Direct pulp capping procedures: Evidence and practice

Islam, Rafiqul and Islam, Md Refat Readul and Tanaka, Toru and Alam, Mohammad Khursheed and Ahmed, Hany Mohamed Aly and Sano, Hidehiko (2023) Direct pulp capping procedures: Evidence and practice. Japanese Dental Science Review, 59. pp. 48-61. ISSN 1882-7616, DOI https://doi.org/10.1016/j.jdsr.2023.02.002.

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Abstract

The aim of direct pulp capping (DPC) is to promote pulp healing and mineralized tissue barrier formation by placing a dental biomaterial directly over the exposed pulp. Successful application of this approach avoids the need for further and more extensive treatment. In order to ensure a complete pulp healing with the placement of restorative materials, a mineralized tissue barrier must form to protect the pulp from mi-crobial invasion. The formation of mineralized tissue barrier can only be induced when there is a significant reduction in pulp inflammation and infection. Consequently, promoting the healing of pulp inflammation may provide a favorable therapeutic opportunity to maintain the sustainability of DPC treatment. Mineralized tissue formation was observed as the favorable reaction of exposed pulp tissue against a variety of dental biomaterials utilized for DPC. This observation reveals an intrinsic capacity of pulp tissue for healing. Therefore, this review focuses on the DPC and its healing procedure as well as the materials used for DPC treatment and their mechanisms of action to promote pulpal healing. In addition, the factors that can affect the healing process of DPC, clinical considerations and future perspective has been described.(c) 2023 The Authors. Published by Elsevier Ltd on behalf of The Japanese Association for Dental Science. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/license/by-ac-nd/4.0/).

Item Type: Article
Funders: Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT), 22K09994, 21K21028
Uncontrolled Keywords: Vital pulp therapy; Direct pulp capping; Calcium hydroxide; Mineral trioxide aggregate; Bioceramics; Pulp capping materials
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry
Depositing User: Ms Zaharah Ramly
Date Deposited: 14 Nov 2023 05:04
Last Modified: 14 Nov 2023 05:04
URI: http://eprints.um.edu.my/id/eprint/38580

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