Effect of Glass Ionomer Cement as an Interim Restoration in Diagnosis of Pulpal Status

Launched by POSTGRADUATE INSTITUTE OF DENTAL SCIENCES ROHTAK · May 25, 2017

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ClinConnect Summary

Introduction Preservation of pulp vitality while managing the deep carious lesions is often a great challenge and requires procedures like pulp capping and pulpotomy collectively termed as vital pulp therapy (VPT). Such treatment involves elimination of bacteria from pulp dentine complex and establishing an environment that will prevent any future bacterial contamination and improves survival prognosis. Management of deep carious lesions in recent years has changed from complete caries removal to partial caries removal. Partial caries removal has gained importance due to reduction in pulpal...

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Eligibility criteria

• Inclusion Criteria:
• • mature permanent mandibular molars having deep carious lesions involving half or more of the dentine detected by radiographic examination,
• • pulp sensibility confirmed using the electric pulp test (Digitest D626D; Parkell Electronics, New York, NY) and the cold test (Endo frost, Coltene, Whaledent),
• • absence of apical and furcal radiolucency determined by radiographic examination,
• • absence of clinical symptoms of irreversible symptoms, fistula, swelling and abnormal tooth mobility.
• • Clinical diagnosis of vital pulp was made on the basis of radiographic and clinical examination and the pulp sensibility tests.
• • Exclusion Criteria:• if they presented with signs and symptoms of irreversible pulpitis,
• • had negative response to vitality tests before or after ITR,
• • diabetic, immunocompromised,
• • pregnant,
• • had a positive history of antibiotic use in past one month or required antibiotic prophylaxis.