Total-etch system outperfors self-etch system for pulp vitality preservation after indirect pulp capping treatments: Study
Written By : Dr. Shravani Dali
Medically Reviewed By : Dr. Kamal Kant Kohli
Published On 2024-11-14 15:30 GMT | Update On 2024-11-15 06:33 GMT
Total-etch system outperfors self-etch system for pulp vitality preservation after indirect pulp capping treatments suggests a study published in the Journal of Clinical Medicine.
This retrospective clinical study assessed dental pulp tissue reactions to direct and indirect pulp capping after 10 years of follow-up. A total of 276 permanent teeth with deep carious lesions were evaluated and divided into five groups: Group (1), direct pulp capping with Mineral Trioxide Aggregate cement; Group (2), direct pulp capping with a resin-based glass ionomer; Group (3), direct pulp capping with TheraCal; Group (4), indirect pulp capping with a three-step total-etch adhesive system; and Group (5), indirect pulp capping with a two-step self-etch adhesive system. Results: A 72.5% success rate was achieved overall.
A statistically significant difference was found when comparing direct and indirect pulp capping with a success rate of 23.8% and 93.8%, respectively. For direct pulp-capping procedures, the area of pulp exposure was correlated with pulp necrosis (p = 0.035), while bleeding after exposure appeared independent (p = 0.053). Patient age was significantly related to the maintenance of pulp vitality (p = 0.013). A statistically significant correlation between the pulp-capping material and the occurrence of pulp necrosis was discovered (p = 0.017). A significant correlation between patient age (p = 0.021) and the adhesive system (p = 0.019) with pulp necrosis was described for indirect pulp-capping treatments. Conclusions: The pulp-capping material, patient age, and the width of the pulp exposure before the procedure should be carefully considered when performing direct pulp-capping treatments. The performance of the etch-and-rinse adhesive systems was superior to the self-etch system during the indirect pulp-capping procedures.
Reference:
Alovisi, M.; Baldi, A.; Comba, A.; Gamerro, R.; Paolone, G.; Mandurino, M.; Dioguardi, M.; Roggia, A.; Scotti, N. Long-Term Evaluation of Pulp Vitality Preservation in Direct and Indirect Pulp Capping: A Retrospective Clinical Study. J. Clin. Med. 2024, 13, 3962. https://doi.org/10.3390/jcm13133962
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