IADR Abstract Archives

Comparison of CalciumHydroxide, MTA, CEMCement in Stepwise Excavation: Final Results

Objectives: Stepwise excavation is a conservative approach to treat the deep carious lesions in which pulpal exposure is probable. Different materials have been suggested as liners over the remained caries. The aim of this clinical randomized trial was to compare the effect of calcium hydroxide, MTA and CEM cement in stepwise excavation of deep caries lesions with no re-entry up to 12 months after restoration.

Methods: 98 patients participated in this study. Inclusion criteria were as follow: existence of at least one tooth with deep caries, no evidence of irreversible pulpitis and PDL widening, and presence of a radiopaque zone at the pulpal wall. Participants were randomly divided into 4 groups: Group 1(Control): No liner applied, Group 2: Calcium Hydroxide, Group 3: MTA, Group 4: CEM cement. After baseline evaluation of response of the involved tooth to cold, hot, percussion and pressure, a cavity was prepared and caries excavated completely from the periphery of the cavity but it was remained on the pulpal floor or the axial wall. The liner was applied; the cavity was conditioned with polyacrylic acid, and restored with posterior glass ionomer (Fuji 9 plus, GC Co., USA). Clinical and radiographic evaluation were done at specific times until 12 months and x-rays were taken after 2,6 and 12 months.

Results: Experience of sensitivity to cold in groups were as follow: group1:3, group2:7, group3:1, group4:0. 2cases in group 1 and 2 cases in group 2 needed RCT.

Conclusions: One year results of this clinical study indicated that all the materials application of biomaterials (MTA and CEM) could be promising in deep caries treatment.

This abstract is based on research that was funded by Dental Research Center, Shahid Beheshti University of Medical Science.


Division: Iranian Division Meeting
Meeting: 2013 Iranian Division Meeting (Tehran, Iran)
Location: Tehran, Iran
Year: 2013
Final Presentation ID:
Abstract Category|Abstract Category(s): Scientific Program
Authors
  • Banava, Sepideh  ( Islamic Azad University Dental Branch, Tehran, , Iran )
  • Safaie Yazdi, Mohammad  ( Islamic Azad University-Dental Branch, Tehran, , Iran )
  • Heshmat, Haleh  ( Islamic Azad University Dental Center, Tehran, N/A, Iran )
  • Kheirandish, Yasaman  ( Assitant Professor-Oral & Maxillofacial Radiorolgy Department-School of Dentistry-Tehran University of Medical Sciences- Tehran -Iran, Tehran, , Iran )
  • Kharrazifard, Mohammad Javad  ( Tehran University of Medical Sciences- Dental Faculty, Tehran, , Iran )
  • SESSION INFORMATION
    Oral Session
    Dental Materials/ Restorative Dentistry
    12/13/2013