Effect Of Different Lining Materials in Stepwise Excavation
Status:
Unknown status
Trial end date:
2013-05-01
Target enrollment:
Participant gender:
Summary
Deep carious lesions will encounter the dentist with the challenge of selecting a treatment
method that could avoid the pulpal exposure and maintain the pulp vitality.Conventional
restorative treatments suggest complete removal of the caries in one visit which could cause
pulpal exposure in 53% of the cases which in next step needs pulpotomy, pulpectomy or Root
Canal Therapy (RCT).
Stepwise Excavation(SE)is an old concept but has been researched recently to reduce the
possibility pulpal exposure during the removal of the lesion. Contrary to Indirect Pulp
Capping (IPC), in this technique only the central infected part of the caries is removed in
first visit and the rest of the caries will be lined by a suitable material to suppress the
remained cariogenic biomass and seal the cavity. This will help the pulp to defend and
survive. After a period, the cavity is re-opened and the rest of the caries which is darker,
harder and with less bacteria will be removed and the tooth is restored permanently.The aim
of this study was to compare the effect of different lining materials in clinical and
radiographical symptoms in stepwise excavation without re-enter after one year.