Document Detail


Pulp capping with mineral trioxide aggregate (MTA): a retrospective analysis of carious pulp exposures treated by undergraduate dental students.
MedLine Citation:
PMID:  20166407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current study estimated pulpal vitality after MTA pulp caps were performed by undergraduate student clinicians. At recall after 12 to 27 months, 51 pulp caps were clinically and radiographically assessed. Kaplan-Meier analyses were used to estimate overall success at 12 and 24 months, determined as the presence of a vital pulp, as well as impact of preoperative variables on pulp vitality at recall. Overall, one-year pulp survival was 67.7%, while the two-year survival rate was 56.2%. Tarone-Ware statistics indicated that neither age of the patient nor size of the exposure ("minimal" or "moderate") and the amount of bleeding ("none," "minimal" or "moderate") had a significant effect on survival rates. Within the limitations of the current study on procedures performed by student clinicians, it may be concluded that, for MTA pulp caps applied to carious exposures in adults, certain preoperative conditions--patient age, exposure size and amount of bleeding--are not predictive of clinical outcome. Considering the comparatively low success rate for the current cohort, more research is needed to define predictive criteria for successful pulp capping with MTA.
Authors:
Jeffrey P Miles; Alan H Gluskin; David Chambers; Ove A Peters
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Operative dentistry     Volume:  35     ISSN:  0361-7734     ISO Abbreviation:  Oper Dent     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-02-19     Completed Date:  2010-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605679     Medline TA:  Oper Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  20-8     Citation Subset:  D    
Affiliation:
The University of the Pacific, Arthur A Dugoni School of Dentistry, Department of Restorative Dentistry, San Francisco, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Aluminum Compounds / therapeutic use*
Calcium Compounds / therapeutic use*
Cohort Studies
Dental Caries / therapy*
Dental Cements / therapeutic use*
Dental Pulp / physiopathology
Dental Pulp Capping / methods*
Dental Pulp Exposure / classification,  therapy*
Dental Pulp Test
Dentistry, Operative / education
Drug Combinations
Endodontics / education
Follow-Up Studies
Hemorrhage / classification
Humans
Middle Aged
Oxides / therapeutic use*
Pulpitis / etiology
Retrospective Studies
Silicates / therapeutic use*
Students, Dental*
Toothache / etiology
Treatment Outcome
Wound Healing / physiology
Young Adult
Chemical
Reg. No./Substance:
0/Aluminum Compounds; 0/Calcium Compounds; 0/Dental Cements; 0/Drug Combinations; 0/Oxides; 0/Silicates; 0/mineral trioxide aggregate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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