Journal
CARIES RESEARCH
Volume 41, Issue 6, Pages 493-496Publisher
KARGER
DOI: 10.1159/000109349
Keywords
caries removal; dentine caries; indirect pulp capping; longitudinal study; stepwise excavation; subtraction radiography
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Radiographic changes after indirect pulp capping ( 32 teeth in 27 patients) were studied for up to 36-45 months. Radiolucent zone (RZ) depth and tertiary dentine formation were assessed qualitatively and changes in radiographic density ( by image subtraction) in RZ and control areas ( CA) were estimated. During follow-up there were 1 pulp necrosis, 1 pulp exposure, 3 fractures and 3 withdrawals. Twelve cases showed decreased RZ depth and 4 displayed tertiary dentine. No changes with time in density of CA or RZ, or in the difference between them, were observed. It is concluded that indirect pulp capping arrests lesion progression, suggesting that complete dentine caries removal is not essential for caries control. Copyright (c) 2007 S. Karger AG, Basel.
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