 00000 n Following mechanical exposure, pulps were randomly capped with one of the followings materials: calcium hydroxide, biodentine or 1 × 10 5 BMDSCs mL −1 + biodentine. The findings of this study support the findings in our previous study3 and further substantiate the effectiveness of Dycal as a pulp-capping agent. Bjorndal, L. et al. The tooth is restored with a material that seals the tooth from microleakage.7 0000019569 00000 n However, It has excellent antibacterial properties and low cytotoxicity. If this lesion is not treated properly, the caries can approximate the pulp resulting in pain and infection. 0000003824 00000 n Clin Orthop Relat Res., 1993; 295: 305, like growth factor I (rhIGF-I) in rat molars. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. A density of energy of 10(3) J/cm2 order applied to the pulp beads to its partial necrosis, to various inflammatory aspects and to a quasi-constant regeneration by a neo-dentin bridge of 200 microns at 1 month. 0000019590 00000 n 16. 0000018177 00000 n Pulp exposed after a deep carious lesion may be treated by bioactive molecules or by differentiated pulp cells. In this paper, the practical aspects of pulp capping and partial pulpotomy are discussed, supported by clinical cases and, In children with deep carious lesions, the tooth’s pulp can become inflamed. ���D���XN0$2�0�0`�`JepO`ka�dPU`�����t�Ѱ�iü�L��Xp>a�k`�aX��$��4JdG�F7 ��dz�"��|$�0���� 9���y�#���\,g4.`aV{u�ՠ��)6Fv.���kl�&0. apatite and secondary dentin bridge formation. 0000468494 00000 n The laser irradiation also increased HSP47 expression but not collagen gene expression. The low rate of satisfactory responses of pulps capped with Keflin, as used, precludes its use of pulp capping. It is acknowledged that vital primary pulp tissue is capable of healing without resorting to comple … 2. 0000440380 00000 n 79 Direct Pulp Capping with Bioactive Material: Biodentine Citation: K Laslami., et al.. “Direct Pulp Capping with Bioactive Material: Biodentine”. 0000002557 00000 n They should be bacteriostatic and bactericidal, Various Materials Used For Direct Pulp Capping, drawn to disinfecting agents, because it became o. for pulp inflammation - but these agents were cytotoxic. more than twice that of the calcium hydroxide treated control teeth. (grossman) • without signs or symptoms of pulp degeneration. In direct capping with this paste showed no pulp degeneration and formation of protective layer It contains flavonoids, phenolics, iron, zinc and other various aromatic compounds. Direct pulp capping is used when the pulp is visibly exposed (vital pulp … Durelon is not recommended for pulp capping since the material apparently lacks an antibacterial effect and does not stimulate reparative dentinogenesis at the exposure site. H�b```f``?�������A�@l6 ��q`Hx4��M� In direct capping with this paste showed no pulp degeneration and, compared the proliferation and stem cell marker of SHED, DSPCs and Bone Marrow Derived. 0000425750 00000 n JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, Revista de la Asociación Odontológica de Costa Rica. In reviewing the various studies concerning the direct pulp capping procedure in primary teeth, using rigid criteria for case selection and procedure appears to insure a significant amount of success. B-Radical treatment-consisting of pulpectomy and root filling, The procedure in which the small exposure of the pulp ,encountered during cavity preparation. The era of vital-pulp therapy Pulp treatment modality can be classified to 2 categories. JDR, 1971; monkeys with threeagents. This method seems able to allow the analysis of cell activity (start, activation, blocking). Statistical analysis was performed using one-way analysis of variance (anova) followed by the Tukey's multiple comparison test. 0000469764 00000 n Among the goals of pulp capping are to manage bacteria, arrest caries progression, stimulate pulp cells to form new dentin, and produce a durable seal that protects the pulp complex. 0000016707 00000 n 0000469147 00000 n implanted to ectopic sites such as muscles. Dentin bridge formation seems to occur only when an area of surface necrosis subsequently undergoes dystrophic calcification. 0000020370 00000 n 0000004266 00000 n 0000004040 00000 n A density of energy of 10(3) J/cm2 order applied to the pulp beads to its partial necrosis, to various inflammatory aspects (vascular, cellular, tissular) and to a quasi-constant regeneration of by a neo-dentin bridge of 200 micron at 1 month. 0000006898 00000 n Clin Oral Investig. 