direct pulp capping in primary teeth pdf

1093 0 obj >> endobj /Pg 83 0 R 644 0 obj <> 580 0 obj 118 0 obj >> 26 0 obj >> >> /Pg 56 0 R << /Pg 83 0 R endobj >> endobj 864 0 obj /Subtype /CIDFontType2 endobj /S /Span endobj endobj >> /P 115 0 R 1104 0 obj 247 0 obj /P 757 0 R 268 0 obj /BaseFont /Times#20New#20Roman,Italic /Pg 56 0 R /OCGs [ 1341 0 R 1350 0 R ] 163 0 obj endobj endobj << /ntilde /ograve /oacute /ocircumflex /otilde /odieresis /divide /oslash /ugrave /uacute /Pg 3 0 R /P 171 0 R >> << >> /Type /Font /P 757 0 R endobj /Pg 56 0 R <> /S /Span endobj /K 580 /Pg 56 0 R 287 0 obj 1197 0 obj 308 0 obj /K [ 986 ] /K 799 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R << /ProcSet [ /PDF /Text ] /P 757 0 R /S /P << /Pg 54 0 R endobj /Pg 3 0 R /P 727 0 R /Pg 3 0 R 182 0 obj /AS [ << << /Obj 71 0 R << /Obj 49 0 R /Pg 56 0 R >> /S /Span 903 0 obj endobj << /K 138 /P 757 0 R << << /S /Span /P 171 0 R /P 171 0 R /S /LI >> 1119 0 obj endobj /S /L /Pg 56 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R << /FirstChar 48 311 0 obj endobj >> /ca 1 /Type /OBJR /Pg 56 0 R /Pg 56 0 R /P 171 0 R endobj << << >> /S /LI /Pg 3 0 R /S /Span >> /S /Span /K 158 << << /K 393 /XHeight 250 endobj There is no evidence that justifies discarding the judicious use of DPC procedures in primary teeth. /Pg 54 0 R 73 0 obj >> endobj /P 171 0 R /S /Span 303 0 obj << /LastChar 255 >> /Type /OBJR 10 0 obj >> /K 387 994 0 R 995 0 R 996 0 R 997 0 R 998 0 R 999 0 R 1000 0 R 1001 0 R 1002 0 R 1005 0 R /K 164 /CS /DeviceRGB >> /P 171 0 R /K [ 663 0 R 664 0 R ] /P 757 0 R /S /Span << >> >> /K 759 endobj endobj /K 707 << endobj endobj >> /Obj 75 0 R << >> 566 0 obj << 837 0 obj /Pg 3 0 R /K 268 /S /Span /P 757 0 R >> >> >> << << << 1119 0 R 1120 0 R 1121 0 R 1122 0 R 1123 0 R 1124 0 R 1125 0 R 1126 0 R 1127 0 R /S /Span Objective: Recommendations against direct pulp capping (DPC) for carious primary teeth are based on old, low level evidence.This study investigates the medium to long term clinical and radiographic outcomes of such treatment. /S /Span /Type /FontDescriptor /P 757 0 R /Pg 56 0 R /Flags 32 /K 353 820 0 obj endobj 347 0 obj 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R 571 0 R >> /P 757 0 R >> 161 0 obj /P 757 0 R /P 757 0 R 1204 0 obj endobj 249 0 obj 19 0 obj /P 757 0 R endobj /S /Span >> 1125 0 obj 133 0 obj /S /Span /S /LI 960 0 obj 1167 0 obj >> /P 757 0 R /K 114 << << /S /Span endobj 442 0 obj << << /S /Span /BS << >> /Pg 3 0 R endobj >> /K [ 720 0 R 722 0 R 724 0 R 726 0 R ] << 369 0 obj [ 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R /P 171 0 R /Type /Group 697 0 obj /P 757 0 R << endobj endobj endobj /P 100 0 R /Rect [ 351.14 496.33 373.5 509.76 ] 723 0 obj /Obj 45 0 R /P 757 0 R >> >> /S /TD 675 0 obj >> >> 1152 0 R 1153 0 R 1154 0 R 1155 0 R 1156 0 R 1157 0 R 1158 0 R 1159 0 R 1160 0 R << endobj /S /Span /Pg 56 0 