The keys when doing a direct pulp cap are hemmorhage control and an absolute moisture seal, and the existing bacterial contamination and inflammation in the pulp before the procedure. Direct Pulp Cap The exposed pulp is directly covered. ... DPC: Direct pulp capping; CS: Calcium silicate-based cement; MTA: Mineral trioxide aggregate; CH: Calcium hydroxide Table 2 The search strategy used in PubMed (MedLine) No. The purpose of this study was to compare the clinical and radiographic success rate of direct pulp capping (DPC) and partial pulpotomy (PP) treatment using MTA as pulp capping agent in treatment of primary teeth with pulp exposure after direct complete excavation. Remaining dentin thickness(0.5-2mm) Choice of indirect pulp capping agent. Objective : The main aim of this study is to determine the 3 months success rate (defined as clinical and radiographic successes together) of direct pulp capping realized with Biodentine®. In cariously exposed pulps, the effectiveness of direct pulp cap varies. Though CaOH cements are clinically effective, MTA cements are a superior choice for pulp capping as long as the high cost, challenging handling properties, long setting time, and discolouration potential are acceptable in the situation. Laser light cavity preparation resulted in a mean 88% success rate in 3 articles. Results: The study involved 375 teeth treated with direct pulp capping, partial or coronal pulpotomy, and direct pulp capping retreated by pulpotomy (partial or coronal). ... Table 1: Criteria of selection in the modified technique of direct pulp capping . Data from retrospective studies have shown success rate, ranged between 30% and 85%., In our research, similar findings were found, when MTA placed as a direct pulp capping material in cariously exposed mature permanent teeth it was effective in 87.06% (74/85). If the pulp becomes exposed while removing soft infected dentine, the chances are that the pulp will be infected also, and a direct pulp cap will fail (that is, an irreversible pulpitis will develop). Clinical implications: Direct pulp capping is recommended after mechanical exposure with immediate placement of permanent restoration, while root canal therapy would be the choice of treatment if the exposure was due to caries. (grossman) • without signs or symptoms of pulp degeneration. Success of Direct Pulp Capping and Partial Pulpotomy of Primary Teeth using MTA. Conclusions. The success rates of direct pulp-capping with calcium hydroxide decrease as follow-up periods increase. The most effective material was anything with calcium hydroxide in it. 5% failure rate. Under the premise of correct indication and technical implementation, direct pulp capping using calcium hydroxide can reach success rates of nearly 60 % after 10 years [76, 110]. C. 12 months after DPC. Being a large difference, it could have underestimated the sample size. Success of Direct Pulp Capping Using Mineral Trioxide Aggregate and Calcium Hydroxide in Mature Permanent Molars with Pulps Exposed during Carious Tissue Removal: 1-year Follow-up J Endod. Results: An apparent success rate of 48.5% was obtained versus a 51. If a pulp cap fails, as approximately 40 percent of them do, the tooth will require a root canal or extraction. The teeth which met the criteria were treated following the steps shown in Table 2, after warning each patient of the possibility of having to have endodontic therapy in case of tooth pain or evidence of of infection. No significant difference p = 0.07) was found in the success rate at 24 months between the two materials. The rationale for using calcium hydroxide should be reserved for iatrogenic exposures in asymptomatic teeth expected to exfoliate within a short period of time. 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