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Title Pulpal health status of primary teeth capped indirectly with dentin bonding agents vs. CaOH
Clinical Question In young patients requiring indirect pulp capping, do dentin bonding agents have a more beneficial impact on pulpal health than calcium hydroxide?
Clinical Bottom Line In caries restorations that do not involve direct exposure of pulp, capping with various dentin bonding agents vs calcium hydroxide displayed equal clinical and radiographic success over a 24 month period. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 17896116 Buyukgural/2008Two hundred forty primary molar teeth with moderate to deep occlusal caries were restored in 97 children who met inclusion criteriaRandomized Controlled Trial
Key results240 primary molar teeth exhibiting different depths of carious lesions were restored in 97 children using 3 different dentin bonding agents. A calcium hydroxide control group was also assigned to compare results with. For the length of a 24 month period the teeth were analyzed clinically and radiographically. The results showed that over this 2 year period all groups showed no significant radiographic or clinical symptoms and exhibited a 100% treatment success rate.
Evidence Search (Pulp Capping;[Mesh] AND Calcium Hydroxide;[Mesh]) AND Dentin-Bonding Agents;[Mesh] ...view in PubMed
Comments on
The Evidence
This study is a well designed randomized controlled trial, representing a good level of evidence.
Applicability This study is very applicable to the clinical question. The results can be applied to all primary molar teeth.
Specialty/Discipline (Restorative Dentistry)
Keywords Dental pulp capping, calcium hydroxide, dentin-bonding agents, deciduous tooth, dental caries/therapy
ID# 498
Date of submission: 01/12/2010spacer Revised: 04/19/2012
E-mail elizabeth.wallmann@gmail.com
Author Sameh Ahmed
Co-author(s) Elizabeth Wallmann
Co-author(s) e-mail
Faculty mentor/Co-author Kevin M. Gureckis, DMD
Faculty mentor/Co-author e-mail gureckis@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
Comments and Evidence-Based Updates on the CAT
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by Holly Marabella (San Antonio, Texas) on 04/19/2012
I conducted a PubMed search on this topic in April of 2012 and this publication is the most recent and accurate information pertaining to the specific clinical question.

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