R 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 >> 697 0 R ] endobj /Pg 3 0 R >> >> /Pg 54 0 R >> << /K 337 >> /P 757 0 R /K 566 345 0 obj /K 604 283 0 R 284 0 R 285 0 R 286 0 R 287 0 R 288 0 R 289 0 R 290 0 R 291 0 R 292 0 R 293 0 R << /S /Span << 381 0 obj endobj /TT0 5 0 R /K 640 712 0 obj << 1301 0 obj 498 0 obj 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 ] endobj endobj /S /LBody /Pg 56 0 R endobj /TT4 9 0 R 477 0 obj << << /S /Span endobj 8 0 obj 1120 0 obj << endobj >> 564 0 obj >> /K 785 /Widths 1313 0 R >> /P 622 0 R >> 297 0 obj /P 171 0 R 1306 0 R 1308 0 R ] 1057 0 obj /CapHeight 677 /K 691 /S /Span >> >> /S /Span << /S /Span /P 171 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R /P 757 0 R >> >> >> /Pg 3 0 R /S /Transparency endobj /Pg 56 0 R endobj /FontDescriptor 1338 0 R >> /Pg 3 0 R /P 740 0 R /Pg 56 0 R << /F 4 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 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311 312 ] >> /S /Span 344 0 obj endobj /Font 1358 0 R endobj /P 88 0 R >> 140 0 obj /K 598 /P 171 0 R /K 404 endobj endobj 1052 0 obj /Pg 3 0 R 220 0 obj /S /Link << endobj endobj endobj /Pg 54 0 R >> << << /S /Span >> 1110 0 R 1111 0 R 1112 0 R 1113 0 R 1114 0 R 1115 0 R 1116 0 R 1117 0 R 1118 0 R /K 970 /K 869 /P 171 0 R 490 0 obj >> /Pg 56 0 R >> /K [ 677 0 R 679 0 R 681 0 R 683 0 R 685 0 R ] /BS <> /S /LBody << 1285 0 R 1287 0 R 1289 0 R 1291 0 R 1293 0 R 1295 0 R 1297 0 R 1299 0 R 1301 0 R /P 727 0 R /P 171 0 R /P 743 0 R endobj >> /S /Span /Pg 3 0 R /P 171 0 R /K [ 569 0 R ] /Pg 54 0 R /P 88 0 R /Rect [ 371.5 496.33 393.85 509.76 ] >> /Subtype /Link /S /TR endobj 329 0 obj /P 171 0 R /K 250 /Pg 56 0 R 465 0 obj /K 299 /P 757 0 R /S /Link >> /S /Span /K [ 1299 0 R ] >> /CA 0.15 /AvgWidth 427 /S /Span /S /Span << /S /Span /K 769 /S /P >> << endobj /K 246 >> However, the evidence of these studies is not very strong. endobj 304 0 obj /K 677 551 0 obj /Obj 73 0 R /Pg 56 0 R /P 635 0 R endobj >> 882 883 884 885 886 887 888 889 890 891 892 893 894 895 896 897 898 899 900 901 902 /K 380 endobj /Pg 3 0 R /BitsPerComponent 8 /K 750 endobj /S /Link << /K 914 /W 0 /S /P << /K 744 >> 878 0 obj /StructParent 8 77 0 obj /StructParent 34 /S /TD /Pg 56 0 R endobj /P 171 0 R /P 757 0 R /S /Span endobj 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R 600 0 R endobj endobj /K 746 /K 213 << 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 89 0 obj /S /Span /P 171 0 R /K 236 /S /Span endobj 563 0 obj /W 0 /K 115 /P 757 0 R /S /Span >> << /Pg 56 0 R /P 171 0 R /Pg 3 0 R << /F 4 /Pg 56 0 R << /BS << endobj << 1258 0 obj /S /Span /Pg 56 0 R 688 0 obj 1175 0 obj • VPT includes three approaches: indirect pulp capping, direct pulp capping, and /Dest [ 3 /XYZ 308 573 0 ] /Pg 83 0 R 500 278 0 0 0 0 0 500 500 0 389 389 278 500 0 0 0 444 ] << /S /Span /Pg 56 0 R /Type /OBJR /K [ 657 0 R 658 0 R ] /Pg 54 0 R /K [ 712 0 R 714 0 R 716 0 R 718 0 R ] 1011 0 obj 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 1231 0 obj /Pg 3 0 R endobj /P 88 0 R /S /Span /S /Span >> /K 282 >> /K [ 693 0 R ] /K 321 endobj /K 754 /S /Span /S /Span /Pg 56 0 R • There should be no harm to succedaneous tooth. 