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ANTIBACTERIAL EFFECT OF LIGHT-ACTIVATED CALCIUM SILICATE VERSUS CALCIUM HYDROXIDE ON PERMANENT CARIOUS MOLARS TREATED WITH STEP-WISE EXCAVATION: A RANDOMIZED CLINICAL TRIAL

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Conservative Dentistry

Abstract

Aims and Objectives: to evaluate the antibacterial action of calcium silicate (Theracal) liner in comparison to calcium hydroxide (Biner LC) liners on permanent carious molars treated with step-wise excavation in 6 months follow-up. Materials and Methods:48 patients were assigned in this study. Participants were divided into two groups randomly according to type of liner that was placed and sample of dentin that will be taken before placement of liner and after placement 6 months. Application of both materials was done after the excavation of caries on the cavity walls and dentin sample was taken from the central carious lesion for microbiological analysis, cavities were sealed with conventional glass ionomer cement as a temporary restoration. After 6 months, the cavities were reopened, temporary restorations and pulp capping material were removed, and second dentin sample was taken for microbiological analysis. Caries was excavated to firm dentin and teeth were restored with permanent resin composite restorations. Agar Diffusion test and Digital Colony Counter were conducted for the study. The measuring unit of the bacterial count was CFU/ml. Results: There was no statistically significant difference between the two groups for Streptococcus Mutants and Lactobacillus Bacterial count after 6 months. Conclusion: Antibacterial activity of the resin-modified calcium silicate has nearly the same effect as Calcium Hydroxide, however still doubtful to be used as the gold standard for pulp capping material. Regardless the pulp capping material used, avoiding bacterial contamination and marginal sealing is essential in preserving the tooth vitality with deep Class I carious lesions.

DOI

10.21608/edj.2021.106576.1873

Keywords

dental caries, Calcium hydroxide, Calcium Silicate, Step-wise Excavation, bacterial count

Authors

First Name

Hanaa

Last Name

Morsy

MiddleName

-

Affiliation

Master Degree Operative Department, Faculty of Dentistry, Cairo University,

Email

hanaastamos@gmail.com

City

Cairo

Orcid

-

First Name

Omaima

Last Name

Safwat

MiddleName

-

Affiliation

Department of Conservative Dentistry, Faculty of Dentistry, Cairo University, & October 6 University, Cairo, Egypt

Email

omaima.hamza@dentistry.cu.edu.eg

City

Cairo

Orcid

-

First Name

Mohsen

Last Name

Abielhassan

MiddleName

-

Affiliation

Department of Conservative Dentistry, Faculty of Dentistry, Cairo University, & October 6 University, Cairo, Egypt

Email

mohsen.abielhassan@dentistry.cu.edu.eg

City

Giza

Orcid

-

First Name

Marwa

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Microbiology and Immunology, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

mksallam2@yahoo.com

City

Cairo

Orcid

-

Volume

68

Article Issue

1

Related Issue

31190

Issue Date

2022-01-01

Receive Date

2021-11-18

Publish Date

2022-01-01

Page Start

1,083

Page End

1,094

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_218755.html

Detail API

https://edj.journals.ekb.eg/service?article_code=218755

Order

13

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

ANTIBACTERIAL EFFECT OF LIGHT-ACTIVATED CALCIUM SILICATE VERSUS CALCIUM HYDROXIDE ON PERMANENT CARIOUS MOLARS TREATED WITH STEP-WISE EXCAVATION: A RANDOMIZED CLINICAL TRIAL

Details

Type

Article

Created At

22 Jan 2023