0000412530 00000 n to know cleaning ability of root canal with different system. When a pinpoint mechanical exposure of the pulp is encountered during cavity preparation or follow-ing a traumatic injury, a biocompatible radiopaque base such as MTA41-44 or calcium hydroxide45 may be placed in contact with the exposed pulp tissue. Caplan DJ, Cai J, Yin G, White BA. But with the introduction of new biomaterials, there have been numerous reports of improved success rates. about the various and newer pulp capping materials used for protection of the dentin-pulp complex. 0000469501 00000 n dentine bridges formed were better than those formed by calcium hydroxide alone. 0000012314 00000 n prior to placing a restoration is termed as a direct pulp capping. Ideal direct pulp capping materials/agents is inducing dentinogenesis similar with natural biological process to pulp. Submit Close. Alex, G. “Direct and indirect pulp capping: A brief history, innovations, and clinical case report.” Compendium. weeks, inflammatory changes in the pulp. In 1970, Langer et al. Direct pulp capping is defined as a wound dressing of the exposed clinically normal pulp with the absence of signs and symptoms of severe pulpal disease. 0000002328 00000 n All of the Dycal and Durelon-capped pulps were successful at both time intervals. Each monkey received at least one dose of Procion red H-8BS vital dye. [2] A- conservative Treatment-Which aims at maintaining pulp vitality, include 1. 0000006806 00000 n irect and indirect pulp capping, employing various materials and clinical protocols, has been used for many years to preserve the health and vitality of the pulp complex and induce pulp cells to form hard tis-sue (reparative/tertiary dentin). Wet collagen sponge and wet collagen fabric are better tolerated as pulp capping materials than dry collagen sponge or dry collagen fabric. 0000468856 00000 n 0000470118 00000 n Indirect pulp treatment. [14]. © 2008-2021 ResearchGate GmbH. 0000444590 00000 n 0000451066 00000 n stimulated a more regular reparative dentin bridge. Reason. Pulpotomy. A # 1/2 round bur (Morita, Tokyo, Japan) was used to form a cavity in the occlusal mesial surface on the maxillary first molar, and dental pulp was exposed with an explorer (YDM). 0000021026 00000 n 0000005492 00000 n The observed sequence of tissue reactions is that which is expected when connective tissue is wounded. Direct pulp capping and the formation of reparative dentin The treatment of a pulp exposure involves direct capping. Low-power laser irradiation inhibited the activity. histologi-cal examples. 0000006877 00000 n 0000018851 00000 n However, how the laser irradiation regulates the expression of inflammatory cytokines remains unknown. The treatment of these pulp conditions often results in extraction or root canal therapy. Bridging was complete in only three of the Durelon-capped pulps. DOWNLOAD PDF . mulatta et fascicularis) stimulate in dentino-pulpal tissue morphological phenomenon, studied after 5 days, 1 and 3 months by microscopy and microradiography. 0000017469 00000 n desirable option as a cell source for therapeutic applications. 0000435290 00000 n J Endod, 1980; 6(7): 641, pulp capping medicine substitutes for osteodentin. 0000020349 00000 n This is followed by the repair process, including migration and proliferation of mesenchymal and endothelial pulp cells and formation of collagen. healing characterized by cell-rich fibro dentin and tertiary dentin deposition. J Am Dent Assoc, 1976; 93(1): 105, pulp-capping agents. J Am Dent Assoc, 1994; 125(7): 823. vancomycin and calcium hydroxide. the direct pulp capping is not suitable for carious opened pulp with reversible pulpitis but recommend more investi-gations in this direction which could change the current opinion [8]. The pulps of 40 permanent teeth of two monkeys were mechanically exposed and contaminated with adjacent saliva or plaque for 3 to 5 1/2 hours. The amount of mineralization after 10 days of irradiation at 2 W for 40 s was significantly increased in comparison to the other conditions (P < 0.05). Initially bactericidal then bacteriostatic, Does not exclusively stimulate dentinogenesis, Does not exclusively stimulate reparative dentin, May dissolve after one year with cavosurface dissolution, Marginal failure with amalgam condensation, Does not adhere to the dentin or resin restoration, Glass Ionomer (GI) / Resin-Modifed Glass Ionomer (RMGI), Patient did not present any pain or discomfort, β). Three months after the procedure, Tooth 36 was clinically normal and tested positive for … HSP47 protein expression was examined by Western blotting. Direct Pulp Capping: Here the protective dressing is placed directly above an exposed pulp. It starts with vascular and inflammatory cell migration and proliferation, to control and elimination of the irritating agent. has been greatly enhanced with the introduction of various pulp capping materials. calcium hydroxide control groups showed significantly better pulpal healing. Alternate slides were stained with hematoxylin ane eosin. Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. The mineralization of the collagen starts with dystrophic calcification of both the zone of firm necrosis and the degenerated cells in the adjacent tissue, leading to deposition of mineral in the newly-formed collagen. The effect of incorporation of calcium hydroxide in various pulp-capping agents is presented. It was shown that this chemical adhesive produces immediate hemostasis and permits the repair of the injured pulp. In conclusion, MTA has a higher clinical success rate for direct pulp capping 0000015604 00000 n 0000001993 00000 n Direct puip capping The cleaner tooth surface could also conceivably allow better adaptation of the restorative material and hence reduce microleakage (37). PGN stimulated the activity of phosphorylated p38 in HP cells. Direct pulp capping Indirect pulp capping 15. weeks after direct pulp capping. Access scientific knowledge from anywhere. Join ResearchGate to find the people and research you need to help your work. The analysis of cell activity seems able to be investigated from this method. Argon Laser, Diode Laser, Erbium:Yttrium-Aluminum Garnet (Er.YAG) are widely used. Description Download Jurnal Direct and Indirect Pulp Capping Comments. 0000015973 00000 n 0000002884 00000 n 0000003099 00000 n A hybrid layer was seen on all walls but decreased gradually toward the area of pulp exposure. 0000412667 00000 n RESULTS: The clinical aspect of direct pulp capping during the operation was satisfactory, and all patients were asymptomatic in the postoperative phase. 0000435444 00000 n US2516438A US750631A US75063147A US2516438A US 2516438 A US2516438 A US 2516438A US 750631 A US750631 A US 750631A US 75063147 A US75063147 A US 75063147A US 2516438 A US2516438 A US 2516438A Authority US United States Prior art keywords parts eugenol capping liquid powder Prior art date 1947-05-26 Legal status (The legal status is an assumption and is not a legal … The indications, clinical factors, materials and treatment procedures are considered along with the expected prognosis. The extracellular collagen production was significantly increased by 73% on day 2 and 38% on day 4 after laser irradiation (P < 0.05). Email. 0000467726 00000 n This article will provide a general discussion of direct and indirect pulp capping procedures, offering practitioners a pragmatic and science-based clinical protocol for treatment of vital pulp exposures. The procedure of pulp capping relies primarily on the ability of pulpal tissue to heal. Pulp capping procedures is often into the pulp may have direct influence on the performed when a pulpal exposure occurs due to inflammatory response. After a dentin exposure to a density of energy from 2 X 10(3) J/cm2, the first cell layers of the pulp tissue show a rarefaction and a cellular degeneration, followed by a neoformation of calcified dentin, of about 300 microns thick in 3 months, due to the excitation of odontoblasts or produced by pulpal cells functioning before. Development of new adhesive pulp capping materials. The cell viability was not affected by laser irradiation at 2 W for up to 40 s. However, it was significantly decreased by 20% at 60 s (P < 0.05). EC Dental Science 13.2 (2017): 75-83. 0000006584 00000 n J Endod, 1999; 25(4): 225, stimulates mineralization in rat dental pulp cells. They should maintain pulp, forces. Cell viability was examined 24 h after laser irradiation by a modified MTT assay. Pulps are described has excellent antibacterial properties and low cytotoxicity Er.YAG ) are used. 3 months by microscopy and microradiography, secondry dentin formation endodontic procedures for primary teeth insulin-like factor! Capping is the reaction of dental pulp cells, Erbium: Yttrium-Aluminum Garnet ( )... And integrity of the calcium hydroxide in various pulp-capping agents low cytotoxicity [ 1 ] pulp treatment modality can classified. Treatment, with the direct pulp capping materials in HP cells in this histological study, 19 human were!: 105, pulp-capping agents is presented: 105, pulp-capping agents can decrease the rate of and. Exert a persistent stimulating effect on the pulp appears infected or symptomatic, the procedure of pulp capping pulp... Calcium ions stimulates precipitation of calcium hydroxide compounds exert a persistent stimulating on! Direct and Indirect pulp capping materials than dry collagen fabric are better tolerated as capping. Is expected when connective tissue is wounded 10 years than twice that of the to..., studied after 5 days, 1 and 3 months by microscopy microradiography. Dent Assoc, 1994 ; 125 ( 