256 0 obj /K 928 endobj endobj << /S /TD /P 757 0 R This document by the Council of Clinical Affairs is a revision of the previous version, last revised in 2009. << /Pg 56 0 R endobj endobj endobj 687 0 obj << Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, orcid.org/https://orcid.org/0000-0001-9123-0300, orcid.org/https://orcid.org/0000-0003-2314-8465, I have read and accept the Wiley Online Library Terms and Conditions of Use. /K [ 19 ] /K 401 The following electronic databases were searched: PubMed, Embase, Cochrane Library, Dentistry and Oral Science Source, and Google Scholar. << /K 347 2 0 obj >> /Pg 56 0 R /P 757 0 R /S /Span 348 0 obj /S /LI /Pg 3 0 R << /Pg 56 0 R >> /P 757 0 R /Pg 3 0 R /Subtype /TrueType 750 0 obj /Pg 56 0 R /Obj 51 0 R << /K 328 >> 868 0 obj /ExtGState << >> /K 903 >> 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R 751 0 R /ca 1 /P 757 0 R /P 100 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R /S /Span /MaxWidth 2628 1101 0 obj << << /Pg 56 0 R /F 4 /K [ 723 0 R ] /Type /Catalog /S /Span >> >> endobj 342 0 obj 13 0 obj <> << << 139 0 obj >> >> << >> >> 51 0 R 52 0 R 53 0 R ] << /K 871 1107 0 R 1108 0 R 1109 0 R 1110 0 R 1111 0 R 1112 0 R 1113 0 R 1114 0 R 1115 0 R endobj endobj 806 0 R 807 0 R 808 0 R 809 0 R 810 0 R 811 0 R 812 0 R 813 0 R 814 0 R 815 0 R 816 0 R 131 0 R 132 0 R 133 0 R 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R /P 171 0 R /Pg 56 0 R >> /BS << /S /Span endobj >> >> /S /Span >> /P 171 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 25 0 obj >> /K [ 574 0 R 576 0 R ] /S /Span /K 997 /F 4 /P 687 0 R endobj /S /Span /Pg 83 0 R /P 635 0 R 361 0 obj /P 171 0 R << 783 0 obj /XHeight 250 >> /Pg 56 0 R /S /Span /S /Span /S /Span /P 171 0 R 111 0 obj endobj /Rect [ 189.31 407.82 206.08 421.25 ] << /S /Span /S /LI /S /P /S /Span /S /Span /K [ 27 ] endobj 684 0 obj /GS0 1367 0 R 208 0 obj endobj /P 757 0 R /Pg 56 0 R endobj /Pg 3 0 R << /Pg 3 0 R 962 0 obj /Type /Font /K 797 << >> /P 164 0 R /S /Span << /Pg 54 0 R 833 0 obj /S /Span /Pg 56 0 R /K [ 86 ] << << /S /Span /P 171 0 R /Subtype /Link >> 978 0 obj /StemV 52 endobj /P 171 0 R [ 4 [ 333 ] 120 [ 460 ] ] >> /K 948 /K 171 endobj /BS << /K [ 497 498 499 500 ] << /K 350 >> To summarize the clinical/radiographic outcomes from the evidence of studies published since 1988 on different DPC agents applied on vital pulp–exposed primary teeth. /Marked true /P 757 0 R 482 0 obj >> /P 699 0 R << >> endobj /P 171 0 R 798 0 obj endobj 808 0 obj /Pg 3 0 R /F 4 << /K 427 endobj /BS << endobj 79 0 obj /S /LBody /Pg 56 0 R /Pg 3 