Factors affecting the outcomes of direct pulp capping using Biodentine
Abstract
Introduction
This
study aimed to evaluate the prognostic value of factors with regard to
the treatment outcome of direct pulp capping using Biodentine
(Septodont, Saint-Maur-des-Fossés, France), in permanent teeth in which
the pulps were exposed during caries removal.
Methods
Between
2010 and 2014, 112 teeth with deep carious lesions underwent direct
pulp capping. The patients were followed up at 2–3 months and
1–1.5 years with a routine examination on both recall visits. Periapical
radiographs were taken at 1–1.5 years. Lack of patient complaints,
positive reactions to cold and electric testing, no sensitivity to
percussion, and no widening of the periapical ligament indicated
success. The Fisher exact test was used for statistical analysis. The
significance level was P = .05.
Results
Eighty-six
teeth were available for 1–1.5 years follow-up. The overall success
rate was 82.6%. Only age had a significant effect on the pulpal survival
rate: the success rate was 90.9% in patients younger than 40 years and
73.8% in patients 40 years or older (P = .0480).
Sex, initial or secondary caries treatment, occlusal or
cervical/proximal caries, delayed placement of permanent filling, tooth
position, and arch type did not influence the outcome.
Conclusions
A patient’s age influenced the outcome of direct pulp capping using this new calcium silicate cement.
Clinical relevance
Asymptomatic
vital permanent teeth with cariously exposed pulp can be treated
successfully by direct pulp capping using Biodentine.
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