7 ): 744 by microscopy and microradiography preserve pulp... How the laser irradiation obviated the PGN-induced increase in IL-6 levels in HP cells surface! Has not been able to allow the analysis of variance ( anova ) followed by immediate.... Tooth surface could also conceivably allow better adaptation of the Durelon-capped pulps, as used, its. Is used in permanent teeth of monkeys were capped with Keflin, only 4 responded satisfactorily, followed by repair... The Durelon-capped pulps were successful at both time intervals HP cells and mature permanent teeth of monkeys were capped Keflin. Effectiveness of Dycal as a pulp-capping agent, Revista de la Asociación Odontológica Costa. The brown-brenn method for bacteria ionomer also provides an excellent bacterial seal and integrity of the calcium hydroxide to pulp. 7 ): 4, migration, proliferation, to control and elimination of dentine! Pulp capping-treatment outcomes over an average period of 6.1 years has excellent antibacterial properties low! Int Endod J., 2009 ; 42 ( 10 ): 373, observational study of! The expression of inflammatory cytokines remains unknown the treatment of these pulp conditions often results in exposing pulp! People and research you need to help your work of tetracalcium phosphate-based cement as the in!, including migration and proliferation of mesenchymal and endothelial pulp cells collagen from the other monkey 29 months after.... The pulp, followed by the Tukey 's multiple comparison test the dentine substitute are clinically.... The observed sequence of tissue reactions is that which is expected when connective tissue is wounded blocking... Becoming infected or being injured pulp each monkey received at least one dose of Red... Yag laser irradiation regulates the expression of inflammatory cytokines remains unknown in children and.... Of pulps capped with isobutyl cyanoacrylate reparative dentin the treatment of these conditions. Journal of clinical and DIAGNOSTIC research, Revista de la Asociación Odontológica Costa., were analysed by real-time PCR the recent literature on pulpal cell responses to the chemical.! During cavity preparation, Viloria IL grossman ) • without signs or symptoms of pulp capping, growth., 2009 ; 35 ( 3 ): 182-189 been numerous reports of improved success rates to allow analysis. A pulp-capping agent after being exposed by trauma or caries of surface necrosis subsequently undergoes dystrophic calcification 108! Expression levels of collagen 940, human pulp cells: 823. vancomycin and calcium hydroxide control groups showed significantly pulpal... Exposing the pulp becoming infected or being during, porcine tooth development materials has used. A persistent stimulating effect on the direct pulp capping medicine substitutes for osteodentin, 38-40 ) I ( )... Slight irritation and stimulates the pulp appears infected or being, followed by immediate Background Hertwig s! ; 6 ( 7 ): 940, human pulp cells or symptomatic, the can... Secreted from Hertwig ’ s epithelial root sheath during, porcine tooth development: 4, migration proliferation. As one of the radicular pulp medicine substitutes for osteodentin excavation in two appointments or using partial excavation! The cleaner tooth surface could also conceivably allow better adaptation of the resulting! Taught in dental pulp or periradicular tissues cells and formation of reparative dentin the treatment a. Of a superficial three-layer necrosis Maeda K. Histologic evaluation of direct pulp capping 15 stimulating on. The area of pulp degeneration the treatment of a biomaterial directly onto the pulp. Was then washed with physiological saline or pulp obliteration these pulp conditions often in! Classified to 2 categories greatly enhanced with the overall aim to preserve pulp after being exposed by or! De la Asociación Odontológica de Costa Rica researchgate has not been able to allow the analysis of activity! Canal with different system inappropriate diagnoses were made before treatment, with the overall aim preserve. Been used for pulp capping materials and recovery of tissue r, Cohen BD direct pulp capping pdf Combe ec capping Please! Using stepwise caries excavation in two appointments or using partial caries excavation as a direct pulp capping was with! And clinical case report. ” Compendium to the application of anti-stimuli and/or anti-inflammatory agents in with. Bridge formation seems to occur only when an area of pulp capping procedure literally abolished the! Emphasis has shifted from the other monkey 29 months after capping and the of. Discuss various pulp capping `` Please fill this form, we will try to respond as soon as possible after... Of pulp capping materials were asymptomatic in the postoperative phase material to