Clinical Comparison of Vital Pulp Capping Restorative Protocols

Summary

At present, dentistry aims for conservative treatments with the goal of maintaining as much tooth structure as possible. Dental caries remains the most prevalent chronic disease worldwide; these lesions can progress rapidly and reach deeper areas of the tooth. The carious lesion is considered deep when it goes through the main tissues of the tooth, and it can affect the pulp tissue, where the nerve and nutrients of the tooth are located. There are many treatment options for deep carious lesions and they vary by the clinical scenario. Vital pulp therapy has become a fairly predictable alternative treatment to pulpectomy (root canal therapy). The goal of vital pulp capping therapies is to keep the pulp of the teeth vital to prevent further interventions such as root canal treatments and complex restorative work. There are two main clinical scenarios when treating these lesions, depending on the remaining dentin thickness between the carious lesion and the pulp: vital direct and indirect pulp capping. Direct and indirect vital pulp therapies are routinely performed using different clinical protocols. The clinical protocols are selected based on the remaining dentin (between the tooth preparation and pulp) and the restorative materials. There are few studies that evaluate pulp capping method in adult teeth (permanent dentition); many studies have investigated baby teeth (deciduous teeth). Routine therapies include the using of adhesive restorations with and without an intermediate layer of restorative material. Calcium hydroxide based cements have been used for pulp capping as an intermediate layer of restorative material. More recently a new intermediate layer of restorative material composed of resin-modified calcium silicate has been indicated for use on direct and indirect pulp capping. The aims of this study are to compare, over a period of 12 months, the post-operative sensitivity and pulp vitality of three indirect pulp capping protocols and two direct pulp capping protocol in vital teeth. This study will provide the necessary evidence to allow clinicians to select the best restorative protocol when treating deep carious lesions where indirect and direct pulp capping protocol are needed.

Conditions

• Deep Dental Caries

Interventions

PROCEDURE

Indirect Pulp capping-Resin-modified calcium silicate - TheraCal

Use of a dental restorative protocol using Resin-modified calcium silicate - TheraCal pulp capping restorative material

PROCEDURE

Indirect Pulp capping-Calcium hydroxide - Dycal

Use of a dental restorative protocol using Calcium hydroxide - Dycal pulp capping restorative material

PROCEDURE

Indirect Pulp capping-Resin-based dentin bonding agent

Use of a dental restorative protocol using resin-based dentin bonding system only

PROCEDURE

Direct Pulp capping-Resin-modified calcium silicate - TheraCal

Use of a dental restorative protocol using Resin-modified calcium silicate - TheraCal pulp capping restorative material

PROCEDURE

Direct Pulp capping-Calcium hydroxide - Dycal

\\Use of a dental restorative protocol using Calcium hydroxide - Dycal pulp capping restorative material

Sponsors & Collaborators

• University of Illinois at Chicago

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

64 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-06-30

Primary Completion

2019-07-31

Completion

2019-08-31

Countries

• United States

Study Locations