Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review
Background: Regenerative endodontics aims to restore normal pulp function in necrotic and infected teeth, restoring protective functions, such as innate pulp immunity, pulp repair through mineralization, and pulp sensibility. The aim of this systematic review was to assess the dentin regeneration ef...
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2021
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oai:doaj.org-article:9b8e7c00aadc47a297725a878f4562c22021-11-25T18:13:47ZEffectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review10.3390/ma142268111996-1944https://doaj.org/article/9b8e7c00aadc47a297725a878f4562c22021-11-01T00:00:00Zhttps://www.mdpi.com/1996-1944/14/22/6811https://doaj.org/toc/1996-1944Background: Regenerative endodontics aims to restore normal pulp function in necrotic and infected teeth, restoring protective functions, such as innate pulp immunity, pulp repair through mineralization, and pulp sensibility. The aim of this systematic review was to assess the dentin regeneration efficacy of direct pulp capping (DPC) biomaterials. Methods: The literature published between 2005 and 2021 was searched by using PubMed, Web of Science, Science Direct, Google Scholar, and Scopus databases. Clinical controlled trials, randomized controlled trials, and animal studies investigating DPC outcomes or comparing different capping materials after pulp exposure were included in this systematic review. Three independent authors performed the searches, and information was extracted by using a structured data format. Results: A total of forty studies (21 from humans and 19 from animals) were included in this systemic review. Histological examinations showed complete/partial/incomplete dentin bridge/reparative dentin formation during the pulp healing process at different follow-up periods, using different capping materials. Conclusions: Mineral trioxide aggregate (MTA) and Biodentine can induce dentin regeneration when applied over exposed pulp. This systematic review can conclude that MTA and its variants have better efficacy in the DPC procedure for dentin regeneration.Ermin NieJiali YuRui JiangXiangzhen LiuXiang LiRafiqul IslamMohammad Khursheed AlamMDPI AGarticledirect pulp cappingdentin regenerationdentin-bridge formationreparative dentincalcium hydroxidemineral trioxide aggregateTechnologyTElectrical engineering. Electronics. Nuclear engineeringTK1-9971Engineering (General). Civil engineering (General)TA1-2040MicroscopyQH201-278.5Descriptive and experimental mechanicsQC120-168.85ENMaterials, Vol 14, Iss 6811, p 6811 (2021) |
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direct pulp capping dentin regeneration dentin-bridge formation reparative dentin calcium hydroxide mineral trioxide aggregate Technology T Electrical engineering. Electronics. Nuclear engineering TK1-9971 Engineering (General). Civil engineering (General) TA1-2040 Microscopy QH201-278.5 Descriptive and experimental mechanics QC120-168.85 |
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direct pulp capping dentin regeneration dentin-bridge formation reparative dentin calcium hydroxide mineral trioxide aggregate Technology T Electrical engineering. Electronics. Nuclear engineering TK1-9971 Engineering (General). Civil engineering (General) TA1-2040 Microscopy QH201-278.5 Descriptive and experimental mechanics QC120-168.85 Ermin Nie Jiali Yu Rui Jiang Xiangzhen Liu Xiang Li Rafiqul Islam Mohammad Khursheed Alam Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review |
description |
Background: Regenerative endodontics aims to restore normal pulp function in necrotic and infected teeth, restoring protective functions, such as innate pulp immunity, pulp repair through mineralization, and pulp sensibility. The aim of this systematic review was to assess the dentin regeneration efficacy of direct pulp capping (DPC) biomaterials. Methods: The literature published between 2005 and 2021 was searched by using PubMed, Web of Science, Science Direct, Google Scholar, and Scopus databases. Clinical controlled trials, randomized controlled trials, and animal studies investigating DPC outcomes or comparing different capping materials after pulp exposure were included in this systematic review. Three independent authors performed the searches, and information was extracted by using a structured data format. Results: A total of forty studies (21 from humans and 19 from animals) were included in this systemic review. Histological examinations showed complete/partial/incomplete dentin bridge/reparative dentin formation during the pulp healing process at different follow-up periods, using different capping materials. Conclusions: Mineral trioxide aggregate (MTA) and Biodentine can induce dentin regeneration when applied over exposed pulp. This systematic review can conclude that MTA and its variants have better efficacy in the DPC procedure for dentin regeneration. |
format |
article |
author |
Ermin Nie Jiali Yu Rui Jiang Xiangzhen Liu Xiang Li Rafiqul Islam Mohammad Khursheed Alam |
author_facet |
Ermin Nie Jiali Yu Rui Jiang Xiangzhen Liu Xiang Li Rafiqul Islam Mohammad Khursheed Alam |
author_sort |
Ermin Nie |
title |
Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review |
title_short |
Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review |
title_full |
Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review |
title_fullStr |
Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review |
title_full_unstemmed |
Effectiveness of Direct Pulp Capping Bioactive Materials in Dentin Regeneration: A Systematic Review |
title_sort |
effectiveness of direct pulp capping bioactive materials in dentin regeneration: a systematic review |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/9b8e7c00aadc47a297725a878f4562c2 |
work_keys_str_mv |
AT erminnie effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview AT jialiyu effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview AT ruijiang effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview AT xiangzhenliu effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview AT xiangli effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview AT rafiqulislam effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview AT mohammadkhursheedalam effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview |
_version_ |
1718411453304668160 |