What is the best material for direct pulp capping?

Calcium hydroxide remains the “gold standard” for direct pulp capping. It has the longest track record of clinical success, is the most cost-effective and is the likely effective component in MTA. Provide a well-sealed restoration immediately after pulp capping.

Can Dycal be used for direct pulp capping?

Dycal® Calcium Hydroxide Liner is a two-component, rigid-setting, self-curing material designed for use in direct and indirect pulp capping and as a protective liner under dental adhesives, varnishes, filling materials, cements, and other base materials.

What material is used in the pulp capping procedure which promotes the formation of dentine?

Calcium hydroxide cements are used for lining specific areas of deep cavities or for direct pulp capping. The antibacterial action of calcium hydroxide makes these cements useful in indirect pulp-capping procedures involving carious dentin.

Can glass ionomer cement be used as a direct pulp cap?

Conclusion: This study shows that Vitrebond™ (3M ESPE) light-cured resin-modified glass ionomer liner can be used as an alternative to calcium hydroxide as a direct pulp capping material.

Can MTA be used for pulp capping?

MTA is a new and biocompatible biomaterial used for dental practice. It has been proved to be an excellent material for repairing of root perforations, apexification, root-end filling, repairing of root resorption and pulp capping.

Pulp Capping Simplified | Direct And Indirect Pulp Capping | Theory

Which is better MTA or calcium hydroxide?

MTA is more effective and superior comparing the Calcium Hydroxide as a direct pulp capping material, showed higher success rate with favorable outcomes in maintaining long term tooth vitality and easier to use in pulp capping. MTA is less toxic, less pulpal inflammation capping compared to Calcium Hydroxide.

What material is used for pulp capping?

Two types of pulp-capping materials, calcium hydroxide and mineral trioxide aggregate, have been most commonly used in clinics, and an adhesive resin has been considered a promising capping material.

What is considered the best pulp protection?

Dental cements are also used as protecting materials to protect the pulp after the cavity preparation against further trauma, like thermal and chemical insulating bases under metallic restorations[2, 3].

When do you use direct pulp capping?

Direct pulp capping should be used only on a vital pulp that has been accidentally injured and shows no other symptoms. Direct pulp capping should not be performed on a pulp that has been exposed as a result of penetrating caries. A successful pulp cap has a vital pulp and a dentin bridge within 75 to 90 days.

How is direct pulp capping done?

In direct pulp capping, the protective dressing is placed directly over an exposed pulp; and in indirect pulp capping, a thin layer of softened dentin, that if removed would expose the pulp, is left in place and the protective dressing is placed on top.

Why is calcium hydroxide used in pulp capping?

Calcium hydroxide continues to be the most accepted material for pulp capping. When calcium hydroxide is placed in contact with the pulp tissue, it preserves vitality, with no inflammatory response, stimulating the formation of a mineralized tissue barrier⁷.

Can you use Dycal under composite?

Further studies are necessary to suggest that Dycal can be used without any inhibitions under composite resin restorations, may be in vivo studies with long-term follow-up of the outcome are required.

What is Dycal composition?

Dycal® is a paste-paste calcium hydroxide dental cement uses as pulp capping and liner in dentistry. First paste (base paste) contains titanium dioxide and barium sulphate in glycol disalicylate and second paste (catalyst paste) contains calcium hydroxide, zinc oxide and zinc stearate in ethyl toluene sulphonamide.

Why is Biodentine better than Dycal?

The results of the present study showed that pulps that were treated with Biodentine were essentially free of inflammation and led to the formation of a good quality bridge which was more predictable, uniform, thick, continuous, and completely sealed the pulp tissue in comparison to Dycal.

Is Dycal the same as calcium hydroxide?

Dycal is a self-set rigid dental cement based on calcium hydroxide. It is indicated for both direct and indirect pulp coating.

Do you etch before Dycal?

10 The loss of material from Dycal as a result of acid contact is generally regarded as disadvantageous. Therefore, etching procedure should be done before Dycal application.

Which form of calcium hydroxide is used for pulp capping?

For many years, conventional or resin-modified calcium hydroxide/oxide–based materials like Dycal^® (since 1962), Life^® (since 1979) and Calxyl^® (since 1988) have been used in clinical practice. Other biomaterials such as Lime-Lite have been proposed as pulp capping agents due to their ability to release Ca and OH ions.

What is the difference between Apexification and Apexogenesis?

Apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.

What is MTA in dentistry?

The mineral trioxide aggregate (MTA) is a dental material with biocompatibility properties to oral and dental tissues. MTA was developed for dental root repair in endodontic treatment and it is formulated from commercial Portland cement, combined with bismuth oxide powder for radiopacity.

Can you use Dycal and Vitrebond together?

Both studies demonstrated that the pulp–dentin complex response to Vitrebond and Dycal indicated acceptable biocompatibility of these materials and there are no statistically significant difference between calcium hydroxide and Resin-Modified Glass Ionomer.

Can you use Dycal under GIC?

CaOH under GIC is redundant and counterproductive. One is placing a hard compressive strength materiral (GIC) on a softer one (Dycal). The rate of reparative dentin is constant and is not determined by the use of Dycal.

What is zinc phosphate cement?

Zinc phosphate cement the one of the oldest and widely used cements, and is commonly used for luting permanent metal restorations and as a base. It is a high-strength cement base, mixed from zinc oxide powder and phosphoric acid liquid.

What is Dicor ceramic?

Dicor is a fluorine-containing tetra silicic glass-ceramic in the Pyroceram family of glass-ceramics. 8, 9 Restorations are made using the lost wax technique, and the casting must be cerammed to develop its crystalline glass-ceramic form.

Is MTA a calcium silicate?

Mineral trioxide aggregate (MTA) is a calcium silicate-based cement (CSC) commonly used in endodontic procedures involving pulpal regeneration and hard tissue repair, such as pulp capping, pulpotomy, apexogenesis, apexification, perforation repair, and root-end filling.

What is a direct pulp cap?

Direct pulp capping is usually not recommended on baby teeth, except when the pulp is exposed because of mechanical trauma while removing the decay. In this case, a procedure called the pulpotomy is performed which removes part of the pulp. A direct cap is them placed on the wound and the tooth is then sealed.