Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2018, vol. 55, nr 2, April-June, p. 147–152

doi: 10.17219/dmp/90257

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

The reparative capacity of different bioactive dental materials for direct pulp capping

Zdolności reparacyjne bioaktywnych materiałów stosowanych w bezpośrednim pokryciu miazgi

Ehab Mohamed Kamal1,A,B,C,D,E, Sameh Mahmoud Nabih2,A,E,F, Raneem Farouk Obeid3,C,E, Mohamed Ayad Abdelhameed4,C

1 Faculty of Dentistry, Al-Azhar University, Cairo, Egypt

2 Department of Operative Dentistry, Al-Azhar University, Cairo, Egypt

3 Department of Oral Biology, Future University in Egypt, New Cairo, Egypt

4 Department of Veterinary Surgery, Cairo University, Egypt


Background. Maintaining pulp vitality is a major objective in restorative dentistry. Direct pulp capping (DPC) is considered a way to enhance pulp healing and induce reparative dentin. In the present study, 3 capping materials were used and compared in terms of promoting pulp tissue healing after mechanical exposure.
Objectives. The aim of the study was to evaluate the reparative capacity of Biodentine™ (BD), TheraCal® LC and TotalFill® as DPC materials and to assess dentin bridge formation.
Material and Methods. The experiment required 3 groups (1-week group, 1-month group and 3-months group), each consisting of 24 fresh human premolars extracted for orthodontic reasons. A cavity was prepared on the buccal surface of each tooth and the pulp tissue was penetrated to a depth of approx. 1.0 mm. After exposure, hemostasis was obtained and the pulp-capping agents BD, TheraCal LC and TotalFill were applied. A final restoration with GC Fuji IX GP Fast (GC Corporation, Tokyo, Japan) was applied to each tooth to ensure an adequate coronal seal. Tissue samples were collected at 1 week, 1 month and 3 months. The samples were demineralized, sectioned, stained, and histologically graded.
Results. There was a statistically significant difference between TheraCal LC and both BD and TotalFill in terms of pulpal inflammation during the 3 capping periods, while BD and TotalFill showed comparable results, with no statistically significant difference between their results in the 3 capping periods.
Conclusion. TotalFill a newly developed pulp-capping material, offers results comparable to BD in addition to its advantageous handling properties. Although TheraCal LC contains resin ingredients, given proper curing, it seems to be a successful material for DPC and offers superior handling properties.

Key words

pulp vitality, pulp capping, biactive dental materials

Słowa kluczowe

żywotność miazgi, pokrycie miazgi, bioaktywne materiały stomatologiczne

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