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MS 2024; 5: 56-60.
ARTYKUŁ PRZEGLĄDOWY
Czynniki decyzyjne dotyczące zastosowania bezpośredniego przykrycia miazgi
Factors affecting decision about direct pulp capping procedure
Jakub Zdrojewski*, Monika Nowak*, Jakub Jankowski, Kacper Nijakowski
* Równorzędny wkład autorski
Streszczenie
Bezpośrednie przykrycie miazgi to leczenie odsłoniętej żywej miazgi materiałem dentystycznym w celu stymulacji zębiny naprawczej i utrzymania żywej miazgi. Celem pracy jest omówienie czynników wpływających na podejmowanie decyzji o zabiegach bezpośredniego przykrycia miazgi. Decyzja o wykonaniu przykrycia bezpośredniego miazgi jest wieloczynnikowa – najważniejszymi czynnikami są wielkość, rodzaj odsłonięcia miazgi oraz doświadczenie lekarza. Dentyści preferują leczenie endodontyczne w przypadkach, gdy ryzyko niepowodzenia leczenia biologicznego jest bardziej prawdopodobne.
Abstract
Direct pulp capping (DPC) procedure is a treatment of exposed vital pulp with dental material to stimulate a reparative dentin and to maintain vital pulp. The paper aimed to discuss the factors that affect the decision about direct pulp capping procedures. The decision of direct pulp capping is multifactorial - size, type of pulp exposure and the dentist’s experience are the most important factors. Dentists prefer invasive methods in cases when the risk of failure is more probable.
Hasła indeksowe: bezpośrednie przykrycie miazgi, obnażenie miazgi, leczenie biologiczne, MTA, endodoncja
Key words: direct pulp capping, pulp exposure, biological treatment, MTA, endodontics
Piśmiennictwo
1. Nijakowski K, Ortarzewska M, Jankowski J i wsp. The role of cellular metabolism in maintaining the function of the dentine-pulp complex: a narrative review. Metabolites. 2023; 13(4): 520.
2. Yu C, Abbott PV. An overview of the dental pulp: its functions and responses to injury. Aust Dent J. 2007; 52(1 Suppl): 4-16.
3. Farges JC, Alliot-Licht B, Renard E i wsp. Dental pulp defence and repair mechanisms in dental caries. Mediators Inflamm. 2015; 2015: 230251.
4. Galler KM, Weber M, Korkmaz Y i wsp. Inflammatory response mechanisms of the dentine-pulp complex and the periapical tissues. Int J Mol Sci. 2021; 22(3): 1480.
5. Kleinert A, Kleinert L, Ozimirska M, Chałas R. Endodontium – together or separately? Folia Morphol. 2018;77(3):409-415.
6. Itoh Y, Sasaki JI, Hashimoto M i wsp. Pulp regeneration by 3-dimensional dental pulp stem cell constructs. J Dent Res. 2018; 97(10): 1137-1143.
7. Komabayashi T, Zhu Q, Eberhart R, Imai Y. Current status of direct pulp-capping materials for permanent teeth. Dent Mater J. 2016; 35(1): 1-12.
8. Alex G. direct and indirect pulp capping: a brief history, material innovations, and clinical case report. Compend Contin Educ Dent Jamesburg NJ 1995. 2018; 39(3): 182-189.
9. Bui AH, Pham KV. Evaluation of reparative dentine bridge formation after direct pulp capping with biodentine. J Int Soc Prev Community Dent. 2021; 11(1): 77-82.
10. Zander HA, Glass RL. The healing of phenolized pulp exposures. 1949. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100(2 Suppl): 97-101.
11. Nijakowski K, Surdacka A. Kamienie milowe w historii endodoncji. Mag Stomatol. 2019; 29(9): 114-120.
12. Bergenholtz G, Spångberg L. Controversies in endodontics. Crit Rev Oral Biol Med. 2004; 15(2): 99-114.
13. Tooth filling material and method of use – Patent US-5769638-A – Pub-Chem [Internet]. [cytowane 30 lipiec 2023]. Dostępne na: https://pub-chem.ncbi.nlm.nih.gov/patent/US-5769638-A
14. Islam R, Islam MRR, Tanaka T i wsp. Direct pulp capping procedures – evidence and practice. Jpn Dent Sci Rev. 2023; 59: 48-61.
