Comparative Assessment of Success Rate of Indirect Pulp Treatment With 2% Chlorhexidine Gluconate Disinfecting Solution, Calcium Hydroxide And Resin Modified Glass Ionomer Liner In Primary Teeth - A Prospective Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Indirect pulp treatment (IPT) is a conservative and minimally invasive procedure, advocated more than 200 years ago. The study was done to assess the success rate of 2% chlorhexidine gluconate disinfecting solution (CHX) with calcium hydroxide (Dycal) and with resin modified glass ionomer liner (RMGIC) in IPT of primary molars. 60 primary molar teeth in children between the age 3 to 10 years were selected. Carious lesion approaching the pulp was removed followed by a dentin excavator to remove the caries at a site of “risk for pulp exposure”. Teeth were then randomly assigned into two groups. Group 1 with CHX and dycal and Group 2 with CHX and RMGIC consists of 30 primary teeth in each. A final restoration of composite was placed. Children were evaluated at 3, 6, and at 12 month follow up interval. Clinically 97% and 100% of teeth in Group 1 and Group 2 respectively were successful at 3 month follow up interval. Clinical and radiographic evaluation of Group 1 and Group 2 at 6 month interval were 93% and 97% respectively. At 12 month interval clinical and radiographic evaluation of Group 1 and Group 2 were 80% and 97% respectively. 2% CHX with RMGIC is recommended over 2% CHX with dycal for indirect pulp treatment of primary molars.
Authors and Affiliations
Dr. Venkatesh Babu N S, Dr. Kavyashree B S, Dr. Amitha H A
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