Evaluating the treatment results of reversible pulpitis with direct pulp capping with mineral trioxide aggregate
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Abstract
Objective: To evaluate the treatment results of reversible pulpitis with direct pulp capping with Mineral trioxide aggregate (MTA). Subject and method: 21 patients at Odontology Department, 108 Military Central Hospital with signs and symptoms indicative of irreversible pulpitis from May 2022 to January 2023 were enrolled. A standardized operative procedure was followed for all participants. Follow-up evaluations were scheduled for 6 months. Descriptive statistics were used to assess outcomes. Result: After 6 months, we obtained the result that the percentage "Success" results was 90.5%, "Failure" was 9.5% (2 cases of "failure" were taken root canal treatment). Patients with caries and cracked teeth mainly had the results "Successful" (accounting for 88.2% and 100% respectively). With the location of the lesion close to the pulp horn, the rate of "Failure" results only accounted for 11.8%. Meanwhile, in the group of teeth with lesions next to the proof of the pulp chamber, 100% was "Success" after 6 months. However, the difference was not statistically significant with p>0.05 (Fisher's exact test). Conclusion: Direct pulp capping with MTA on permanent teeth with reversible pulpitis has a high success rate.
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2. Al-Omiri MK, Mahmoud AA, Rayyan MR, Abu-Hammad O (2010) Fracture resistance of teeth restored with post-retained restorations: An overview. J Endod 36(9): 1439-1449. doi: 10.1016/j.joen.2010.06.005.
3. Hegde S, Sowmya B, Mathew S, Bhandi SH, Nagaraja S, Dinesh K (2017) Clinical evaluation of mineral trioxide aggregate and biodentine as direct pulp capping agents in carious teeth. J Conserv Dent 20(2): 91-95. doi: 10.4103/0972-0707.212243.
4. Hilton TJ, Ferracane JL, Mancl L (2013) Comparison of CaOH with MTA for direct pulp capping: A PBRN randomized clinical trial. J Dent Res. Jul 2013;92(7 Suppl):16s-22s. doi: 10.1177/0022034513484336.
5. Katge FA, Patil DP (2017) Comparative analysis of 2 calcium silicate-based ements (biodentine and mineral trioxide aggregate) as direct pulp-capping agent in young permanent molars: a split mouth study. J Endod 43(4): 507-513. doi: 10.1016 /j.joen.2016.11.026.
6. Kermanshah H, Ranjbar Omrani L, Ghabraei S, Fekrazad R, Daneshparvar N, Bagheri P (2020) Direct pulp capping with proroot MTA alone and in combination with Er:YAG laser irradiation: A clinical trial. J Lasers Med Sci. Fall 11(1): 60-66. doi:10.34172/jlms.2020.S10.
7. Peskersoy C, Lukarcanin J, Turkun M (2021) Efficacy of different calcium silicate materials as pulp-capping agents: Randomized clinical trial. J Dent Sci. 16(2): 723-731. doi: 10.1016/j.jds.2020.08.016.
8. Qudeimat MA, Alyahya A, Hasan AA (2017) Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: A preliminary study. Int Endod J 50(2): 126-134. doi: 10.1111/iej.12614.