Direct pulp capping procedures – Evidence and practice

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Japanese Dental Science Review Pub Date : 2023-02-26 DOI:10.1016/j.jdsr.2023.02.002

Rafiqul Islam , Md Refat Readul Islam , Toru Tanaka , Mohammad Khursheed Alam , Hany Mohamed Aly Ahmed , Hidehiko Sano

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引用次数: 4

Abstract

The aim of direct pulp capping (DPC) is to promote pulp healing and mineralized tissue barrier formation by placing a dental biomaterial directly over the exposed pulp. Successful application of this approach avoids the need for further and more extensive treatment. In order to ensure a complete pulp healing with the placement of restorative materials, a mineralized tissue barrier must form to protect the pulp from microbial invasion. The formation of mineralized tissue barrier can only be induced when there is a significant reduction in pulp inflammation and infection. Consequently, promoting the healing of pulp inflammation may provide a favorable therapeutic opportunity to maintain the sustainability of DPC treatment. Mineralized tissue formation was observed as the favorable reaction of exposed pulp tissue against a variety of dental biomaterials utilized for DPC. This observation reveals an intrinsic capacity of pulp tissue for healing. Therefore, this review focuses on the DPC and its healing procedure as well as the materials used for DPC treatment and their mechanisms of action to promote pulpal healing. In addition, the factors that can affect the healing process of DPC, clinical considerations and future perspective has been described.

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直接盖髓程序。证据和实践

直接盖髓（DPC）的目的是通过将牙科生物材料直接放置在暴露的牙髓上来促进牙髓愈合和矿化组织屏障的形成。这种方法的成功应用避免了进一步和更广泛治疗的需要。为了通过放置修复材料确保牙髓完全愈合，必须形成矿化组织屏障，以保护牙髓免受微生物入侵。只有当牙髓炎症和感染显著减少时，才能诱导矿化组织屏障的形成。因此，促进牙髓炎症的愈合可能为维持DPC治疗的可持续性提供有利的治疗机会。矿化组织的形成被观察为暴露的牙髓组织对用于DPC的各种牙科生物材料的有利反应。这一观察结果揭示了牙髓组织愈合的内在能力。因此，本文综述了DPC及其愈合过程，以及用于DPC治疗的材料及其促进牙髓愈合的作用机制。此外，还介绍了影响DPC愈合过程的因素、临床考虑和未来展望。

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来源期刊

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.