engleski

Direct pulp capping with dentinal adhesives

Direct pulp capping (DPC) is a procedure where exposed pulp tissue is covered with material in order to preserve its vitality. Traditionally calcium hydroxide is used as a material for this procedure. In a recent time it was suggested to use dentinal adhesives as a material for direct pulp capping. The subject of this clinical investigation was to further examine dentinal adhesives as a material for DPC. Eight teeth (in five patients) were chosen for this procedure. All pulps were incidentally exposed and without any simptoms or signs of periapical pathology on an x-ray. After pulps were exposed all teeth were treated with 2,5% sodium hypoclorite for 15 seconds. Cavities were then treated with phosphoric acid, rinsed with isotonic sodium chloride solution and air dried. Then cavities and exposed non bleeding pulps were treated with two layers of adhesives, covered with a thin layer of resin composite and polymerized. Cavities were then restored and patients recalled after 7, 30 days, 3 and 6 months. Recall consisted of vitality and radiographical checking. Four teeth out of eight have been endodontically treated after 7 days. Other four teeth are still vital and are being recalled. To conclude is that dentinal adhesives are still to be investigated for the procedure of direct pulp capping.

direct pulp capping; adhesives

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