Effectiveness of Calcium Hydroxide (CaOH) as agent for Direct Pulp Capping in the Mandibular Molars

Abstract

Background: Direct Pulp Capping technique has been in use as a treatment therapy to sustain a vital pulp. The substitute procedure to the endodontic therapy or extraction is precise & successful pulp capping. Calcium hydroxide (CaOH) is considered as gold standard agent for pulp capping because of antibacterial characteristics & ability to form dentinal bridge. Calcium hydroxide has also shown great results on peri-apical healing process. Aim: To evaluate success rate of direct pulp capping when CaOH is used as a direct pulp capping agent Setting: Multan Dental College Multan Methodology: Sample size 60 cases. Patients of 15-40 years age group were selected with the exposure of the vital pulp by caries or Trauma in permanent lower molars clinically. Those cases with pinpoint (precise) exposure of pulp were selected. Flow of blood from site of exposure should be ceased inside two to three minutes after the applying the soaking cotton pallet with the saline. Results: 25 were woman (41.67%) and 35 were men (58.33%). Overall percentage of success is 80% which means that 48 patients had showed effectiveness, while twelve patients had shown failure of pulp capping Conclusion: We conclude that Calcium hydroxide is a choice for the direct pulpal capping. When a site of exposure is sealed/ wrapped by means of calcium hydroxide, the odds of the failure may decrease, and prognosis might be good. Keywords: Calcium hydroxide, Direct Pulp Capping, Postoperative X-ray, follow-up