Pulp protectors: The search for effectiveness in dental treatment

Authors

DOI:

https://doi.org/10.33448/rsd-v13i1.44884

Keywords:

Pulp protector; Types; Characteristics; Treatment; Adequate; Dental pulp capping.

Abstract

In this bibliographic review, the pulp protectors used in dental treatments are analyzed to identify the most appropriate one. Pulp capping is necessary after removing tissue affected by caries or trauma, in order to preserve pulp vitality and prevent tooth sensitivity. It is essential that dentists know the types of coatings and properties of pulp dentine protectors, as well as their interaction with the pulp, to perform the treatment optimally. In addition, a good clinical diagnosis must be made and contraindications considered before performing pulp capping. It is not recommended in cases of aged pulp, irreversible pathology or large hemorrhage. The objective of this study is to compare the characteristics of the most commonly used pulp protectors today and determine which is the most effective for dental treatments. It is concluded that Biodentine is the most suitable pulp protector due to its biocompatibility, ease of handling and ability to stimulate the formation of reparative dentin.

References

Díaz, L., Flores, G., & Palma, A. (2029). Recubrimiento directo con agregado trióxido mineral (MTA) comparado con hidróxido de calcio para caries dentinaria profunda en pacientes con dentición permanente. International journal of interdisciplinary dentistry, 13(3), 181-185. https://doi.org/http://dx.doi.org/10.4067/S2452-55882020000300181

Andrea, Giani, Cecilia, & Cedrés. (2017). Avances en protección pulpar directa con materiales bioactivos. Actas Odontológicas, 14(1), 4-13. https://doi.org/https://doi.org/10.22235/ao.v14i1.1397

Barrancos, P. J. (2015). operatoria dental: avances clínicos. Médica Panamericana.

Boutsiouki, C., Frankenberger, R., & Krämer, N. (2018). Efectividad relativa del recubrimiento pulpar directo e indirecto en la dentición primaria. European Archives of Paediatric Dentistry, 19, 297-309. https://doi.org/https://doi.org/10.1007/s40368-018-0360-x

Cynthia Maria, C. M., Ana Cristina, R. M., Reis, A., Juliana, & Geus, L. d. (2023). Efecto del sellador endodóntico sobre el dolor postoperatorio: un metanálisis en red. Restor Dent Endod, 48(1). https://doi.org/10.5395/rde.2023.48.e5

Diana, Álvarez, Á., Sonya del Cisne, A. C., & Andrea, T. D. (2018). Biodentine como recubrimiento pulpar directo. Evidencias en Odontología Clínica, 4(1). https://doi.org/http://dx.doi.org/10.35306/eoc.v4i1.585

Granados-Laura, S. (2022). Cementos a base de silicato de calcio: factor clave en el éxito del recubrimiento pulpar directo. Revista Estomatológica Herediana, 32(1), 52-60. https://doi.org/https://doi.org/10.20453/reh.v32i1.4183

Gurría Mena, A., Vilchis Rodríguez, S., & Rodríguez Sepúlveda, A. (2019). Uso de biodentine como alternativa de recubrimiento pulpar. Revista méxicana de estomatología, 6(2), 29-33. https://doi.org/dex.php/remexesto/article/view/288

Llena, C., Hernánde, M., Melo, M., & Sanz, J. (2021). Factores que afectan a los resultados del recubrimiento pulpar directo con Biodentine. Clinical and Experimental Dental Research, 7(4), 429-435. https://link.springer.com/article/10.1007/s00784-017-2296-7

Mergulhão, V., Mendonça, L., Albuquerque, M., & Braz, R. (2019). Resistencia a la fractura de premolares maxilares tratados endodónticamente restaurados con diferentes métodos. Operative dentistry, 44(1), E1–E11. https://doi.org/https://doi.org/10.2341/17-262-L

Quiñonez-Ruvalcaba, F., Bermúdez-Jiménez, C., Aguilera-Galavíz, L. A., Villanueva-Sanchez, F. G., Garcia-cruz, S., & Gaitan-fonseca, C. (2023). Evaluación de la biocompatibilidad histopatológica de TheraCal PT, NeoMTA y MTA Angelus en un modelo murino. J. Funct. Biomater, 14(4), 202. https://doi.org/https://doi.org/10.3390/jfb14040202

Rabi, T., & Arandi, N. (2018). TheraCal LC: De las propiedades bioquímicas y bioactivas a las aplicaciones clínicas. International journal of dentistry. https://doi.org/https://doi.org/10.1155/2018/3484653

Rómulo Guillermo, L. T., Verónica Alejandra, S. O., Rocío, F. d., & López, L. (2022). Técnica conservadora: protección pulpar directa. Universidad y Sociedad, 14(S3), 72-79. https://rus.ucf.edu.cu/index.php/rus/article/view/2936/2892.

Shenkin, J., & Logan, W. (2019). Mineral trioxide aggregate may be the most effective direct pulp capping material. Journal of Evidence Based Dental Practice, 19(2), 183-185. https://doi.org/https://doi.org/10.1016/j.jebdp.2019.05.003

Shirley, G., Carlos, Alcalde, Johnatan, G., Diego, M., Cinthya, T., & Zulema, V. (2022). Cementos a base de silicato de calcio: factor clave en el éxito del recubrimiento pulpar directo. Revisión de la literatura. Revista Estomatológica Herediana, 32(1), 52-60. https://doi.org/http://dx.doi.org/10.20453/reh.v32i1.4183

Solminihac, J., Pizarro, S., & Cárdenas, A. (2020). Pulpotomía con biodentine comparado con formocresol en pacientes con dentición primaria. International journal of interdisciplinary dentistry, 13(3), 212-216. https://doi.org/http://dx.doi.org/10.4067/S2452-55882020000300212

Teicher, C., Ensinck, I., Nannini, A., Lurati, A., Valvo, A., & Romero, V. (2019). La reparación de la pulpa dental. Materiales y alternativas de tratamiento. Revista de la Asociación Odontológica Argentina, 107(3), 110-115. https://doi.org/https://docs.bvsalud.org/biblioref/2020/01/1048552/la-reparacion-de-la-pulpa-dental-materiales-y-alternativas-de-_RgEz5FS.pdf

Tomas, D. L., & Maydelin, E. U. (s.f.). Ionómero de vidrio: el cemento dental de este siglo. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta, 41(7), 2016. https://revzoilomarinello.sld.cu/index.php/zmv/article/view/724

Torabinejad, M., Fouad, A., & Shabahang, S. (2021). Endodoncia: Principios y práctica. books.google.

Víctor, S. E. (2020). Estrategias de ingeniería tisular de la pulpa dental. Ciencia y Salud Virtual, 12(2), 113-126.

Downloads

Published

28/01/2024

How to Cite

ALVAREZ ARICA, A. J.; AYALA YUNGA, M. B.; AREVALO YAGUANA, P. .; PINOS NARVÁEZ, P. A. . Pulp protectors: The search for effectiveness in dental treatment. Research, Society and Development, [S. l.], v. 13, n. 1, p. e12713144884, 2024. DOI: 10.33448/rsd-v13i1.44884. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44884. Acesso em: 22 dec. 2024.

Issue

Vol. 13 No. 1

Section

Health Sciences

License

Copyright (c) 2024 Anthony Jair Alvarez Arica; Matew Bladimir Ayala Yunga; Pablo Arevalo Yaguana; Patricia Alexandra Pinos Narváez

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.