Dalpian Débora Martini, Casagrande Luciano, Franzon Renata, Dutra Giovana Martins Cezar, de Araujo Fernando Borba
School of Dentistry, Franciscan University Center, Santa Maria, Brazil.
J Clin Pediatr Dent. 2012 Summer;36(4):363-7.
To evaluate the dentin microhardness of primary teeth undergoing indirect pulp capping (IPC) after partial caries removal.
Primary molars were treated with IPC, restored with self-etching primer (Clearfil SE Bond; CSE), and filled with composite resin (Filtek Z250) with (n = 10) or without (n = 7) a calcium hydroxide base liner (Dycal; Dy). After tooth exfoliation, the microhardness of the demineralized dentin remaining under the restoration (n = 17) was analyzed and compared with that of sound and carious primary dentin (n = 20). Microhardness measurements were obtained from the deepest portion of the cavity until the roof of the pulp chamber. Data were analyzed by Kruskal-Wallis test (p < 0.05).
There was no difference in microhardness values at all depths between the treated groups (DY and CSE), but when the exfoliated carious teeth were included, the CSE had significantly higher values at 35-microm depth. This difference was only detected in the DY group after a depth of 200 microm. At 700 microm, there was no difference in microhardness values between all 4 groups.
Primary teeth that underwent IPC showed the same microhardness, regardless of the capping material used.
评估部分龋坏去除后接受间接盖髓术(IPC)的乳牙的牙本质显微硬度。
乳牙磨牙接受IPC治疗,用自酸蚀底漆(Clearfil SE Bond;CSE)修复,并用复合树脂(Filtek Z250)填充,其中一组(n = 10)使用氢氧化钙垫底衬层(Dycal;Dy),另一组(n = 7)不使用。牙齿脱落后,分析修复体下方剩余脱矿牙本质的显微硬度(n = 17),并与健康和龋坏的乳牙牙本质(n = 20)进行比较。从窝洞最深部直至髓腔顶部获取显微硬度测量值。数据采用Kruskal-Wallis检验进行分析(p < 0.05)。
治疗组(Dy和CSE)在所有深度的显微硬度值均无差异,但纳入脱落的龋坏牙齿后,CSE在35微米深度处的值显著更高。这种差异仅在200微米深度后在Dy组中检测到。在700微米处,所有4组的显微硬度值均无差异。
接受IPC治疗的乳牙,无论使用何种盖髓材料,其显微硬度相同。