Clinical and Radiological Evaluation of Theracal LC in Direct Pulp Capping
Abstract
Background & Objective: Resin Modified Calcium Silicate material (TheraCal LC) is presented for Direct pulp Capping after traumatic or Carious exposure in permanent Teeth. The purpose of the present study was to evaluate and compare the clinical outcomes of direct pulp capping using (TheraCal, Bisco), (ProRoot MTA, Dentsply), and (Dycal, Dentsply) as capping materials in Carious pulp exposure teeth.
Materials and Methods: Fifty-one asymptomatic Vital mature teeth confirmed to be eligible for direct pulp capping in 45 healthy patients ages between 15-30 (average 24yrs) were randomly assigned to either the TheraCal or the ProRoot MTA or the Dycal group (n=17), Materials were applied according to the manufacturer instructions. At each recall (3,6, and 15 months), The teeth were assessed clinically as well as radiographically. Teeth with no response to pulp vitality test and those exhibiting clinical or radiographic signs and/or symptoms of irreversible pulpitis or pulp necrosis were considered to be failures. Results were evaluated statistically using Chi Square test to compare Success and failure occurrence (P<0.05) using SPSS v16.0 software.
Results: 47 teeth (40 patients) were examined at the 15-month follow-up (patient recall rate = 91.1%); 16 of these teeth were in 1st group, 16 in the 2nd group, and 15 were in 3rd group. The success rate in the TheraCal, ProRoot MTA and Dycal groups were 81.3% , 93.8% 73.3%, respectively. Statistical analyses of these success rates did not reveal any significant difference between the groups (P = 0.311).
Conclusions: In this clinical study, outcome success rate of 81.3% indicates that direct pulp capping may be a reliable treatment for pulp exposure in adult teeth by using the new material. no significant difference were recorded in the clinical outcomes of direct pulp capping using the experimental materials.
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