Direct capping of human pulps with a dentin bonding system or with calcium hydroxide cement.

Preben Hörsted-Bindslev, Valdas Vilkinis, Antanas Sidlauskas

Journal: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 2004;96(5):591-600

PMID: 14600695

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Abstract

OBJECTIVE

To study human pulp reactions to direct cappings with a dentin adhesive compared with a calcium hydroxide cement, especially with respect to formation of hard tissue in the exposure site.

STUDY DESIGN

Direct pulp cappings were made in 34 caries-free premolars scheduled for extraction due to orthodontic treatment. Half of the teeth were capped with a dentin adhesive, the other half with a calcium hydroxide cement. After periods of from 7 to 70 days, the teeth were extracted and processed for light microscopical examination.

RESULTS

No postoperative sensitivity was experienced. A slight inflammatory reaction was seen in both groups in the short observation period. In the long observation period, significantly more "dentin bridging" was seen in the calcium hydroxide group than in the dentin adhesive group (P < .05).

CONCLUSION

The findings from the present limited material is in accordance with previous findings from human studies and contraindicate use of dentin adhesives for direct pulp capping.

Address: Department of Dental Pathology, Operative Dentistry and Endodontics, Royal Dental College, Faculty of Health Sciences, University of Aarhus, Denmark. [email protected]

DOI: 10.1016/s1079-2104(03)00155-0

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MeSH Terms: Adolescent, Adult, Calcium Hydroxide, Child, Collagen, Dental Cements, Dental Pulp, Dental Pulp Capping, Dental Pulp Exposure, Dentin Sensitivity, Dentin, Secondary, Dentin-Bonding Agents, Follow-Up Studies, Giant Cells, Humans, Odontoblasts, Pulpitis