Calcium Silicate as Indirect Pulp Capping under Posterior Direct Restorations
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Abstract
Introduction: In the pursuit of conservative approaches to treat deep carious lesions, pulp capping has been proposed. This technique aims to halt the progression of caries and induce the formation of reparative dentin. Among the available options, calcium silicate-based liners stand out as bioactive materials that promote the formation of carbonate apatite. Objective: To present a clinical case in which a resin-modified calcium silicate-based liner was employed. Case presentation: A 22-year-old male patient attended the teaching dental clinic of a university in Lima, Peru. Clinical and radiographic examinations revealed the presence of deep carious lesions in teeth 46 and 47. After removal of caries-infected tissue, a resin-modified calcium silicate-based liner was applied to the dentin close to pulp chamber. The cavities were subsequently restored using a self-etching adhesive system, fluid and composite resin. Clinical intraoral photographs and dentoalveolar radiographs were taken after 1 year. No pain or signs of internal or external resorption, nor periapical lesions, were reported. Conclusions: The procedure with the resin-modified calcium silicate-based liner used in this clinical case showed that it is an appropriate material for indirect pulp capping since no sensitivity or periapical lesions were reported after 1 year postoperatively.
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