A Preliminary Report on Histological Outcome of Pulpotomy with Endodontic Biomaterials Vs Calcium Hydroxide

Overview

Journal Restor Dent Endod

Date 2013 Dec 5

PMID 24303358

Citations 14

Authors

Ali Nosrat

Ali Peimani

Saeed Asgary

Affiliations

Soon will be listed here.

Abstract

Objectives: The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement.

Materials And Methods: A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were followed clinically for six months; the teeth were then extracted and prepared for histological assessments. The samples were blindly assessed by an independent observer for pulp vitality, pulp inflammation, and calcified bridge formation.

Results: All patients were free of clinical signs/symptoms of pulpal/periradicular diseases during the follow up period. In CH group, one tooth had necrotic radicular pulp; other two teeth in this group had vital uninflamed pulps with complete dentinal bridge formation. In CEM cement and MTA groups all teeth had vital uninflamed radicular pulps. A complete dentinal bridge was formed beneath CEM cement and MTA in all roots. Odontoblast-like cells were present beneath CEM cement and MTA in all samples.

Conclusions: This study revealed that CEM cement and MTA were reliable endodontic biomaterials in full pulpotomy treatment. In contrast, the human dental pulp response to CH might be unpredictable.

Citing Articles

Comprehensive review of composition, properties, clinical applications, and future perspectives of calcium-enriched mixture (CEM) cement: a systematic analysis.

Asgary S, Aram M, Fazlyab M Biomed Eng Online. 2024; 23(1):96.

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Calcium Silicate-Based Cements in Restorative Dentistry: Vital Pulp Therapy Clinical, Radiographic, and Histological Outcomes on Deciduous and Permanent Dentition-A Systematic Review and Meta-Analysis.

Xavier M, Costa A, Ramos J, Carames J, Marques D, Martins J Materials (Basel). 2024; 17(17).

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Vital pulp therapy of permanent teeth with irreversible pulpitis.

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Hard tissue formation in pulpotomized primary teeth in dogs with nanomaterials MCM-48 and MCM-48/hydroxyapatite: an in vivo animal study.

Talebi S, Nourbakhsh N, Talebi A, Nourbakhsh A, Haghighat A, Manshayi M BMC Oral Health. 2024; 24(1):322.

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Zali A Iran Endod J. 2023; 16(3):137-138.

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