Clinical and radiographic evaluation of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious first permanent molars a randomized clinical trial.

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE BDJ Open Pub Date : 2025-01-09 DOI:10.1038/s41405-024-00286-5

Marwa Ahmed Ahmed Zaghloul, Manal Ahmed El Sayed, Randa Youssef Abd Al-Gawad, Ahmed Mohamed Abd El-Samad

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Abstract

Aim: Clinical and radiographic evaluation of SDF versus MTA as indirect pulp capping agents in deeply carious first permanent molars.

Methodology: This study was conducted on (30) first permanent molars indicated for indirect pulp capping (IPC) randomly allocated to either SDF or MTA groups (n = 15). The molars were finally restored with glass hybrid glass ionomer restoration. Clinical assessment was conducted at 3, 6, 9 and 12 months, while radiographic assessment was performed at 6 and 12 months using predetermined criteria. Data was statistically analyzed.

Results: There was no statistically significant difference between both groups for all assessed clinical and radiographic parameters, including dentin bridge formation, at all follow-up periods. There was no evidence of clinical or radiographic failure in either group.

Conclusions: SDF showed a high success rate compared to MTA and can be considered a promising alternative IPC agent in permanent molars.

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一项随机临床试验：氟化二胺银与三氧化二矿骨料作为深度龋齿第一恒磨牙间接牙髓封盖剂的临床和影像学评价

目的：评价SDF与MTA作为第一恒磨牙深度龋病间接盖髓剂的临床及影像学评价。方法：本研究采用30颗第一恒磨牙进行间接髓盖（IPC），随机分为SDF组和MTA组（n = 15）。最后采用玻璃杂化玻璃离聚体修复磨牙。在3、6、9和12个月时进行临床评估，在6和12个月时根据预先确定的标准进行影像学评估。对数据进行统计学分析。结果：在所有随访期间，两组在所有评估的临床和影像学参数，包括牙本质桥形成方面均无统计学差异。两组均无临床或影像学失败的证据。结论：与MTA相比，SDF具有较高的成功率，可以被认为是恒磨牙中有前途的IPC替代剂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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