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Direct pulp capping procedures-Evidence and practice

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Title: Direct pulp capping procedures-Evidence and practice
Authors: Islam, Rafiqul Browse this author →KAKEN DB
Islam, Md Refat Readul Browse this author
Tanaka, Toru Browse this author →KAKEN DB
Alam, Mohammad Khursheed Browse this author
Ahmed, Hany Mohamed Aly Browse this author
Sano, Hidehiko Browse this author →KAKEN DB
Keywords: Vital pulp therapy
Direct pulp capping
Calcium hydroxide
Mineral trioxide aggregate
Pulp capping materials
Issue Date: 26-Feb-2023
Publisher: Elsevier
Journal Title: Japanese Dental Science Review
Volume: 59
Start Page: 48
End Page: 61
Publisher DOI: 10.1016/j.jdsr.2023.02.002
PMID: 36880059
Abstract: The aim of direct pulp capping (DPC) is to promote pulp healing and mineralized tissue barrier formation by placing a dental biomaterial directly over the exposed pulp. Successful application of this approach avoids the need for further and more extensive treatment. In order to ensure a complete pulp healing with the placement of restorative materials, a mineralized tissue barrier must form to protect the pulp from mi-crobial invasion. The formation of mineralized tissue barrier can only be induced when there is a significant reduction in pulp inflammation and infection. Consequently, promoting the healing of pulp inflammation may provide a favorable therapeutic opportunity to maintain the sustainability of DPC treatment. Mineralized tissue formation was observed as the favorable reaction of exposed pulp tissue against a variety of dental biomaterials utilized for DPC. This observation reveals an intrinsic capacity of pulp tissue for healing. Therefore, this review focuses on the DPC and its healing procedure as well as the materials used for DPC treatment and their mechanisms of action to promote pulpal healing. In addition, the factors that can affect the healing process of DPC, clinical considerations and future perspective has been described.(c) 2023 The Authors. Published by Elsevier Ltd on behalf of The Japanese Association for Dental Science. This is an open access article under the CC BY-NC-ND license (
Type: article
Appears in Collections:歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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