Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Aug;7(4):429-435.
doi: 10.1002/cre2.362. Epub 2020 Dec 31.

Follow-up of patients subjected to direct and indirect pulp capping of young permanent teeth. A retrospective study

Carmen Llena  1 , Miriam Hernández  1 , Maria Melo  1 , José Luis Sanz  1 , Leopoldo Forner  1
Affiliations

Follow-up of patients subjected to direct and indirect pulp capping of young permanent teeth. A retrospective study

Carmen Llena et al. Clin Exp Dent Res. 2021 Aug.

Abstract

Objective: A retrospective study of the success rate of direct pulp capping (DPC) and indirect pulp capping (IPC) was carried out in children between 6-14 years-old, considering separately primary caries or caries affecting teeth with molar incisor hypomineralization (MIH).

Material and methods: Data were collected in a dental public health service. Following the inclusion criteria, 232 treatments were analyzed. Success was defined by the presence of a functional tooth without clinical signs or symptoms of pulpal or periapical disease. The success rate was correlated to patient gender, the affected tooth and the indication of therapy using the chi-squared and Fisher exact test. The success time related to treatment type was evaluated through the Mann-Whitney test.

Results: The IPC and DPC success rate was 99.4%, and 84.6%, respectively (p = .01). Success was significantly lower when caries affected teeth with MIH than when caries affected teeth without MIH (p = .01). The mean survival for DPC and IPC was 14.07 ± 1.30 and 15.98 ± 0.80 months, respectively (p = .07).

Conclusions: When caries were located in teeth that were not affected by MIH, IPC was significantly more successful than DPC, but did not differ significantly when caries were placed in teeth with MIH. Key points Minimally invasive therapy is a successful approach for decayed young permanent teeth. The success of IPC was greater than the success of DPC wen caries was placed in teeth not affected by MIH. In teeth not affected by MIH the success of DPC or IPC did not differ significantly.

Keywords: Vital pulp therapy; direct pulp capping; indirect pulp capping; young permanent teeth.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Flow diagram representing the follow‐up of patients which met the inclusion criteria, reasons for exclusion, and the total number of evaluated teeth
FIGURE 2
FIGURE 2
(a) DPC with X‐ray satisfactory status. no apical lesion is observed (b) DPC with X‐ray failure status. Success after 2‐years follow‐up. no apical lesion is observed (a). Failure after 12‐months follow‐up. A periapical radiolucency is observed in mesial and distal roots (b)
FIGURE 3
FIGURE 3
Success rate percentage according gender, type of tooth, and follow‐up period
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Agrafoti, A., Ginnakoulas, D. G., Filippatos, C. G., & Kontakiotis, E. G. (2005). Analysis of clinical studies related to apexification techniques. European Journal of Paediatric Dentistry, 21, 1–8. - PubMed
    1. Alqaderi, H. E., Al‐Mutawa, S. A., & Qudeimat, M. A. (2014). MTA pulpotomy as an alternative to root canal treatment in children's permanent teeth in a dental public health setting. Journal of Dentistry, 42, 1390–1395. - PubMed
    1. American Academy of Pediatric Dentistry ad hoc Committee on Pedodontic Guideline on Prescribing Dental Radiographs for Infants, Children . (2012). Adolescents, and persons with special health care needs. Pediatric Dentistry, 34, 189–191. - PubMed
    1. American Academy on Pediatric Dentistry Clinical Affairs Committee‐Pulp Therapy Subcommittee, American Academy on Pediatric Dentistry Council on Clinical Affairs . (2008). Guideline on pulp therapy for primary and young permanent teeth. Pediatric Dentistry, 30, 170–174. - PubMed
    1. Asgary, S., Eghbal, M. J., Ghoddusi, J., & Yazdani, S. (2013). One‐year results of vital pulp therapy in permanent molars with irreversible pulpitis: An ongoing multicenter, randomized, non‐inferiority clinical trial. Clinical Oral Investigations, 17, 431–439. - PubMed