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A Randomized Controlled Study of the Use of ProRoot Mineral Trioxide Aggregate and Endocem as Direct Pulp Capping Materials: 3-month versus 1-year Outcomes

 Youngjune Jang  ;  Minju Song  ;  Il Sang Yoo  ;  Yunjung Song  ;  Byoung Duck Roh  ;  Euiseong Kim 
 JOURNAL OF ENDODONTICS, Vol.41(8) : 1201-1206, 2015 
Journal Title
Issue Date
Adult ; Aged ; Aluminum Compounds* ; Calcium Compounds* ; Dental Caries/therapy* ; Dental Pulp Capping/methods* ; Drug Combinations ; Female ; Follow-Up Studies ; Hospitals, University ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Oxides* ; Proportional Hazards Models ; Pulp Capping and Pulpectomy Agents* ; Root Canal Filling Materials* ; Seoul ; Silicates* ; Single-Blind Method ; Time Factors ; Treatment Outcome ; Young Adult
Direct pulp capping ; Endocem ; ProRoot MTA ; randomized controlled trial ; survival analysis
INTRODUCTION: The purpose of this study was to assess the long-term clinical outcomes of direct pulp capping (DPC) with ProRoot MTA (Dentsply, Tulsa, OK) and Endocem (Maruchi, Wonju, Korea) as pulp capping materials. To this end, the 1-year cumulative successes of both materials were evaluated and compared with those of the 3-month outcomes in a prospective, randomized controlled trial. METHODS: Patients were recruited from the Department of Conservative Dentistry of the Yonsei University Dental Hospital, Seoul, South Korea, from January to May 2013. Of the 48 teeth that met the inclusion criteria, 46 teeth were randomly allocated to either ProRoot MTA or Endocem groups (n = 23). Direct pulp capping was performed, and clinical and radiographic examinations were conducted over 1 year after the treatment. Survival analyses were conducted to compare the cumulative successes between ProRoot MTA and Endocem and to evaluate other clinical variables. RESULTS: Forty-one teeth were recalled 1 year after the treatments (recall rate = 89.13%). There were no significant differences between the cumulative successes of ProRoot MTA and Endocem in either log-rank or Cox proportional hazard regression analyses (P > .05). Among the other clinical variables, cavity type (class I, II, III vs class V) was determined to be significant in both the log-rank test (P = .001) and Cox regression analysis (P = .006). CONCLUSIONS: Both ProRoot MTA and Endocem exhibited similar cumulative successes as direct pulp capping materials up to 1 year. The teeth restored with class V cavities exhibited significantly lower cumulative success rates after direct pulp capping compared with the teeth restored with other types of cavities.
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2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eui Seong(김의성) ORCID logo https://orcid.org/0000-0003-2126-4761
Roh, Byoung Duck(노병덕)
Song, Min Ju(송민주)
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