Direct pulp capping in primary molars using a resin-modified Portland cement-based material (TheraCal) compared to MTA with 12-month follow-up: a randomised clinical trial

• Published in: European archives of paediatric dentistry Vol. 19; no. 3; pp. 197 - 203
• Main Authors: Erfanparast, L., Iranparvar, P., Vafaei, A.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.06.2018; Springer Nature B.V
• Subjects: Aluminum Compounds; Calcium Compounds; Capping; Cement hydration; Chi-square test; Child; Child, Preschool; Clinical trials; Dental cement; Dental Pulp Capping - methods; Dentistry; Drug Combinations; Humans; Medicine; Molar; Original Scientific Article; Oxides; Pediatrics; Portland cements; Pulp Capping and Pulpectomy Agents; Resin Cements; Resins; Silicate Cement; Silicates; Success; Teeth; Tooth, Deciduous; United States > US; Primary molar; TheraCal; MTA; Direct pulp cap
• ISSN: 1818-6300; 1996-9805; 1996-9805
• DOI: 10.1007/s40368-018-0348-6

Aim This study was to compare the success of resin-modified Portland cement-based material (TheraCal) with MTA in direct pulp capping (DPC) of primary molars. Methods Symmetrical bilateral primary molars (92) from 46 healthy subjects aged 5–7 years were included in this split-mouth randomised clinical trial. DPC for small non-contaminated pulp exposures using either TheraCal or MTA were randomly performed in symmetrical molars. Thereafter, teeth were restored with amalgam. Clinical and radiographic evaluations were performed at 6 and 12 month follow-ups. Data were analysed using Chi square test at a significance level of 0.05. Results At the final follow-up session 74 teeth were available. After 12 months, the overall success rates for MTA and TheraCal were 94.5 and 91.8%, respectively. The difference between outcomes of the two groups was not statistically significant (P > 0.05). Conclusion Within the limitations of the current study, radiographic and clinical findings revealed that TheraCal exhibited a comparable outcome to MTA in DPC of primary molars after 12 months.