:: Volume 25, Issue 6 (Bimonthly 2021) ::
Feyz 2021, 25(6): 1333-1341 Back to browse issues page
Evaluating the 4-year success rate of IPC treatment in permanent teeth with calcium hydroxide in Ketabchi clinic, Kashan, in 2019
Ghazaleh Daryakenari , Tayebeh Delsahd
Department of Restorative, Faculty of Dentistry, Kashan University of Medical Sciences, Kashan, I.R. Iran. , e.delshad8601@gmail.com
Abstract:   (1265 Views)
Background: Indirect Pulp Cap (IPC) is a treatment that preserves pulp vitality. This study aimed to investigate the success rate of indirect pulp cap therapy as a conservative treatment for deep carious lesions in permanent teeth.
Materials and Methods: In this cross-sectional study, among the patients for whom IPC treatment was performed in 2015, 100 patients were randomly selected. Vital pulp tests (thermal, cold and electrical test) and pre-apical tests (percussion, tactility and chewing) were performed for the target tooth and control teeth. The tooth was examined radiographically and the signs of success or failure of treatment were examined, also.
Results: Of the 100 patients who received IPC, 91 had signs of a successful treatment after 4 years, and only 9 had failed. In other words, the success rate of the treatment was 91% and the failure rate of treatment was 9%.
Conclusion: According to the results of this study, IPC is an appropriate treatment for teeth with deep caries in both sexes and all ages, the type of the material used to seal the pulp and the restorative material used for dental restoration does not affect the success rate. But the most important factors are to apply the indirect pulp treatment carefully, avoiding bacterial contamination, and to seal the teeth with a hermetic restoration.
Keywords: Indirect pulp cap, Calcium hydroxide, Microleakage, Dental restorative, Resin composite, Amalgam, Pulp vitality tests
Full-Text [PDF 358 kb]   (776 Downloads)    
Type of Study: Research | Subject: General
Received: 2021/04/6 | Revised: 2023/11/1 | Accepted: 2021/11/17 | Published: 2022/02/1
References
1. Sengupta K, Christensen LB, Mortensen LH, Skovgaard LT, Andersen I. Trends in socioeconomic inequalities in oral health among 15‐year‐old Danish adolescents during 1995–2013: A nationwide, register‐based, repeated cross‐sectional study. Community Dent Oral Epidemiol 2017; 45(5): 458-68.
2. Ritter AV. Sturdevant's art scie oper dent-e-book: 2017.
3. Bjørndal L, Laustsen M, Reit C. Root canal treatment in Denmark is most often carried out in carious vital molar teeth and retreatments are rare. Int Endod J 2006; 39(10): 785-90.
4. Ringborg U, Bergqvist D, Brorsson B, Cavallin-Ståhl E, Ceberg J, Einhorn N, et al. The Swedish Council on Technology Assessment in Health Care (SBU) systematic overview of radiotherapy for cancer including a prospective survey of radiotherapy practice in Sweden 2001--summary and conclusions. Acta Oncologica 2003; 42(5-6): 357-65.
5. Duncan HF, Smith AJ, Fleming GJ, Partridge NC, Shimizu E, Moran GP, et al. The histone‐deacetylase‐inhibitor suberoylanilide hydroxamic acid promotes dental pulp repair mechanisms through modulation of matrix metalloproteinase‐13 activity. J Cell Physio 2016; 231(4): 798-816.
6. Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane 2013(3).
7. Al-Zayer MA, Straffon L, Feigal R, Welch K. Indirect pulp treatment of primary posterior teeth: a retrospective study. Pediatric Dent 2003; 25(1): 29-36.
8. Falster CA, Araujo FB, Straffon LH, Nor JE. Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. Pediatric Dent 2002; 24(3): 241-8.
9. Yoshiyama M, Nishitani Y, Itota T, Tay FR, Carvalho RM, Pashley DH. Bonding ability of adhesive resins to caries-affected and caries-infected dentin. J Appl Oral Sci 2004; 12(3): 171-6.
10. TF L. Roberson TM. Cariology: The lesion, etiology, prevention and control. Roberson TM, Heymann HO, Sterdevant JR The Art and Scie Oper Dent 3rd ed St Louis: Mosby Co. 1995:62-3.
11. Nakajima M, Kunawarote S, Prasansuttiporn T, Tagami J. Bonding to caries-affected dentin. Japanese Dental Sci Review 2011; 47(2): 102-14.
12. Bjørndal L. Dentin and pulp reactions to caries and operative treatment: biological variables affecting treatment outcome. Endo Topics 2002; 2(1): 10-23.
13. Roberts JD. Indirect pulp treatment versus formocresol pulpotomy in human primary molars: A randomized controlled trial: Citeseer; 2009.
14. Petrou MA, Alhamoui FA, Welk A, Altarabulsi MB, Alkilzy M, Splieth CH. A randomized clinical trial on the use of medical Portland cement, MTA and calcium hydroxide in indirect pulp treatment. Clin Oral Investing 2014; 18(5): 1383-9.
15. Ranjbar Omrani L, Moradi Z, Abbasi M, Kharazifard MJ, Tabatabaei SN. Evaluation of Compressive Strength of Several Pulp Capping Materials. J Dent (Shiraz) 2021; 22(1): 41-7.
16. Baume LJ, Holz J. Long term clinical assessment of direct pulp capping. Int Dent J 1981; 31(4): 251-60.
17. Abebe W, Pashley DH, Rueggeberg FA. Vasorelaxant effect of resin-based, single-bottle dentin bonding systems. J Endodontics 2005; 31(3): 194-7.
