Evaluation Of the clinical and radiographic performance of tricalcium silicate-based material,light-curable calcium hydroxide,and mineral trioxide aggregate as indirect pulp capping materials between primary and permanent teeth:an in vivo study

Clinical and Radiographic Evaluation of three Indirect Pulp Capping Materials

This study aimed to assess the effectiveness of different materials used in indirect pulp capping and their impact on clinical and radiographic outcomes. The materials investigated included tricalcium silicate-based material (Biodentine), light-cured calcium hydroxide, and mineral trioxide aggregate (Endocem MTA).

Background research highlighted the importance of exploring newer materials like light-curable calcium hydroxide, tricalcium silicate-based materials, and mineral trioxide aggregate (MTA) in preserving pulp vitality through indirect pulp capping procedures, both in primary and permanent teeth.

The study involved 72 molar teeth, evenly split between primary and permanent teeth, with an age range of 4 to 8 years for primary teeth and 7 to 13 years for permanent teeth. Each tooth received one of the aforementioned materials followed by restoration with type 9 glass ionomer cement (GIC). Follow-up assessments were conducted at 1, 3, and 6 months, evaluating various parameters such as pain, vitality, restoration integrity, periodontal ligament (pdl) widening, radiolucency, and need for additional treatments. Statistical analysis was performed using the chi-square test.

Results indicated no significant differences among the groups at 1 month, but significant disparities emerged during the 3-month follow-up period in both primary and permanent teeth groups. In primary teeth, MTA demonstrated a 100% success rate, followed by Biodentine and LC calcium hydroxide at 1, 3, and 6 months. Conversely, in permanent teeth, LC calcium hydroxide and Biodentine exhibited higher success rates compared to MTA.