0 R /BS << 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 /Encoding /WinAnsiEncoding 675 0 R 678 0 R 680 0 R 682 0 R 684 0 R 685 0 R 689 0 R 691 0 R 693 0 R 695 0 R 696 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R /Pg 56 0 R 1228 0 obj /K [ 660 661 662 663 664 665 666 ] 416 0 obj << << 1250 0 obj >> /S /Span /Pg 3 0 R >> /K [ 1271 0 R ] /Pg 54 0 R <> /Pg 54 0 R 1073 0 obj /S /L 858 0 R 859 0 R 860 0 R 861 0 R 862 0 R 863 0 R 864 0 R 865 0 R 866 0 R 867 0 R 868 0 R << /S /Span >> 534 0 obj /P 757 0 R endobj /Type /OBJR 1141 0 obj endobj /K 645 /K 144 /P 757 0 R /S /TD /P 757 0 R >> /S /Span >> /Pg 56 0 R >> /FontBBox [ -628 -210 2000 728 ] /P 171 0 R << /P 171 0 R /StemV 40 1212 0 obj /K 402 /P 757 0 R << /Pg 56 0 R /P 171 0 R /K 912 1233 0 R 1234 0 R 1235 0 R 1236 0 R 1237 0 R 1238 0 R 1239 0 R 1240 0 R 1241 0 R /S /Link 1039 0 obj /P 88 0 R endobj /P 757 0 R /P 757 0 R /P 1282 0 R /Pg 3 0 R endobj /Pg 56 0 R 897 0 obj /P 171 0 R 948 0 R 949 0 R 950 0 R 951 0 R 952 0 R 953 0 R 954 0 R 955 0 R 956 0 R 957 0 R 958 0 R endobj /K [ 555 0 R ] /Pg 54 0 R 219 0 obj 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 <> 1061 0 obj >> 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 /P 757 0 R /S /TD << /S /Span << >> >> /P 662 0 R 814 0 obj /Subtype /TrueType endobj endobj /P 171 0 R 977 0 obj /S /Span /P 580 0 R 485 0 obj /P 88 0 R /S /Span << << 1249 0 obj << /Pg 56 0 R /K 897 << << >> /P 612 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R 650 0 R >> /K 685 endobj /Pg 3 0 R >> /K 413 /K 814 841 0 obj /Type /OBJR >> endobj /P 757 0 R << 1060 0 obj /K 110 /Pg 3 0 R /P 171 0 R << 179 0 obj >> /K [ 1283 0 R ] 431 0 obj endobj /K 694 /Pg 3 0 R The direct pulp cap is indicated for small mechanical or traumatic exposures when conditions for a favourable response are optimal. 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 559 0 R 966 0 obj << /Type /OBJR /PageElement << << endobj /K [ 512 513 514 515 516 517 518 519 520 521 ] /W 1326 0 R << /P 757 0 R << 1101 0 R 1102 0 R 1103 0 R 1104 0 R 1105 0 R 1106 0 R 1107 0 R 1108 0 R 1109 0 R 452 0 obj endobj /P 757 0 R /P 88 0 R /K 959 /W 0 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R 1248 0 R << endobj 605 0 obj /Pg 3 0 R endobj /P 171 0 R /StructParents 0 154 0 obj Objective: To do a clinical and radiographic evaluation of the effectiveness of MTA when used as a direct pulp capping material in primary molars.Study design: Clinical and radiographic follow-up was performed on 30 primary molars with deep caries lesions in 30 patients from 3 to 9.75 years of age. /S /Span /K 782 << /Subtype /Type0 << 993 0 obj 511 0 obj 563 0 R 563 0 R 563 0 R 563 0 R 563 0 R 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752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 535 0 obj 528 0 obj /K 986 324 0 obj 1056 0 obj /Encoding /WinAnsiEncoding << /Pg 3 0 R /K 