Comparative Evaluation of Resin-modified Glass Ionomer Cement, Mineral Trioxide Aggregate, and Calcium Hydroxide When Used as a Direct Pulp Capping Material on Carious Pulp Exposures of Human Permanent Teeth: A Randomized Clinical Trial
M Agrawal Aanchal, Vanitha U Shenoy, V Margasahayam Sumanthini, S Satpute Tanvi
Calcium hydroxide, Direct pulp capping, Mineral trioxide aggregate, Resin-modified glass ionomer cement
Citation Information :
Aanchal MA, Shenoy V U, Sumanthini VM, Tanvi SS. Comparative Evaluation of Resin-modified Glass Ionomer Cement, Mineral Trioxide Aggregate, and Calcium Hydroxide When Used as a Direct Pulp Capping Material on Carious Pulp Exposures of Human Permanent Teeth: A Randomized Clinical Trial. World J Dent 2021; 12 (5):381-385.
Aim and objective: To evaluate the clinical efficacy of resin-modified glass ionomer cement (RMGIC), mineral trioxide aggregate (MTA), and calcium hydroxide (CH) when used as a direct pulp capping (DPC) material on carious exposure of human permanent teeth.
Materials and methods: Forty-five participants in the age group of 15–52 years, with deep carious lesions diagnosed with reversible pulpitis, were selected and divided into three groups, i.e., group I: RMGIC, group II: MTA, and group III: CH. Recall evaluation after 24 hours, 3 weeks, 3 months, and 6 months was carried out for recording self-reports from participants, a clinical inspection of the tooth, evaluating radiographs, testing vitality, palpation, percussion, mobility, and probing depths.
Results: Of the 45 participants, 42 presented without any abnormal signs or symptoms. Three participants presented with symptoms of irreversible pulpitis, which indicated DPC failure. Chi-square test gave a p value > 0.05.
Conclusion: There was no significant association between different parameters and the DPC materials used in the study.
Clinical significance: Carious pulp exposure poses a challenge to the endodontist and maintaining the vitality of the pulp by DPC is one of the treatment modalities. This study has attempted to compare the efficacy of commonly used pulp capping materials like MTA and CH in addition to RMGIC, which has routinely been used for restorations.
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