Altaf Gazala, Garg Shalini, Saraf Bhavna G, Sheoran Neha, Gupta Anil, Sharma Vishal
Department of Consultant Pedodontist, Risam Dental Clinic, Srinagar, Jammu and Kashmir, India.
Department of Pediatric and Preventive Dentistry, Shree Guru Gobind Singh Tricentenary University, Gurugram, Haryana, India.
Int J Clin Pediatr Dent. 2024 Nov;17(11):1199-1205. doi: 10.5005/jp-journals-10005-2979. Epub 2024 Dec 19.
The present case-control study was planned to assess the comparative efficacy of resin-modified calcium silicate, resin-modified glass ionomer, and Dycal as pulp capping agents in indirect pulp therapy for deeply carious young permanent molars.
Thirty deeply carious young posterior teeth were treated by indirect pulp therapy. During the treatment, the cavity floor was lined with TheraCal or resin-modified glass ionomer cement (RMGIC) in the study group and with Dycal (control group) followed by GC IX and composite restoration. The teeth were reviewed and evaluated clinically and radiographically after 6 and 12 months.
None of the study subjects experienced pain in any of the three study groups up to 12 months. Maturogenesis was seen in all 30 study teeth. Maximum% gain in dentin formation was seen in group I (TheraCal), that is, 16.100 ± 2.42, followed by group II (RMGIC), that is, 11.6000 ± 1.42, and group III (Dycal), that is, 9.6000 ± 0.96, and the difference between group I and group II and group I and group III was highly significant ( < 0.0001). Dentin formation was observed earlier at 6 months in 82.5% of cases with mesio-occlusal (MO) cavities as compared to 62.5% of cases with disto-occlusal (DO) extension.
TheraCal LC may be preferred as a pulp capping agent in the management of deeply carious young permanent molars for better healing in less time.
Altaf G, Garg S, Saraf BG, Clinical Effectiveness of Biomaterials in Indirect Pulp Therapy Treatment of Young Permanent Molars with Deep Carious Lesions: A Case-Control Study. Int J Clin Pediatr Dent 2024;17(11):1199-1205.
本病例对照研究旨在评估树脂改性硅酸钙、树脂改性玻璃离子水门汀和Dycal作为深龋年轻恒牙间接盖髓术盖髓剂的相对疗效。
30颗深龋年轻后牙采用间接盖髓术治疗。治疗过程中，研究组用TheraCal或树脂改性玻璃离子水门汀（RMGIC）衬于洞底，对照组用Dycal，随后进行GC IX和复合树脂修复。6个月和12个月后对牙齿进行临床和影像学检查及评估。
在12个月内，三个研究组的所有研究对象均未出现疼痛。所有30颗研究牙齿均出现牙本质生成。I组（TheraCal）牙本质形成的最大百分比增加量最高，为16.100±2.42，其次是II组（RMGIC），为11.6000±1.42，III组（Dycal）为9.6000±0.96，I组与II组以及I组与III组之间的差异具有高度显著性（<0.0001）。与远中咬合（DO）扩展的62.5%病例相比，近中咬合（MO）洞82.5%的病例在6个月时更早观察到牙本质形成。
在深龋年轻恒牙的治疗中，TheraCal LC作为盖髓剂可能更受青睐，因其能在更短时间内实现更好的愈合。
Altaf G, Garg S, Saraf BG, 深龋年轻恒牙间接盖髓治疗中生物材料的临床疗效：一项病例对照研究。《国际临床儿科牙科学杂志》2024；17(11):1199 - 1205。