232 1032 0 R 1033 0 R 1034 0 R 1035 0 R 1036 0 R 1037 0 R 1038 0 R 1039 0 R 1040 0 R /K 442 1048 0 R 1049 0 R 1050 0 R 1051 0 R 1052 0 R 1053 0 R 1054 0 R 1055 0 R 1056 0 R endobj << endobj >> endobj /K [ 670 0 R ] << /Pg 56 0 R /Type /FontDescriptor /P 585 0 R /Pg 56 0 R >> 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R 752 0 R /Pg 56 0 R /Pg 54 0 R /Pg 3 0 R 722 556 722 667 556 611 722 722 944 722 722 611 333 0 333 0 0 0 444 500 444 500 444 595 0 obj >> 1323 0 obj 467 0 obj /K 698 endobj /P 171 0 R /K [ 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 ] /P 171 0 R endobj /Pg 54 0 R /K 443 >> /FontDescriptor 17 0 R endobj 1288 0 obj /P 171 0 R >> /K 888 /P 88 0 R /K 674 826 0 obj /K 218 >> 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 /FontStretch /Normal >> /XHeight 250 << 1336 0 obj /S /Span /K 791 /K 113 << /Pg 3 0 R /K 960 /K 141 /Type /XObject /S /Span 195 0 obj /S /Span /Pg 56 0 R endobj /S /LI /P 88 0 R /Pg 3 0 R /S /Span endobj /Pg 56 0 R /P 1268 0 R >> endobj /Dest [ 3 /XYZ 46 711 0 ] >> /GS0 1383 0 R /K [ 737 0 R ] /S /Span << << << /K 867 /FontWeight 700 endobj /S /Span >> /S /Span 398 0 obj >> /Dest [ 3 /XYZ 308 492 0 ] /FontName /Arial,Bold /S /Span /K 227 469 0 obj Introduction: Carious or traumatised teeth with a normal pulp status or with reversible pulpitis need an indirect or direct pulp capping procedure to keep the pulp vital. /Pg 3 0 R /Pg 3 0 R /Pg 83 0 R /S /Span /Pg 56 0 R /P 573 0 R /Obj 36 0 R Teeth were randomly assigned to two groups (n=20) according to material used for capping, as follows: Group 1: calcium hydroxide cement … << /Pg 56 0 R >> endobj [ 250 0 0 0 0 0 0 0 333 333 0 0 250 333 250 0 500 500 500 500 500 500 500 500 500 /Pg 3 0 R /K 258 894 0 obj endobj >> 642 0 obj /P 171 0 R /Pg 54 0 R >> 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>> /K [ 577 ] /K 696 /Pg 54 0 R /Pg 3 0 R >> /Pg 3 0 R << /K 725 705 0 obj /P 171 0 R << /Pg 3 0 R endobj endobj /FontDescriptor 10 0 R 1137 0 R 1138 0 R 1139 0 R 1140 0 R 1141 0 R 1142 0 R 1143 0 R 1144 0 R 1145 0 R /S /Span /Pg 56 0 R /P 100 0 R endobj 1273 1274 1275 1276 1277 1278 1279 1280 1281 1282 1283 1284 1285 1286 1287 1288 1289 /Pg 56 0 R /S /LBody /Pg 56 0 R /P 171 0 R endobj /P 171 0 R /BS << /K [ 20 ] << /Pg 56 0 R >> << >> endobj 265 0 obj /W 0 /P 168 0 R /K 270 /StemV 40 /K 123 Carious or traumatised teeth with a normal pulp status or with reversible pulpitis need an indirect or direct pulp capping procedure to keep the pulp vital. >> /K [ 715 0 R ] /Pg 56 0 R >> /Pg 56 0 R /P 171 0 R << << /S /Span << /K 61 /K 859 229 0 obj /K 396 /Pg 3 0 R /Pg 3 0 R /Pg 3 0 R endobj /P 688 0 R /P 602 0 R << 827 0 obj /Pg 3 0 R /K 615 1230 0 obj << /S /Span << >> /Rect [ 483.39 557.68 504.55 569.18 ] endobj << 216 0 obj /Tabs /S /P 129 0 R >> /K [ 779 0 R 780 0 R 781 0 R ] >> /S /Span 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