Kunert Marta, Lukomska-Szymanska Monika
Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.
Materials (Basel). 2020 Mar 7;13(5):1204. doi: 10.3390/ma13051204.
The article is aimed at analyzing the available research and comparing the properties of bio-inductive materials in direct and indirect pulp capping procedures. The properties and clinical performances of four calcium-silicate cements (ProRoot MTA, MTA Angelus, RetroMTA, Biodentine), a light-cured calcium silicate-based material (TheraCal LC) and an enhanced resin-modified glass-ionomer (ACTIVA BioACTIVE) are widely discussed. A correlation of in vitro and in vivo data revealed that, currently, the most validated material for pulp capping procedures is still MTA. Despite Biodentine's superiority in relatively easier manipulation, competitive pricing and predictable clinical outcome, more long-term clinical studies on Biodentine as a pulp capping agent are needed. According to available research, there is also insufficient evidence to support the use of TheraCal LC or ACTIVA BioACTIVE BASE/LINER in vital pulp therapy.
本文旨在分析现有研究,并比较生物诱导材料在直接和间接盖髓术过程中的特性。文中广泛讨论了四种硅酸钙水门汀(ProRoot MTA、MTA Angelus、RetroMTA、Biodentine)、一种光固化硅酸钙基材料(TheraCal LC)和一种增强型树脂改性玻璃离子水门汀(ACTIVA BioACTIVE)的特性及临床性能。体外和体内数据的相关性表明,目前,盖髓术最经证实有效的材料仍是MTA。尽管Biodentine在操作相对简便、价格具有竞争力以及临床结果可预测方面具有优势,但仍需要更多关于Biodentine作为盖髓剂的长期临床研究。根据现有研究,也没有足够的证据支持在活髓治疗中使用TheraCal LC或ACTIVA BioACTIVE BASE/LINER。