15. Ortarzewska M, Morawska A, Nijakowski K. Nowe możliwości przykrycia bezpośredniego miazgi. Przegląd piśmiennictwa. Mag Stomatol. 2020; 30(9): 40-45.
16. Kunert M, Lukomska-Szymanska M. Bio-inductive materials in direct and indirect pulp capping-a review article. Mater Basel Switz. 2020; 13(5): 1204.
17. Yoshida S, Sugii H, Itoyama T i wsp. Development of a novel direct dental pulp-capping material using 4-META/MMA-TBB resin with nano hydroxyapatite. Mater Sci Eng C Mater Biol Appl. 2021; 130: 112426.
18. Matsuura T, Ziauddin SM, Kawata-Matsuura VKS i wsp. Long-term clinical and radiographic evaluation of the effectiveness of direct pulp capping materials: a meta-analysis. Dent Mater J. 2021; 40(1): 1-7.
19. BaniHani A, Duggal M, Toumba J i wsp. Outcomes of the conventional and biological treatment approaches for the management of caries in the primary dentition. Int J Paediatr Dent. 2018; 28(1): 12-22.
20. European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J. 2019; 52(7): 923-934.
21. Ricucci D, Siqueira JF, Li Y i wsp. Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent. 2019; 86: 41-52.
22. Guan X, Zhou Y, Yang Q i wsp. Vital pulp therapy in permanent teeth with irreversible pulpitis caused by caries: a prospective cohort study. J Pers Med. 2021; 11(11): 1125.
23. Dumsha T, Hovland E. Considerations and treatment of direct and indirect pulp-capping. Dent Clin North Am. 1985; 29(2): 251-259.
24. Duncan HF. Present status and future directions – vital pulp treatment and pulp preservation strategies. Int Endod J. 2022; 55(Suppl 3): 497-511.
25. Ricucci D, Rôças IN, Alves FRF i wsp. Outcome of direct pulp capping using calcium hydroxide: a long-term retrospective study. J Endod. 2023; 49(1): 45-54.
26. Pereira JC, Stanley HR. Pulp capping: influence of the exposure site on pulp healing – histologic and radiographic study in dogs’ pulp. J Endod. 1981; 7(5): 213-223.
27. Jang Y, Song M, Yoo IS i wsp. A randomized controlled study of the use of proroot mineral trioxide aggregate and endocem as direct pulp capping materials: 3-month versus 1-year outcomes. J Endod. 2015; 41(8): 1201-1206.
28. Willershausen B, Willershausen I, Ross A i wsp. Retrospective study on direct pulp capping with calcium hydroxide. Quintessence Int Berl Ger 1985. 2011; 42(2): 165-171.
29. Stanley HR. Pulp capping: conserving the dental pulp – can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol. 1989; 68(5): 628-639.
30. Haskell EW, Stanley HR, Chellemi J i wsp. Direct pulp capping treatment: a long-term follow-up. J Am Dent Assoc 1939. 1978; 97(4): 607-612.
31. Miles JP, Gluskin AH, Chambers D i wsp. Pulp capping with mineral trioxide aggregate (MTA): a retrospective analysis of carious pulp exposures treated by undergraduate dental students. Oper Dent. 2010; 35(1): 20-28.
32. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. 2006; 39(12): 921-930.
33. Mente J, Geletneky B, Ohle M i wsp. Mineral trioxide aggregate or calcium hydroxide direct pulp capping: an analysis of the clinical treatment outcome. J Endod. 2010; 36(5): 806-813.
34. Mente J, Hufnagel S, Leo M i wsp. Treatment outcome of mineral trioxide aggregate or calcium hydroxide direct pulp capping: long-term results. J Endod. 2014; 40(11): 1746-1751.
35. Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod. 2011; 37(5): 581-587.
36. Schwendicke F, Stolpe M. Direct pulp capping after a carious exposure versus root canal treatment: a cost-effectiveness analysis. J Endod. 2014; 40(11): 1764-1770.
37. Hørsted P, Sandergaard B, Thylstrup A i wsp. A retrospective study of direct pulp capping with calcium hydroxide compounds. Endod Dent Traumatol. 1985; 1(1): 29-34.
38. Mejàre I, Sundberg H, Espelid I i wsp. Caries assessment and restorative treatment thresholds reported by Swedish dentists. Acta Odontol Scand. 1999; 57(3): 149-154.
