A randomized controlled study of the use of ProRoot mineral trioxide aggregate and Endocem as direct pulp capping materials

Minju Song; Minji Kang; Hyeon-Cheol Kim; Euiseong Kim

doi:10.1016/j.joen.2014.09.005

A randomized controlled study of the use of ProRoot mineral trioxide aggregate and Endocem as direct pulp capping materials

J Endod. 2015 Jan;41(1):11-5. doi: 10.1016/j.joen.2014.09.005. Epub 2014 Oct 30.

Authors

Minju Song¹, Minji Kang², Hyeon-Cheol Kim³, Euiseong Kim²

Affiliations

¹ Department of Conservative Dentistry, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University, Seoul, South Korea. Electronic address: andyendo@yuhs.ac.
² Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, South Korea.
³ Department of Conservative Dentistry, School of Dentistry, Pusan National University, Busan, South Korea.

PMID: 25443279
DOI: 10.1016/j.joen.2014.09.005

Abstract

Introduction: The purpose of the present study was to evaluate and compare the short-term clinical outcomes of direct pulp capping using ProRoot MTA (Dentsply, Tulsa, OK) or Endocem (Maruchi, Wonju, Korea) as capping materials in a prospective randomized controlled study.

Materials and methods: This study was conducted with subjects who were recruited from the pool of patients from the Department of Conservative Dentistry at the Dental College of Yonsei University, Seoul, Korea, between January and May 2013. Of the 48 teeth confirmed to be eligible for direct pulp capping, a total of 46 teeth were randomly assigned to either the ProRoot MTA or the Endocem group (23 teeth per group). Direct pulp capping was performed using these 2 materials, and clinical and radiographic evaluations were performed at 1, 2, 4, and 12 weeks after the treatments. 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: Thirty-two patients (43 teeth) were examined at the 3-month follow-up (patient recall rate = 91.4%); 22 of these teeth were in the ProRoot MTA group, and 21 were in the Endocem group. The overall success rate was 93%, and the success rates in the ProRoot MTA and Endocem groups were 95.5% (21/22 teeth) and 90.5% (19/21 teeth), respectively. Statistical analyses of these success rates did not reveal any significant difference between the groups (P = .522).

Conclusions: In this randomized controlled study, no significant difference in the short-term clinical outcomes of direct pulp capping using ProRoot MTA or Endocem as the capping material was found. Furthermore, the favorable short-term outcome success rate of 93% indicates that direct pulp capping may be a reliable treatment for pulp exposure in adult teeth.

Keywords: Clinical outcome; Endocem; ProRoot MTA; direct pulp capping; randomized controlled study.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Aftercare
Aged
Aluminum Compounds / therapeutic use*
Calcium Compounds / therapeutic use*
Dental Cements / therapeutic use
Dental Pulp / drug effects
Dental Pulp Capping / methods*
Dental Pulp Exposure / therapy
Dental Pulp Necrosis / drug therapy
Drug Combinations
Female
Humans
Male
Middle Aged
Oxides / therapeutic use*
Prospective Studies
Pulpitis / drug therapy
Root Canal Filling Materials / therapeutic use*
Root Canal Therapy / methods*
Silicates / therapeutic use*
Treatment Outcome
Young Adult

Substances

Aluminum Compounds
Calcium Compounds
Dental Cements
Drug Combinations
Oxides
Root Canal Filling Materials
Silicates
endocem
mineral trioxide aggregate