Research progress on direct pulp capping of primary teeth
10.12016/j.issn.2096-1456.2024.03.010
- VernacularTitle:乳牙直接盖髓术的研究进展
- Author:
Jinjin YU
1
;
Jianhui ZHU
;
Zhifang WU
Author Information
1. 浙江大学医学院附属口腔医院 浙江大学口腔医学院 浙江省口腔疾病临床医学研究中心 浙江省口腔生物医学研究重点实验室浙江大学癌症研究院 口腔生物材料与器械浙江省工程研究中心,浙江杭州(310000)
- Keywords:
primary teeth;
caries;
pulp exposure;
direct pulp capping;
pulp capping material;
mineral tri-oxide aggregate(MTA);
iRoot BP Plus;
pulpitis;
pulp therapy;
pulpotomy
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2024;(3):229-234
- CountryChina
- Language:Chinese
-
Abstract:
The timely treatment of dental caries and pulp disease in primary teeth holds significant importance for maintaining children's oral health.Direct pulp capping(DPC)is a vital pulp treatment that involves covering the ex-posed pulp with bioactive materials to promote dentin bridge formation.DPC is commonly used in primary teeth with vi-tal pulp and mechanical pulp exposure not exceeding 1 mm.DPC offers advantages such as minimal invasiveness,com-fort,simplicity of operation and short chair-side time,making it suitable for pediatric dental clinical practice.Early stud-ies suggested negative treatment outcomes for DPC in primary teeth with carious pulp exposure.Over the years,there have been advancements in materials and technology demonstrating positive outcomes in the clinical research of prima-ry teeth with deep caries.However,due to the limited quality of related studies,DPC has not been widely recommended for the treatment of primary teeth with carious pulp exposure,and its widespread use needs further support by more high-quality evidence-based medical research.The success rate of DPC in primary teeth is influenced by factors including pulp status,clinical operations(such as isolation and caries removal),pulp capping material,cavity type,tooth position,coronal sealing,and dental fear.In clinical operation,dentists should accurately assess pulp status and minimize bacte-rial contamination.Mineral trioxide aggregate(MTA)is a DPC agent with relatively sufficient evidence and good thera-peutic effects,and the crown should be tightly sealed after pulp capping.Additionally,the effects of novel biocompati-ble materials such as iRoot BP Plus used in DPC of primary teeth,and the influence of other factors like hemostatic methods on the prognosis of affected teeth,need further exploration.
