Prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate: A 12-month follow-up

Linda Rosenberg, Michael Atar, Marcia Daronch, Amy Honig, Marshall Chey, Margaret D. Funny, Luis Cruz

Research output: Contribution to journalArticle

Abstract

Purpose: This study's purpose was to determine the efficacy of indirect pulp treatment (IPT) in primary molars when using 2% chlorhexidine gluconate disinfecting solution and resin-modified glass ionomer (RMGI) liner after 12 months. Methods: Three- to 10-year-old subjects with deep carious lesions who met selection criteria participated. Infected dentin was removed using a caries detector, and residual affected dentin was left on the pulpal floor to prevent pulp exposure. A 2% chlorhexidine gluconate solution and a RMGI liner were placed. Teeth were restored with composite or full-coverage (stainless steel crown [SSC]) restorations. Follow-up evaluations at 3, 6, and 12 months included clinical, radiographic, and photographic assessments. Results: A total of 60 teeth were treated. Treatment was successful in 50/50 (100%), 41/42 (∼98%), and 31/32 (∼97%) teeth at the 3-, 6-, and 12-month follow-up visits, respectively. Failures included one at 6 months in a primary second molar with a composite restoration and another at 12 months in a primary first molar with a SSC. Conclusions: Indirect pulp treatment is effective in primary teeth, although appropriate case selection and an adequate marginal seal are essential for a successful outcome. Further prospective studies are needed to expand the body of evidence that clinicians use to justify decisions on clinical care.

Original languageEnglish (US)
Pages (from-to)13-17
Number of pages5
JournalPediatric Dentistry
Volume35
Issue number1
StatePublished - Jan 2013

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compound A 12
Tooth
Stainless Steel
Prospective Studies
Dentin
Crowns
Deciduous Tooth
Patient Selection
glass ionomer
chlorhexidine gluconate

Keywords

  • Caries detector
  • Dental pulp
  • Endodontics
  • Pulp capping

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate : A 12-month follow-up. / Rosenberg, Linda; Atar, Michael; Daronch, Marcia; Honig, Amy; Chey, Marshall; Funny, Margaret D.; Cruz, Luis.

In: Pediatric Dentistry, Vol. 35, No. 1, 01.2013, p. 13-17.

Research output: Contribution to journalArticle

Rosenberg, Linda ; Atar, Michael ; Daronch, Marcia ; Honig, Amy ; Chey, Marshall ; Funny, Margaret D. ; Cruz, Luis. / Prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate : A 12-month follow-up. In: Pediatric Dentistry. 2013 ; Vol. 35, No. 1. pp. 13-17.
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