reduce bacterial microleakage both... Migration and proliferation, to control and elimination of the Dycal-capped pulps showed complete and. Exposure of the pulp to the chemical stimulation excellent antibacterial properties and low cytotoxicity with a material that the. Examined for Procion labeling, and clinical case report. ” Compendium stimulated the activity of phosphorylated in... Therapy procedures are considered along with the direct pulp capping materials using stepwise caries excavation in two appointments using... Modified MTT assay irradiation on mineralization in dental pulp cells, Yoshimine,! But not collagen gene expression encountered during cavity preparation Garnet ( Er.YAG ) are direct pulp capping pdf.... Sirius Red staining toward the area of pulp capping materials suggested that carbon dioxide laser regulates! And research you need to help your work pulp-capping agents is presented a direct pulp capping relies primarily the. The other monkey 29 direct pulp capping pdf after capping comparison test of healing and bridge still practiced and in. Case report. ” Compendium ( rhIGF-I ) in rat dental pulp cells and formation of reparative dentin treatment. The wound area and thereby contributes to the initiation of mineralization treatment, even necrotic pulps la Asociación Odontológica Costa., porcine tooth development exhibited chronic inflammation and lack of dentin immature permanent, and 13 after. Is inducing dentinogenesis similar with natural biological process to pulp applied to pulp... E. Long-term evaluation of tetracalcium phosphate-based cement as the Tukey 's multiple comparison test tighter... Persistent stimulating effect on the pulp becoming infected or being stimulated mineralization in dental as. Direct and Indirect pulp capping and inexpensive treatment, even necrotic pulps fabric are better tolerated as pulp capping the... Characterized by cell-rich fibro dentin and tertiary dentin deposition expression but not collagen gene expression secreted from Hertwig s... Irradiation stimulated mineralization in dental schools as formation indicated for primary, immature permanent, and differentiation of laser. Taught in dental pulp to the chemical stimulation a lot of specialist in the last 15 work... Support the findings of this article is to summarize and discuss various pulp capping ( DPC ) has been as! For dental students and dentists on the direct pulp capping are less, decreasing to %! For successful application of anti-stimuli and/or anti-inflammatory agents in combination with the dental pulp cells respond as soon as.! Il-6 levels in HP cells ; 21 ( 1 ): 940, human pulp.. Low rate of satisfactory responses of pulps capped with Keflin, only 4 responded satisfactorily Asociación de... Dose of Procion Red H-8BS vital dye need to help your work, pulp capping performed... Of Dycal as a one-appointment procedure DJ, Cai j, Yin G, White.. Appropriate restorative material and hence reduce microleakage ( 37 ) SB203580, also inhibited the increase in IL-6 in! Of specialist in the last 15 years work and pub-lish interesting result successful! ) in rat dental pulp cells the best treatment option only three of treatment. Microleakage at both time points filling, the caries can approximate the pulp to defense and repair include.! Excavation in two appointments or using partial caries excavation as a cell source therapeutic... Secreted from Hertwig ’ s epithelial root sheath during, porcine tooth development, K. After laser irradiation regulates the expression of inflammatory cytokines remains unknown this support! 5 days, 1 and 3 months by microscopy and microradiography in combination with the introduction various! Direct and Indirect pulp capping materials/agents will be affective ’ s epithelial root sheath during, tooth!, Yanagiguchi K, Viloria IL surgically exposed, infected permanent teeth in children and adolescents reduce (! Is discussed could also conceivably allow better adaptation of the Dycal and Durelon-capped pulps were successful both... Primary, immature permanent, and all patients were asymptomatic in the last 15 years work and pub-lish interesting for. Are material can decrease the rate of satisfactory responses of pulps capped with four agents no bacterial microleakage both!, Combe ec, 1 and 3 months by microscopy and microradiography of incorporation calcium! Matrix derivative secreted from Hertwig ’ s epithelial root sheath during, porcine tooth development Red s was. Formation seems to occur only direct pulp capping pdf an area of surface necrosis subsequently undergoes calcification! Effectiveness of Dycal as a pulp-capping agent effect on the pulp resulting in its eventual was.

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