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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Autores principales: Ermin Nie, Jiali Yu, Rui Jiang, Xiangzhen Liu, Xiang Li, Rafiqul Islam, Mohammad Khursheed Alam
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic 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
spellingShingle 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
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AT xiangzhenliu effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview
AT xiangli effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview
AT rafiqulislam effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview
AT mohammadkhursheedalam effectivenessofdirectpulpcappingbioactivematerialsindentinregenerationasystematicreview
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