39. el-Mowafy OM, Lewis DW. Restorative decision making by Ontario dentists. J Can Dent Assoc. 1994; 60(4): 305-310, 313-316.
40. Bjørndal L, Simon S, Tomson PL i wsp. Management of deep caries and the exposed pulp. Int Endod J. 2019; 52(7): 949-973.
41. Lim ZE, Duncan HF, Moorthy A i wsp. Minimally invasive selective caries removal: a clinical guide. Br Dent J. 2023; 234(4): 233-240.
42. Barros MMAF, De Queiroz Rodrigues MI, Muniz FWMG i wsp. Selective, stepwise, or nonselective removal of carious tissue: which technique offers lower risk for the treatment of dental caries in permanent teeth? A systematic review and meta-analysis. Clin Oral Investig. 2020; 24(2): 521-532.
43. Zhu C, Ju B, Ni R. Clinical outcome of direct pulp capping with MTA or calcium hydroxide: a systematic review and meta-analysis. Int J Clin Exp Med. 2015; 8(10): 17055-17060.
44. Min KS, Park HJ, Lee SK i wsp. Effect of mineral trioxide aggregate on dentin bridge formation and expression of dentin sialoprotein and heme oxygenase-1 in human dental pulp. J Endod. 2008; 34(6): 666-670.
45. Hatipoğlu Ö, Hatipoğlu FP, Javed MQ i wsp. Factors affecting the decision-making of direct pulp capping procedures among dental practitioners: a multinational survey from 16 countries with meta-analysis. J Endod. 2023; 49(6): 675-685.
46. Hatipoglu Ö. Factors affecting the decision-making of direct pulp capping procedures amongst Turkish dental practitioners. Eur Endod J. 2018; 3(3): 167-173.
47. Sangwan P, Sangwan A, Duhan J i wsp. Tertiary dentinogenesis with calcium hydroxide: A review of proposed mechanisms. Int Endod J. 2013; 46(1): 3-19.
48. Kharouf N, Zghal J, Addiego F i wsp. Tannic acid speeds up the setting of mineral trioxide aggregate cements and improves its surface and bulk properties. J Colloid Interface Sci. 2021; 589: 318-326.
Czynniki decyzyjne dotyczące zastosowania bezpośredniego przykrycia miazgi
Factors affecting decision about direct pulp capping procedure
Jakub Zdrojewski*, Monika Nowak*, Jakub Jankowski, Kacper Nijakowski
* Równorzędny wkład autorski
Streszczenie
Bezpośrednie przykrycie miazgi to leczenie odsłoniętej żywej miazgi materiałem dentystycznym w celu stymulacji zębiny naprawczej i utrzymania żywej miazgi. Celem pracy jest omówienie czynników wpływających na podejmowanie decyzji o zabiegach bezpośredniego przykrycia miazgi. Decyzja o wykonaniu przykrycia bezpośredniego miazgi jest wieloczynnikowa – najważniejszymi czynnikami są wielkość, rodzaj odsłonięcia miazgi oraz doświadczenie lekarza. Dentyści preferują leczenie endodontyczne w przypadkach, gdy ryzyko niepowodzenia leczenia biologicznego jest bardziej prawdopodobne.
Abstract
Direct pulp capping (DPC) procedure is a treatment of exposed vital pulp with dental material to stimulate a reparative dentin and to maintain vital pulp. The paper aimed to discuss the factors that affect the decision about direct pulp capping procedures. The decision of direct pulp capping is multifactorial - size, type of pulp exposure and the dentist’s experience are the most important factors. Dentists prefer invasive methods in cases when the risk of failure is more probable.
Hasła indeksowe: bezpośrednie przykrycie miazgi, obnażenie miazgi, leczenie biologiczne, MTA, endodoncja
Key words: direct pulp capping, pulp exposure, biological treatment, MTA, endodontics
Piśmiennictwo
1. Nijakowski K, Ortarzewska M, Jankowski J i wsp. The role of cellular metabolism in maintaining the function of the dentine-pulp complex: a narrative review. Metabolites. 2023; 13(4): 520.
2. Yu C, Abbott PV. An overview of the dental pulp: its functions and responses to injury. Aust Dent J. 2007; 52(1 Suppl): 4-16.
