Conservative treatment of the dental pulp in the young permanent dentition

Abstract

Aim and objectives: The purpose of this clinical trial was to evaluate the effectiveness of calcium hydroxide [Ca(OH)2] and mineral trioxide aggregate (MTA) in treating deep carious lesions using the direct total caries removal approach. The objective of treatment planning for young permanent teeth is to ensure the well-being of the pulp, while also facilitating ongoing root growth and the natural formation of dentin. Material and methods: The study was carried out on 81 teeth with advanced caries treated by indirect pulp capping using calcium hydroxide and MTA. Results: Following therapy, the recall rates were 92% at six and twelve months. Endodontic emergency treatment was provided for four teeth that were capped with Ca(OH)2 (2 at 6 months and 2 at 12 months posttreatment), and two capped with MTA (2 at 12 months posttreatment), due to signs of irreversible pulpitis that were confirmed clinically and/or radiographically. Between the two pulp-capping agents at six and twelve, there were not significant differences in pulp vitality. Conclusions: When it comes to indirect pulp-capping success can be achieved with both materials: calcium hydroxide and MTA.