Clinical and Radiographic Evaluation between Conventional Mineral Trioxide Aggregate and Gel-based Mineral Trioxide Aggregate in Indirect Pulp Therapy: A Randomized Clinical Trial.

Q3 Dentistry International Journal of Clinical Pediatric Dentistry Pub Date : 2024-12-01 DOI:10.5005/jp-journals-10005-3018

B K Vanishree, Supriya S Dighe, Rooposhi Saha, Yusuf Chunawala

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Abstract

Background: Indirect pulp treatment (IPT) is often employed in dentistry as a valuable technique for preserving dental vitality. While mineral trioxide aggregate (MTA) remains a popular choice, the need for materials with shorter setting times, lower costs, and minimized discoloration concerns has led to the exploration of alternative options.

Aim: To evaluate and compare the radiographic and clinical outcomes of gel-based MTA Kids e-MTA (Kids-e-Dental, Mumbai, India) with MTA (ProRoot MTA, Dentsply Tulsa, Johnson City, TN, USA).

Materials and methods: A randomized clinical trial was conducted in which participants aged 6-12 years were selected according to inclusion criteria. A sample size of 32 primary molars and young permanent molars with deep caries were treated by IPT with 2 mm ProRoot MTA and e-MTA. The groups were divided into two: group I (ProRoot MTA) and group II (e-MTA), with 16 samples in each group. Clinical and radiographic success, in addition to newly formed dentin thickness, were evaluated regularly at 3, 6, 9, and 12 months.

Results: Both groups showed a clinical and radiographic success rate of 100% throughout all follow-up intervals. Analysis of the mean thickness of newly formed dentin at various follow-up intervals revealed no statistically significant difference between the two groups at 3, 6, 9, and 12 months, with p-values of 0.32, 0.33, 0.33, 0.33, and 0.33, respectively.

How to cite this article: K VB, Dighe SS, Saha R, et al. Clinical and Radiographic Evaluation between Conventional Mineral Trioxide Aggregate and Gel-based Mineral Trioxide Aggregate in Indirect Pulp Therapy: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2024;17(12):1383-1387.

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常规三氧化二矿骨料和凝胶型三氧化二矿骨料在间接牙髓治疗中的临床和影像学评价：一项随机临床试验。

背景：间接牙髓治疗（IPT）作为一种有价值的保留牙体活力的技术在牙科中经常被采用。虽然矿物三氧化物骨料（MTA）仍然是一种流行的选择，但对更短的凝固时间、更低的成本和最小化变色问题的材料的需求导致了对替代方案的探索。目的：评估和比较基于凝胶的MTA Kids e-MTA （Kids-e- dental，孟买，印度）和MTA （prooroot MTA, Dentsply Tulsa, Johnson City， TN， USA）的影像学和临床结果。材料与方法：随机临床试验，按入选标准选择6-12岁的受试者。采用2 mm prooroot MTA和e-MTA对32颗深龋的初磨牙和恒磨牙进行IPT治疗。将其分为两组：I组（prooroot MTA）和II组（e-MTA），每组16个样本。在3、6、9和12个月定期评估临床和影像学的成功，以及新形成的牙本质厚度。结果：两组在所有随访期间的临床和影像学成功率均为100%。分析各随访时间间隔内新生牙本质平均厚度，3、6、9、12个月时两组间差异无统计学意义，p值分别为0.32、0.33、0.33、0.33、0.33。如何引用本文：K VB， Dighe SS， Saha R等。常规三氧化二矿骨料和凝胶型三氧化二矿骨料在间接牙髓治疗中的临床和影像学评价：一项随机临床试验。中华临床儿科杂志；2009;17(12):1383-1387。

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