ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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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/2008 | Two hundred forty primary molar teeth with moderate to deep occlusal caries were restored in 97 children who met inclusion criteria | Randomized Controlled Trial | | Key results | 240 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: |
01/12/2010 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 | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
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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