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Self-etching adhesives: possible new pulp capping agents to vital pulp therapy |
Chun CUI1, Xiu-Neng ZHOU2(), Wei-Min CHEN1 |
1. Stomatological Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 2. Department of Conservative Dentistry and Endodontics, School of Stomatology Wuhan University, Wuhan 430079, China |
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Abstract Pulp capping is one of the solving for keeping vital pulp in the case of dentin caries, reversible pulpitis or traumatic pulp exposure. The presence of bacteria on the cavity walls or in the pulp was the major factor that leads to the failure of pulp capping. Traditional pulp capping agent, calcium hydroxide, may not prevent microleakage. Self-etching system is a newly developed adhesive system, which could provide less microleakage and would not break down or dissolve, preventing the oral fluids and bacteria from the pulp along the cavity wall. This may reduce such clinical problems as postoperative sensitivity, secondary caries and marginal discoloration. Researches showed that some kinds of self-etching adhesives induced the mild to moderate inflammatory pulp response, with negative bacterial staining. Inclusion of antibacterial components into self-etching system, such as 12- methacryloyloxydodecylpyridinium bromide (MDPB) may inhibit bacteria and provide better clinical effects. It is speculated that using the self-etching adhesive system containing the antibacterial agent, such as MDPB, to the dental pulp directly or indirectly, may inhibit bacteria after the placement of restoration as well as residual bacteria in the cavity.
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Keywords
dental pulp
pulp capping
self-etching adhesives
antibacterial components
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Corresponding Author(s):
ZHOU Xiu-Neng,Email:chowcui@sohu.com
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Issue Date: 05 March 2011
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1 |
Witherspoon D E. Vital pulp therapy with new materials: new directions and treatment perspectives—permanent teeth. Pediatr Dent , 2008, 30(3): 220-224 pmid:18615987
|
2 |
Tziafas D, Belibasakis G, Veis A, Papadimitriou S. Dentin regeneration in vital pulp therapy: design principles. Adv Dent Res , 2001, 15(1): 96-100 doi: 10.1177/08959374010150012501 pmid:12640751
|
3 |
Tziafas D, Smith A J, Lesot H. Designing new treatment strategies in vital pulp therapy. J Dent , 2000, 28(2): 77-92 doi: 10.1016/S0300-5712(99)00047-0 pmid:10666965
|
4 |
Büyükgüral B, Cehreli Z C. Effect of different adhesive protocols vs calcium hydroxide on primary tooth pulp with different remaining dentin thicknesses:24-month results. Clin Oral Investig , 2008, 12(1): 91-96 doi: 10.1007/s00784-007-0152-x pmid:17896116
|
5 |
Kitasako Y, Ikeda M, Tagami J. Pulpal responses to bacterial contamination following dentin bridging beneath hard-setting calcium hydroxide and self-etching adhesive resin system. Dent Traumatol , 2008, 24(2): 201-206 doi: 10.1111/j.1600-9657.2007.00517.x pmid:18352925
|
6 |
Perdig?o J, Lopes M. Dentin bonding—questions for the new millennium. J Adhes Dent , 1999, 1(3): 191-209 pmid:11725668
|
7 |
Kugel G, Ferreira S. The art and science of tooth whitening. J Mass Dent Soc , 2005, 53(4): 34-37 pmid:15828604
|
8 |
Frankenberger R, Perdig?o J, Rosa B T, Lopes M. “No-bottle” vs “multi-bottle” dentin adhesives—a microtensile bond strength and morphological study. Dent Mater , 2001, 17(5): 373-380 doi: 10.1016/S0109-5641(00)00084-1 pmid:11445203
|
9 |
Unemori M, Matsuya Y, Akashi A, Goto Y, Akamine A. Self-etching adhesives and postoperative sensitivity. Am J Dent , 2004, 17(3): 191-195 pmid:15301216
|
10 |
Murray P E, Hafez A A, Smith A J, Cox C F. Identification of hierarchical factors to guide clinical decision making for successful long-term pulp capping. Quintessence Int , 2003, 34(1): 61-70 pmid:12674361
|
11 |
Tay F R, Sano H, Carvalho R, Pashley E L, Pashley D H. An ultrastructural study of the influence of acidity of self-etching primers and smear layer thickness on bonding to intact dentin. J Adhes Dent , 2000, 2(2): 83-98 pmid:11317404
|
12 |
Santini A, Ivanovic V, Ibbetson R, Milia E. Influence of marginal bevels on microleakage around Class V cavities bonded with seven self-etching agents. Am J Dent , 2004, 17(4): 257-261 pmid:15478487
|
13 |
de Souza Costa C A, Lopes do Nascimento A B, Teixeira H M, Fontana U F. Response of human pulps capped with a self-etching adhesive system. Dent Mater , 2001, 17(3): 230-240 doi: 10.1016/S0109-5641(00)00076-2 pmid:11257296
|
14 |
Medina V O 3rd, Shinkai K, Shirono M, Tanaka N, Katoh Y. Histopathologic study on pulp response to single-bottle and self-etching adhesive systems. Oper Dent , 2002, 27(4): 330-342 pmid:12120769
|
15 |
Imazato S. Bio-active restorative materials with antibacterial effects: new dimension of innovation in restorative dentistry. Dent Mater J , 2009, 28(1): 11-19 doi: 10.4012/dmj.28.11 pmid:19280964
|
16 |
Imazato S, Kaneko T, Takahashi Y, Noiri Y, Ebisu S. In vivo antibacterial effects of dentin primer incorporating MDPB. Oper Dent , 2004, 29(4): 369-375 pmid:15279474
|
17 |
Imazato S, Kuramoto A, Takahashi Y, Ebisu S, Peters M C. In vitro antibacterial effects of the dentin primer of Clearfil Protect Bond. Dent Mater , 2006, 22(6): 527-532 doi: 10.1016/j.dental.2005.05.009 pmid:16198404
|
18 |
Tziafas D, Koliniotou-Koumpia E, Tziafa C, Papadimitriou S. Effects of a new antibacterial adhesive on the repair capacity of the pulp-dentine complex in infected teeth. Int Endod J , 2007, 40(1): 58-66 doi: 10.1111/j.1365-2591.2006.01183.x pmid:17209834
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