3. Farges JC, Alliot-Licht B, Renard E i wsp. Dental pulp defence and repair mechanisms in dental caries. Mediators Inflamm. 2015; 2015: 230251.
4. Galler KM, Weber M, Korkmaz Y i wsp. Inflammatory response mechanisms of the dentine-pulp complex and the periapical tissues. Int J Mol Sci. 2021; 22(3): 1480.
5. Kleinert A, Kleinert L, Ozimirska M, Chałas R. Endodontium – together or separately? Folia Morphol. 2018;77(3):409-415.
6. Itoh Y, Sasaki JI, Hashimoto M i wsp. Pulp regeneration by 3-dimensional dental pulp stem cell constructs. J Dent Res. 2018; 97(10): 1137-1143.
7. Komabayashi T, Zhu Q, Eberhart R, Imai Y. Current status of direct pulp-capping materials for permanent teeth. Dent Mater J. 2016; 35(1): 1-12.
8. Alex G. direct and indirect pulp capping: a brief history, material innovations, and clinical case report. Compend Contin Educ Dent Jamesburg NJ 1995. 2018; 39(3): 182-189.
9. Bui AH, Pham KV. Evaluation of reparative dentine bridge formation after direct pulp capping with biodentine. J Int Soc Prev Community Dent. 2021; 11(1): 77-82.
10. Zander HA, Glass RL. The healing of phenolized pulp exposures. 1949. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100(2 Suppl): 97-101.
11. Nijakowski K, Surdacka A. Kamienie milowe w historii endodoncji. Mag Stomatol. 2019; 29(9): 114-120.
12. Bergenholtz G, Spångberg L. Controversies in endodontics. Crit Rev Oral Biol Med. 2004; 15(2): 99-114.
13. Tooth filling material and method of use – Patent US-5769638-A – Pub-Chem [Internet]. [cytowane 30 lipiec 2023]. Dostępne na: https://pub-chem.ncbi.nlm.nih.gov/patent/US-5769638-A
14. Islam R, Islam MRR, Tanaka T i wsp. Direct pulp capping procedures – evidence and practice. Jpn Dent Sci Rev. 2023; 59: 48-61.
15. Ortarzewska M, Morawska A, Nijakowski K. Nowe możliwości przykrycia bezpośredniego miazgi. Przegląd piśmiennictwa. Mag Stomatol. 2020; 30(9): 40-45.
16. Kunert M, Lukomska-Szymanska M. Bio-inductive materials in direct and indirect pulp capping-a review article. Mater Basel Switz. 2020; 13(5): 1204.
17. Yoshida S, Sugii H, Itoyama T i wsp. Development of a novel direct dental pulp-capping material using 4-META/MMA-TBB resin with nano hydroxyapatite. Mater Sci Eng C Mater Biol Appl. 2021; 130: 112426.
18. Matsuura T, Ziauddin SM, Kawata-Matsuura VKS i wsp. Long-term clinical and radiographic evaluation of the effectiveness of direct pulp capping materials: a meta-analysis. Dent Mater J. 2021; 40(1): 1-7.
19. BaniHani A, Duggal M, Toumba J i wsp. Outcomes of the conventional and biological treatment approaches for the management of caries in the primary dentition. Int J Paediatr Dent. 2018; 28(1): 12-22.
20. European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J. 2019; 52(7): 923-934.
21. Ricucci D, Siqueira JF, Li Y i wsp. Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. J Dent. 2019; 86: 41-52.
22. Guan X, Zhou Y, Yang Q i wsp. Vital pulp therapy in permanent teeth with irreversible pulpitis caused by caries: a prospective cohort study. J Pers Med. 2021; 11(11): 1125.
23. Dumsha T, Hovland E. Considerations and treatment of direct and indirect pulp-capping. Dent Clin North Am. 1985; 29(2): 251-259.
24. Duncan HF. Present status and future directions – vital pulp treatment and pulp preservation strategies. Int Endod J. 2022; 55(Suppl 3): 497-511.
25. Ricucci D, Rôças IN, Alves FRF i wsp. Outcome of direct pulp capping using calcium hydroxide: a long-term retrospective study. J Endod. 2023; 49(1): 45-54.
26. Pereira JC, Stanley HR. Pulp capping: influence of the exposure site on pulp healing – histologic and radiographic study in dogs’ pulp. J Endod. 1981; 7(5): 213-223.
