Table 1.
Characteristics table of the studies that compared SDF to calcium hydroxide (CAOH) in indirect pulp capping of primary teeth.
|
Author-date |
Site | Study design | Number and Age of children | Number and type of teeth | Method of assessment | SDF Clinical/radiographical |
CAOH Clinical/radiographical |
Final restoration |
|---|---|---|---|---|---|---|---|---|
| Shafi et al., 2022 | India | Randomized clinical trial | 56 children Mean age 5.7 |
56 primary molars 28 dilute SDF 28 light cure CaOH |
Criteria of success: the presence of an intact tooth with normal periodontium, and intact lamina dura, Criteria for failure included: the presence of pain, sensitivity to percussion, intraoral or extraoral sinus/abscess/swelling, widening of periodontal ligament space, internal resorption of the root, external resorption of the root, radiolucency in furcal area. |
The success of SDF was 96% at the end of 12 months. The difference between the two groups was not statistically significant (p>0.05). However, dilute SDF can be a potential treatment option as an indirect pulp capping material in primary molars with deep caries lesions due to the high success rate. |
The success of light cure calcium hydroxide was 91.6% at the end of 12 months. | The indirect pulp treatment was followed by glass ionomer cement restoration and all primary molars received stainless steel crowns. |
| Divyashree - 2021 | India | Randomized controlled in vivo study | 75 children 6–9 years |
75 teeth Primary molars 25 SDF 25 CAOH 25 MTA |
Clinical sign and symptoms: No pain, no sensitivity to percussion, no swelling and/or fistula, no pathologic tooth mobility, retention of the restoration (Marginal integrity) Radiographic: formation of reparative dentine, no radiolucency in periapical or furcation are, no widening of periodontal ligament space, no external or internal resorption |
The success of 38% SDF was evaluated using PA and Corel draw software The reparative dentin was around 0.0076 mm by the end of 6 months from baseline. This gives a statistically insignificant P- Value of 0.83. SDF showed the lowest amount of reparative dentin formation among all three groups. |
The success of CAOH was evaluated using PA and Corel draw software The reparative dentine formed was around 0.1534 mm by the end of 6 months from baseline. |
All teeth were restored with Resin Modified Glass Ionomer Cement RMGIC to ensure a proper seal |
| Patil et al., 2021 |
Randomized control trial | Number of children not mentioned Age 4–7 years |
50 teeth Primary molar 25 SDF 25 CAOH |
Clinical success criteria: absence of spontaneous night-time pain, sensitivity to pressure or any stimulus, mobility, abscess, sinus, fistula and swelling of periodontal tissue in each follow-up examinations. Radiographic success criteria: increase in the remaining dentin thickness, absence of interradicular radiolucency, periodontal ligament space thickening and signs of pathological root resorption in each follow-up radiograph. |
Clinical and radiographic success 3-month follow-up:24 (96%) Clinical and radiographic Success 6-month follow-up: 24 (96%) No significant difference between the outcomes of the two materials |
Clinical and radiographic success 3-month follow-up:23 (92%) Clinical and radiographic success 6-month follow-up: 22 (88%) |
Permanent restoration for SDF group was then done using resin modified glass ionomer cement. Permanent restoration for CAOH group was using resin modified glass ionomer cement. |
|
| Shah et al., 2020 |
India | Non-randomized clinical trial | 27 children 4–10 years |
34 teeth Primary anterior and posterior teeth 18 SDF 16 CAOH |
Clinical success criteria: presence or absence of post-treatment signs or symptoms such as sensitivity, pain or swelling Radiographic success criteria: evaluated for the presence or absence of any pathologic changes. |
Clinical and radiographic success at 1 month was found to be 100%. There is no significant difference between the two groups. |
Clinical and radiographic success at 1 month was found to be 93.75% | All teeth were restored with GIC Fuji IX |