18. Powers JM, Sakaguchi RL, Craig RG. Craig's restorative dental materials/edited by Ronald L. Sakaguchi, John M. Powers: Philadelphia; 2012.
19. Abdelaz P, ElZoghbi A, Shokry M, Ahmed AZ, Rasha H. Reparative Dentin Formation Using Stem Cell Therapy versus Calcium Hydroxide in Direct Pulp Capping: An Animal Study. Braz Dent J 2019; 30(6): 542-9.
20. Mattos J, Soares GM, Ribeiro AdA. Current status of conservative treatment of deep carious lesions. Dent Update 2014; 41(5): 452-6.
21. Maltz M, Garcia R, Jardim J, De Paula L, Yamaguti P, Moura M, et al. Randomized trial of partial vs. stepwise caries removal: 3-year follow-up. J Dent Res 2012; 91(11): 1026-31.
22. Orhan AI, Oz FT, Orhan K. Pulp exposure occurrence and outcomes after 1-or 2-visit indirect pulp therapy vs complete caries removal in primary and permanent molars. Pediatric Dent 2010; 32(4): 347-55.
23. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Pediatric Dent 2000; 22(4): 278-86.
24. Bjørndal L, Larsen T. Changes in the cultivable flora in deep carious lesions following a stepwise excavation procedure. Caries Res 2000; 34(6): 502-8.
25. Peterson K, Söderström C, Kiani‐Anaraki M, Levy G. Evaluation of the ability of thermal and electrical tests to register pulp vitality. Dent Trauma 1999; 15(3): 127-31.
26. Rutsatz C, Baumhardt SG, Feldens CA, Rösing CK, Grazziotin-Soares R, Barletta FB. Response of pulp sensibility test is strongly influenced by periodontal attachment loss and gingival recession. J Endodontics 2012; 38(5): 580-3.
27. Torabinejad M, Walton RE, Fouad A. Endodontics-e-book: Principles and practice: Elsevier Health Scie; 2014.
28. Bjørndal L, Simon S, Tomson P, Duncan H. Management of deep caries and the exposed pulp. Int Endod J 2019; 52(7): 949-73.
29. Gurcan A, Seymen F. Clinical and radiographic evaluation of indirect pulp capping with three different materials: a 2-year follow-up study. Eur J Paediatr Dent 2019; 20(2): 105-10.
30. Parvin M, Moral A, Shikder Z, Alam M, Bashar A. Evaluation of Radiological Outcomes of Theracal Light Cured (TLC) And Calcium Hydroxide As Indirect Pulp Capping Agents In The Treatment Of Deep Carious Lesion Of Permanent Molar Teeth. MMJ 2018; 27(4): 859-65.
31. Alsadat F, El-Housseiny A, Alamoudi N, Alnowaiser A. Conservative treatment for deep carious lesions in primary and young permanent teeth. Nigerian J Clinic Practice 2018; 21(12): 1549.
32. Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent 2009; 34(5): 615-25.
33. Akhlaghi N, Khademi A. Outcomes of vital pulp therapy in permanent teeth with different medicaments based on review of the literature. Dent Res J 2015; 12(5): 406.
34. Tziafas D, Smith A, Lesot H. Designing new treatment strategies in vital pulp therapy. J Dent 2000; 28(2): 77-92.
35. Rosenberg L, Atar M, Daronch M, Honig A, Chey M, Funny MD, et al. Observational: prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate: a 12-month follow-up. Pediatric Dent 2013; 35(1): 13-7.
36. Casagrande L, Westphalen Bento L, Martini Dalpian D, Garcia-Godoy F, Borba de Araújo F. Indirect pulp treatment in primary teeth: 4-year results. Am J Dent 2010; 23(1): 34.
37. Duque C, de Cássia Negrini T, Sacono NT, Spolidorio DMP, de Souza Costa CA, Hebling J. Clinical and microbiological performance of resin-modified glass-ionomer liners after incomplete dentine caries removal. Clin Oral Investing 2009; 13(4): 465-71.
38. Lipski M, Nowicka A, Kot K, Postek-Stefańska L, Wysoczańska-Jankowicz I, Borkowski L, et al. Factors affecting the outcomes of direct pulp capping using Biodentine. Clin Oral Investing 2018; 22(5): 2021-9.
39. Marques MS, Wesselink PR, Shemesh H. Outcome of direct pulp capping with mineral trioxide aggregate: a prospective study. J Endod 2015; 41(7): 1026-31.
40. Mente J, Hufnagel S, Leo M, Michel A, Gehrig H, Panagidis D, et al. Treatment outcome of mineral trioxide aggregate or calcium hydroxide direct pulp capping: long-term results. J Endod 2014; 40(11): 1746-51.
41. Cho SY, Seo DG, Lee SJ, Lee J, Lee SJ, Jung IY. Prognostic factors for clinical outcomes according to time after direct pulp capping. J Endodontics 2013; 39(3): 327-31.
42. Gruythuysen R, van Strijp G, Wu MK. Long-term survival of indirect pulp treatment performed in primary and permanent teeth with clinically diagnosed deep carious lesions. J Endod 2010; 36(9): 1490-3.
43. Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod 2011; 37(5): 581-7.



XML   Persian Abstract   Print



Creative Commons License
This open access journal is licensed under a Creative Commons Attribution-NonCommercial ۴.۰ International License. CC BY-NC ۴. Design and publishing by Kashan University of Medical Sciences.
Copyright ۲۰۲۳© Feyz Medical Sciences Journal. All rights reserved.
Volume 25, Issue 6 (Bimonthly 2021) Back to browse issues page