Accorinte Maria de Lourdes R, Holland Roberto, Reis Alessandra, Bortoluzzi Marcelo C, Murata Sueli S, Dezan Eloy, Souza Valdir, Alessandro Loguercio Dourado
Department of Dental Materials, School of Dentistry, University Brás Cubas, São Paulo, SP, Brazil.
J Endod. 2008 Jan;34(1):1-6. doi: 10.1016/j.joen.2007.09.012.
This study evaluated the histomorphologic response of human dental pulps capped with mineral trioxide aggregate (MTA) and Ca(OH)2 cement (CH). Pulp exposures were performed on the occlusal floor of 40 human permanent premolars. After that, the pulp was capped either with CH or MTA and restored with composite resin. After 30 and 60 days, teeth were extracted and processed for histologic exam and categorized in a histologic score system. The data were subjected to Kruskal-Wallis and Conover tests (alpha = .05). All groups performed well in terms of hard tissue bridge formation, inflammatory response, and other pulpal findings. However, a lower response of CH30 was observed for the dentin bridge formation, when compared with MTA30 and MTA60 groups. Although the pulp healing with calcium hydroxide was slower than that of MTA, both materials were successful for pulp capping in human teeth.
本研究评估了用三氧化矿物凝聚体(MTA)和氢氧化钙水门汀(CH)覆盖的人牙髓的组织形态学反应。在40颗人恒前磨牙的咬合面进行牙髓暴露。之后,用CH或MTA覆盖牙髓,并用复合树脂修复。30天和60天后,拔除牙齿并进行组织学检查,并在组织学评分系统中进行分类。数据进行Kruskal-Wallis和Conover检验(α = 0.05)。所有组在硬组织桥形成、炎症反应和其他牙髓表现方面均表现良好。然而,与MTA30和MTA60组相比,观察到CH30组在牙本质桥形成方面的反应较低。尽管用氢氧化钙进行牙髓愈合比MTA慢,但两种材料用于人牙的牙髓覆盖均成功。