Prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate: A 12-month follow-up

Linda Rosenberg, Michael Atar, Marcia Daronch, Amy Honig, Marshall Chey, Margaret D. Funny, Luis Cruz

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: This study's purpose was to determine the efficacy of indirect pulp treatment (IPT) in primary molars when using 2% chlorhexidine gluconate disinfecting solution and resin-modified glass ionomer (RMGI) liner after 12 months. Methods: Three- to 10-year-old subjects with deep carious lesions who met selection criteria participated. Infected dentin was removed using a caries detector, and residual affected dentin was left on the pulpal floor to prevent pulp exposure. A 2% chlorhexidine gluconate solution and a RMGI liner were placed. Teeth were restored with composite or full-coverage (stainless steel crown [SSC]) restorations. Follow-up evaluations at 3, 6, and 12 months included clinical, radiographic, and photographic assessments. Results: A total of 60 teeth were treated. Treatment was successful in 50/50 (100%), 41/42 (∼98%), and 31/32 (∼97%) teeth at the 3-, 6-, and 12-month follow-up visits, respectively. Failures included one at 6 months in a primary second molar with a composite restoration and another at 12 months in a primary first molar with a SSC. Conclusions: Indirect pulp treatment is effective in primary teeth, although appropriate case selection and an adequate marginal seal are essential for a successful outcome. Further prospective studies are needed to expand the body of evidence that clinicians use to justify decisions on clinical care.

Original languageEnglish (US)
Pages (from-to)13-17
Number of pages5
JournalPediatric dentistry
Volume35
Issue number1
StatePublished - Jan 2013

Keywords

  • Caries detector
  • Dental pulp
  • Endodontics
  • Pulp capping

ASJC Scopus subject areas

  • Dentistry(all)

Fingerprint Dive into the research topics of 'Prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate: A 12-month follow-up'. Together they form a unique fingerprint.

Cite this