27. Jang Y, Song M, Yoo IS i wsp. A randomized controlled study of the use of proroot mineral trioxide aggregate and endocem as direct pulp capping materials: 3-month versus 1-year outcomes. J Endod. 2015; 41(8): 1201-1206.
28. Willershausen B, Willershausen I, Ross A i wsp. Retrospective study on direct pulp capping with calcium hydroxide. Quintessence Int Berl Ger 1985. 2011; 42(2): 165-171.
29. Stanley HR. Pulp capping: conserving the dental pulp – can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol. 1989; 68(5): 628-639.
30. Haskell EW, Stanley HR, Chellemi J i wsp. Direct pulp capping treatment: a long-term follow-up. J Am Dent Assoc 1939. 1978; 97(4): 607-612.
31. Miles JP, Gluskin AH, Chambers D i wsp. Pulp capping with mineral trioxide aggregate (MTA): a retrospective analysis of carious pulp exposures treated by undergraduate dental students. Oper Dent. 2010; 35(1): 20-28.
32. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. 2006; 39(12): 921-930.
33. Mente J, Geletneky B, Ohle M i wsp. Mineral trioxide aggregate or calcium hydroxide direct pulp capping: an analysis of the clinical treatment outcome. J Endod. 2010; 36(5): 806-813.
34. Mente J, Hufnagel S, Leo M i wsp. Treatment outcome of mineral trioxide aggregate or calcium hydroxide direct pulp capping: long-term results. J Endod. 2014; 40(11): 1746-1751.
35. Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod. 2011; 37(5): 581-587.
36. Schwendicke F, Stolpe M. Direct pulp capping after a carious exposure versus root canal treatment: a cost-effectiveness analysis. J Endod. 2014; 40(11): 1764-1770.
37. Hørsted P, Sandergaard B, Thylstrup A i wsp. A retrospective study of direct pulp capping with calcium hydroxide compounds. Endod Dent Traumatol. 1985; 1(1): 29-34.
38. Mejàre I, Sundberg H, Espelid I i wsp. Caries assessment and restorative treatment thresholds reported by Swedish dentists. Acta Odontol Scand. 1999; 57(3): 149-154.
39. el-Mowafy OM, Lewis DW. Restorative decision making by Ontario dentists. J Can Dent Assoc. 1994; 60(4): 305-310, 313-316.
40. Bjørndal L, Simon S, Tomson PL i wsp. Management of deep caries and the exposed pulp. Int Endod J. 2019; 52(7): 949-973.
41. Lim ZE, Duncan HF, Moorthy A i wsp. Minimally invasive selective caries removal: a clinical guide. Br Dent J. 2023; 234(4): 233-240.
42. Barros MMAF, De Queiroz Rodrigues MI, Muniz FWMG i wsp. Selective, stepwise, or nonselective removal of carious tissue: which technique offers lower risk for the treatment of dental caries in permanent teeth? A systematic review and meta-analysis. Clin Oral Investig. 2020; 24(2): 521-532.
43. Zhu C, Ju B, Ni R. Clinical outcome of direct pulp capping with MTA or calcium hydroxide: a systematic review and meta-analysis. Int J Clin Exp Med. 2015; 8(10): 17055-17060.
44. Min KS, Park HJ, Lee SK i wsp. Effect of mineral trioxide aggregate on dentin bridge formation and expression of dentin sialoprotein and heme oxygenase-1 in human dental pulp. J Endod. 2008; 34(6): 666-670.
45. Hatipoğlu Ö, Hatipoğlu FP, Javed MQ i wsp. Factors affecting the decision-making of direct pulp capping procedures among dental practitioners: a multinational survey from 16 countries with meta-analysis. J Endod. 2023; 49(6): 675-685.
46. Hatipoglu Ö. Factors affecting the decision-making of direct pulp capping procedures amongst Turkish dental practitioners. Eur Endod J. 2018; 3(3): 167-173.
47. Sangwan P, Sangwan A, Duhan J i wsp. Tertiary dentinogenesis with calcium hydroxide: A review of proposed mechanisms. Int Endod J. 2013; 46(1): 3-19.
48. Kharouf N, Zghal J, Addiego F i wsp. Tannic acid speeds up the setting of mineral trioxide aggregate cements and improves its surface and bulk properties. J Colloid Interface Sci. 2021; 589: 318-326.
