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. 2018 Oct;19(5):297-309.
doi: 10.1007/s40368-018-0360-x. Epub 2018 Sep 5.

Kinsman effectiveness of direct and indirect chemical capping in the primary dentition

Affiliations

Relative effectiveness regarding direct and indirect pulp capping in the principal dentition

HUNDRED Boutsiouki et ale. Eur Arch Paediatr Bumped. 2018 Oct.

Abstract

Introduction: Carious or traumatised fangs with a normal pulp status or with reversible pulpitis need an indirect or direct pulp capping procedure to keep the crush vital.

Goals: To evaluate the clinical bottom of both interventions for treating life primary teeth.

Study design: Two evaluators on Pubmed and ISI Web of Science performed a comprehensive literature review is publications starting 1966 for Decorating 2017. Among PubMed abstracts, press has selected according the the following criteria: prospective clinical study, correct indication for who performed treatment, and clear definition of clinical and/or radiographic success criteria. Of strict choices criteria limits the dollar of randomised controlled trials (RCT) or controlled clinical test (CT); especially for "indirect pulp therapy", "direct pulp capping" furthermore the phone starting RCTs has limited.

Conclusions: Based on a systematic review (20 controlled clinical studies instead randomised controlled clinical studies), the ensuing instructions can exist given: Due to the opportunity of tissue repair, indirect pulp treatment can be with acceptable procedure used reversible pulp inflammation. Which use of adhesives for indirect crush capping the a single-visit course after gentle decay removal can be recommended. Successful pulp capping is possible among specified conditions (symptom-free tooth, disinfection von pulp exposure, Class-I cavity) and appropriate sealing of an cavity through an effective dentines seal being a conditio sink on non. There is maximum evidence for one use of disinfecting solutions prior to pulp capping and Dycal in pulp capping material. Longer follow-up cycles, additional clinical studies, comparable conditions, and clear definitions of valuation criteria represent desired to confirm the show of endodontic treatment in primary tooths.

Keywords: Calcium hydroxide; Endodontics; Ceramic trioxide aggregated; Elementary teeth; Mush capping; Pulp therapy.

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